Bishop Place Senior Living.

Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written . N/A .

Statement of Deficiencies License #: 2675 Compliance Determination # 67489 Plan of Correction Bishop Place Senior Living Completion Date You are required to be in compliance at all times with all licensing laws and regulations to maintain your Assisted Living Facility license. The department completed data collection for the unannounced on-site full inspection on 10/20/2025, 10/21/2025, 10/22/2025 and 10/23/2025 of: Bishop Place Senior Living 815 SE Klemgard St Pullman, WA 99163 The following sample was selected for review during the unannounced on-site visit: 15 of 103 current residents and 0 former residents. The department staff that inspected the Assisted Living Facility: Jennifer Lee, Assisted Living Facility Licensor Brian Zbylski, ALF Licensor Tethra Wales, Assisted Living Facility Licensor From: DSHS, Aging and Long-Term Support Administration 8517 E Trent Ave, Ste 102 Spokane Valley, WA 99212 . Statement of Deficiencies License #: 2675 Compliance Determination # 67489 Plan of Correction Bishop Place Senior Living Completion Date As a result of the on-site visit(s), the department found that you are not in compliance with the licensing laws and regulations as stated in the cited deficiencies in the enclosed report. I understand that to maintain an Assisted Living Facility license, the facility must be in compliance with all the licensing laws and regulations at all times. Administrator (or Representative) Date WAC 388-78A-2950 Water supply. The assisted living facility must: (6) Provide all sinks in resident rooms, toilet rooms and bathrooms, and bathing fixtures used by residents with hot water between 105 F and 120 F at all times; and This requirement was not met as evidenced by: Based on observation, interview and record review, the facility failed to ensure that hot water temperatures were maintained between 105- and 120-degrees Fahrenheit for 4 of 11 residents (Residents 2, 13, 14, and 15) and in 1 of 1 resident common area (Assisted Living Activities Room). This failure resulted in hot water temperatures above 120 degrees Fahrenheit in the residents’ private sinks and a resident accessible common area, and placed residents at risk of burning or scalding injuries. Findings included… Review of the October 2025 facility maintenance log showed water temperatures exceeded 120 degrees Fahrenheit (F) on 10/06/2025 and 10/14/2025 in the Assisted Living Activities Room. Further review showed that temperature checks did not include resident rooms. In an interview on 10/22/2025 at 2:08 PM, Staff G, Maintenance Director, stated that resident rooms were not included in their weekly water temperature checks. <Resident 2> Review of Resident 2’s Service Plan (the facility’s titled combined assessment and negotiated service plan), dated 04/03/2025, showed a diagnosis of . . Statement of Deficiencies License #: 2675 Compliance Determination # 67489 Plan of Correction Bishop Place Senior Living Completion Date Observation on 10/23/2025 at 8:45 AM, showed a water temperature of 124.4 degrees F in the bathroom sink inside resident 2’s room. <Resident 13> Review of Resident 13’s Service Plan, dated 09/21/2025, showed a diagnosis of . Observation on 10/22/2025 at 3:27 PM showed a water temperature of 125.2 degrees F in the bathroom sink inside Resident 13’s room. <Resident 14> Review of Resident 14’s Service Plan, dated 08/29/2025, showed a diagnosis of . Observation on 10/22/2025 at 3:34 PM showed a water temperature of 124.1 degrees F in the bathroom sink inside Resident 14’s room. <Resident 15> Review of Resident 15’s Service Plan, dated 07/10/2025, showed a diagnosis of . Observation on 10/22/2025 at 3:40 PM showed a water temperature of 123.9 degrees F in the bathroom sink inside Resident 15’s room. Plan/Attestation Statement I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, Bishop Place Senior Living is or will be in compliance with this law and / or regulation on (Date)________________ . In addition, I will implement a system to monitor and ensure continued compliance with this requirement. Administrator (or Representative) Date . Statement of Deficiencies License #: 2675 Compliance Determination # 67489 Plan of Correction Bishop