Washington · Grandview

The Orchards at Grandview.

ALF · Memory Care55 bedsDementia-trained staff(509) 203-6182
DSHS SDCP
Peer rank
Top 16% of Washington memory care
See full peer rank →
Facility · Grandview
A 55-bed ALF · Memory Care with 4 citations on file.
Licensed beds
55
Last inspection
Jan 2026
Last citation
Jan 2026
Operated by
Snapshot

A large home, reviewed on public record.

Peer Comparison

Compared to 38 Washington facilities with a similar number of beds.

ALF memory care · 36-month window. Higher percentile = better performance on inspection record. Source: Washington DSHS · Aging and Disability Services Administration.

Severity rank
78th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
73rd%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month DSHS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

FACILITY WATCH · FREE

The Orchards at Grandview has 4 citations on record. Know the moment anything changes.

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The Record

Citation history, plotted month by month.

4 deficiencies on record. Each bar is a month with a citation.

Peer median 1 · dashed
Last citation: JAN 2026. Compared against peer median (dashed).
peer median
JAN 2026
Aug 2024as of Jul 2026

Finding distribution

4 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G
H
I
Sev 2
D
E
F
Sev 1
A4
B
C
Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to The Orchards at Grandview's record and state requirements.

01 /

The facility holds a DSHS Specialized Dementia Care contract — can you describe what specific dementia supports or programming that contract requires, and can families review the written policies that define those supports?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

DSHS records show 5 deficiencies across 4 inspection reports — can you walk us through the corrective action plans the facility submitted for those deficiencies, and confirm which have been closed by the state?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

Two complaints were filed with DSHS Residential Care Services during the inspection period on file — can you share whether those complaints were substantiated, and if so, what remediation steps the facility implemented in response?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

Full Inspection Record

Every inspection visit, verbatim.

4 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

4
reports on file
4
total deficiencies
2026-01-01
Annual Compliance Visit
1 finding

Plain-language summary

A routine inspection of The Orchards at Grandview (License #2503) identified at least one deficiency. The facility has submitted a plan of correction and committed to achieving compliance by a specified date.

WAC §WAC 388-78A-2140
Verbatim citation text · WAC §WAC 388-78A-2140

The assisted living facility failed to ensure required elements were included in a resident's negotiated service agreement to meet the resident's needs, specifically missing elements related to care and services necessary to meet the resident's needs, the plan to monitor the resident and address interventions for current risks to health and safety, the plan to provide necessary intermittent nursing services if applicable, and appropriate behavioral interventions if needed.

Read raw inspector notes

WAC 388-78A-2140: The assisted living facility failed to ensure required elements were included in a resident's negotiated service agreement to meet the resident's needs, specifically missing elements related to care and services necessary to meet the resident's needs, the plan to monitor the resident and address interventions for current risks to health and safety, the plan to provide necessary intermittent nursing services if applicable, and appropriate behavioral interventions if needed.

2024-02-01
Annual Compliance Visit
No findings
2024-01-01
Complaint Investigation
No findings
2023-09-01
Complaint Investigation
3 findings

Plain-language summary

A complaint investigation at The Orchards at Grandview from June through July 2023 found that the facility failed to properly investigate and report incidents to the state hotline, which was cited as a deficiency; however, observations and record reviews did not substantiate allegations regarding resident hygiene, medication administration, staffing qualifications, or resident care practices. The investigation confirmed that medication technicians were properly trained and delegated, the facility nurse was present, residents received assistance with eating and hygiene during observed visits, and medications were administered as prescribed. A staff member involved in unauthorized conduct was terminated following a facility investigation.

WAC §WAC 388-78A-2371
Verbatim citation text · WAC §WAC 388-78A-2371

Medication technician failed to recognize pain and provide adequate pain medication. Record review showed seven doses of pain medication were not initialed as given to the resident, and the facility nurse did not notify the doctor of the missed doses.

WAC §WAC 388-78A-2630
Verbatim citation text · WAC §WAC 388-78A-2630

Medication technician failed to recognize pain and provide adequate pain medication. Record review showed seven doses of pain medication were not initialed as given to the resident, and the facility nurse did not notify the doctor of the missed doses.

WAC §WAC 388-78A-2660
Verbatim citation text · WAC §WAC 388-78A-2660

Facility failed to properly investigate incidents and report to the State hotline. Staff denied knowledge of an incident where a resident was held down by multiple staff members.

Read raw inspector notes

WAC 388-78A-2371: Medication technician failed to recognize pain and provide adequate pain medication. Record review showed seven doses of pain medication were not initialed as given to the resident, and the facility nurse did not notify the doctor of the missed doses. WAC 388-78A-2630: Medication technician failed to recognize pain and provide adequate pain medication. Record review showed seven doses of pain medication were not initialed as given to the resident, and the facility nurse did not notify the doctor of the missed doses. WAC 388-78A-2371: Facility failed to properly investigate incidents and report to the State hotline. Staff denied knowledge of an incident where a resident was held down by multiple staff members. WAC 388-78A-2630: Facility failed to properly investigate incidents and report to the State hotline. Staff denied knowledge of an incident where a resident was held down by multiple staff members. WAC 388-78A-2660: Facility failed to properly investigate incidents and report to the State hotline. Staff denied knowledge of an incident where a resident was held down by multiple staff members.

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