Tri-Cities Assisted Living.

WAC 388-78A-2040(1)(2): The facility failed their initial Fire Marshal inspection and their first follow-up Fire Marshal reinspection.

WAC 388-78A-2040: The facility failed to maintain compliance with the Washington State Patrol Fire Protection Bureau. Multiple fire code violations were found during reinspection on 03/17/2025, including: resident room door failed to close and latch, fire sprinkler escutcheon ring was missing, single station smoke alarms greater than 10 years old were observed, heat detector was missing its cover, and annual service documentation for the emergency generator could not be provided. These violations placed residents, staff, and visitors at risk of harm in the event of a fire.

WAC 388-78a-2160: Call light response times exceeded fifteen minutes for resident requiring assistance with toileting and mobility. Staff failed to provide timely response to resident's needs. WAC 388-78a-2160: Staff refused to assist resident with Activities of Daily Living despite resident requiring assistance. Staff were instructed by other staff that the resident needed to do things on their own, representing failure in communicating and meeting resident care needs. WAC 388-78a-2600: Facility failed to monitor blood pressure for resident with multiple high blood pressure readings, emergency room visits for hypertension, and three new blood pressure medications prescribed. This failure endangered resident health and safety. WAC 388-78a-2160: Staff refused to assist named resident with Activities of Daily Living despite resident requiring assistance. Staff were instructed not to assist with cares, representing failure in communicating resident needs and following Negotiated Service Agreement. WAC 388-78a-2210: Facility failed to administer new medication dosage increase per physician's orders. Staff were aware of dosage changes but did not implement them, as evidenced by Medication Administration Records not showing new dosage. WAC 388-76A-2660: Facility failed to ensure residents were treated with respect and dignity by providing inconsistent and untimely staff responses to resident requests for assistance, contributing to degraded care and services for residents.

WAC 388-78a-2371: The facility failed to thoroughly investigate how a resident's multiple bruises occurred and failed to implement preventative measures to protect the resident. Staff were not adequately aware of the extent of bruising on the resident. WAC 388-78A-2600: The facility failed to follow its policies and procedures when responding to a resident's fall, including failure to summon immediate assistance and failure to notify the responsible party on the day of the fall.

WAC 388-78A-2640: The facility failed to report falls and incidents as required. Record review showed that sampled residents' falls were not thoroughly documented and reported to appropriate parties. WAC 388-78A-2371: The facility failed to thoroughly investigate falls for sampled residents. Incidents were not adequately documented or investigated according to regulatory requirements. WAC 388-78A-2630: The facility failed to report an allegation of abuse between a staff member and resident. The facility did not properly report the allegation as required by regulation. WAC 388-78A-2640: The facility failed to report an incident involving bruising on a resident believed to be caused by abuse. The facility did not make required reports regarding the suspected abuse incident. WAC 388-78A-2371: The facility failed to thoroughly investigate an incident of bruising on a resident. The investigation was not conducted with the required thoroughness and documentation. WAC 388-78A-2290: The facility failed to develop complete Negotiated Service Agreements for three residents that included necessary services such as wound care, ability to leave unescorted, and accurate evacuation information for residents with assessed needs.

WAC 388-78A-3010: The assisted living facility failed to ensure that each resident's bedroom accommodation met necessary space and amenities requirements. Specifically, residents were observed living in common areas of apartments where access to bathrooms required passing through other resident spaces, compromising resident dignity and privacy, and rooms did not meet standards for designated sleeping rooms.