Place Senior Living Completion Date WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. (1) A Washington state name and date of birth background check is valid for two years from the initial date it is conducted. The assisted living facility must ensure: (a) A new DSHS background authorization form is submitted to the department's background check central unit every two years for all administrators, caregivers, staff persons, volunteers and students; and WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. (1) A Washington state name and date of birth background check is valid for two years from the initial date it is conducted. The assisted living facility must ensure: (b) There is a valid Washington state name and date of birth background check for all administrators, caregivers, staff persons, volunteers and students. This requirement was not met as evidenced by: Based on observation, interview and record review the facility failed to ensure that a Washington state name and date of birth background check was completed every two years by 1 of 6 sampled staff (Staff F). This failure resulted in residents receiving care and services from staff who had not completed a background check within two years of their previous review. Findings included... Review of Staff F’s, Medication Aide, personnel file showed a hire date of 04/02/2009. Further review showed that Staff F had a Washington state name and date of birth background check completed on 02/05/2022 and a subsequent check completed on 10/23/2025. Review of the facility’s staff schedule showed that Staff F worked on 10/03/2025, 10/04/2025, 10/05/2025, 10/06/2025, 10/07/2025, 10/08/2025, 10/09/2025, 10/10/2025, 10/11/2025, 10/12/2025, 10/13/2025, 10/14/2025, 10/15/2025, 10/16/2025, 10/17/2025, 10/18/2025, 10/19/2025, 10/20/2025, 10/21/2025, 10/22/2025, and 10/23/2025. Observation on 10/20/2025 at 2:18 PM showed Staff F did laundry in the memory care laundry room. Observation on 10/22/2025 at 3:42 PM showed Staff F exited a resident room and conferred with another staff member in the common area of memory care. In an interview on 10/23/2025 at 1:30 PM, Staff A, Executive Director, stated that the facility did not have a record to show that Staff F completed an updated background check within the two-year time frame requirement. . Statement of Deficiencies License #: 2675 Compliance Determination # 67489 Plan of Correction Bishop Place Senior Living Completion Date Plan/Attestation Statement I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, Bishop Place Senior Living is or will be in compliance with this law and / or regulation on (Date)________________ . In addition, I will implement a system to monitor and ensure continued compliance with this requirement. Administrator (or Representative) Date WAC 388-78A-2480 Tuberculosis Testing Required. (1) The assisted living facility must develop and implement a system to ensure each staff person is screened for tuberculosis within three days of employment. This requirement was not met as evidenced by: Based on interview and record review, the facility failed to ensure that testing for tuberculosis had been completed within three days of hire for 1 of 6 staff (Staff B). This failure placed residents at risk of contracting and spreading a contagious disease. Findings included… Review of Staff B’s, Medication Aide, personnel file showed a hire date of 09/14/2024, and that they were tested for Tuberculosis (TB, a contagious respiratory infection) on 10/17/2024, 34 days after the date of hire. Review of the facility’s staff schedule showed that Staff B worked on 10/03/2025, 10/04/2025, 10/06/2025, 10/10/2025, 10/11/2025, 10/12/2025, and 10/13/2025. In an interview on 10/23/2025 at 1:30 PM, Staff A, Executive Director, stated that they did not know why Staff B did not complete TB testing in the required time frame. Staff A confirmed that Staff B had been working as a caregiver as of 09/14/2024. . Statement of Deficiencies License #: 2675 Compliance Determination # 67489 Plan of Correction Bishop Place Senior Living Completion Date Plan/Attestation Statement I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, Bishop Place Senior Living is or will be in compliance with this law and / or regulation on (Date)________________ .

Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A . Statement of Deficiencies License #: 2675 Compliance Determination # 37535 Plan of Correction Bishop Place Senior Living Completion Date Administrator (or Representative) Date WAC 388-78A-2950 Water supply. The assisted living facility must: (5) Provide hot and cold water under adequate pressure readily available throughout the assisted living facility; This requirement was not met as evidenced by: Based on observation and interview, the facility failed to ensure hot water was supplied to 5 out of 5 sinks in the kitchen area of the assisted living facility. This failure resulted in kitchen staff having to wash their hands in cold water and placed residents at risk for cross contamination. Findings included... Observation on 02/29/2024 at 1: 30 PM showed that when the hot water faucets were turned on in the facility’s kitchen sinks, only cold water came out of the taps. In an interview on 02/29/2024 at 1:35 PM, Staff C, Maintenance Director, stated that the hot water heater for the kitchen went out in November of 2023. Staff C stated there was no temporary solution for supplying hot water to the kitchen. In an interview on 02-29-2024 at 1:40 PM, Staff E stated that there was no hot water in any of the sinks in the kitchen and that they had been using cold water to wash their hands. Staff E stated it had been several months since there had been hot water to wash their hands with. Plan/Attestation Statement I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, Bishop Place Senior Living is or will be in compliance with this law and / or regulation on (Date)________________ . In addition, I will implement a system to monitor and ensure continued compliance with this requirement. . Statement of Deficiencies License #: 2675 Compliance Determination # 37535 Plan of Correction Bishop Place Senior Living Completion Date Administrator (or Representative) Date WAC 246-215-04555 Equipment -- Mechanical warewashing equipment, hot water sanitization temperatures (2009 FDA Food Code 4-501.112). (1) Except as specified in subsection (2) of this section, in a mechanical operation, the temperature of the fresh hot water SANITIZING rinse as it enters the manifold may not be more than 194 F (90 C) or less than: (b) For all other machines, 180 F (82 C). WAC 388-78A-2305 Food sanitation. The assisted living facility must: (1) Manage food, and maintain any on-site food service facilities in compliance with chapter 246-215 WAC, Food service; This requirement was not met as evidenced by: Based on observation, interview, and record review, the facility failed to ensure that adequate water temperature for sterilization was reached for 1 of 1 dishwasher (kitchen dishwasher). This failure resulted in improper sterilization of dishes and placed residents at risk for food born illness. Findings included… In an interview on 02/29/2024 at 1:28 PM Staff D, Dietary Director, stated that the hot water did not work as they were having trouble finding a contractor to come out. Staff D stated that the administrative staff were aware and had told them it was being worked on. Observation on 02/29/2024 at 1:32 PM showed that a temperature indicator (a disposable device that changes color when adequate temperature is reached) that was ran through a wash/rinse cycle, did not change color. In an interview on 02/29/2024 at 1:40, Staff E, Dishwasher, stated that the dishes were air dried after they exited the dishwasher and that it took a longer amount of time to dry when the dishwasher did not reach the appropriate temperature. In an interview on 02/29/2024 at 2:40 PM, Staff A, Executive Director, stated they were aware of the lack of hot water for the kitchen area. In an interview on 02/29/2024 at 2:55 PM, Collateral Contact 1 (CC1), Outside Vendor, stated that the facility’s dishwasher required high water temperature to sterilize dishware. CC1 stated that the facility’s dishwasher should have been reaching 165° . Statement of Deficiencies License #: 2675 Compliance Determination # 37535 Plan of Correction Bishop Place Senior Living Completion Date Farheneit (F) for a wash cycle and 180° F for a rinse/sterilization cycle. CC1 stated that they were not aware that the facility’s dishwasher was not reaching adequate temperatures. Review of the facility’s dishwasher temperature logs dated November 9, 2023, through February 29, 2024, showed that the facility’s dishwasher had not reached the required 180°F. Plan/Attestation Statement I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, Bishop Place Senior Living is or will be in compliance with this law and / or regulation on (Date)________________ . In addition, I will implement a system to monitor and ensure continued compliance with this requirement. Administrator (or Representative) Date .

Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A . . .

This document was prepared by Residential Care Services for the Locator website. Residential Care Services Investigation Summary Report Provider/Facility: Bishop Place Senior Living Provider Type: Assisted Living Facility License/Cert.#: 2675 Intake ID: 114208 Compliance Determination #: 35429 Region/Unit #: RCS Region 1 / Unit B Investigator: Tethra Wales Investigation Date(s): 01/25/2024 through 01/25/2024 Complainant Contact Date(s): Allegation(s): 1. Staff did not fit test. Investigation Methods: Sample: Total residents: 88 Resident sample size: 3 Closed records sample size: 0 Observations: Residents with cold or cough symptoms Visitors screening signage Interviews: Staff Residents Record Reviews: Characteristic roster Staff list Staff in-services Resident records Respiratory Protection Plan Infection control policy Investigation Summary: Three residents were positive for COVID-19. The facility policy was to enter resident rooms that had a diagnosis of with full personal protection equipment on. Employees had not been fit tested prior to entering the rooms of these residents. Failed practice found for WAC 388-78A-2730. Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website.