Brookdale Torbett.
Brookdale Torbett is Ranked in the bottom 11% on citation severity among Washington peers with 10 DSHS citations on record; last inspected Apr 2025.
A medium home, reviewed on public record.
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.
among peers to rank.
Rankings based on 36-month DSHS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
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Brookdale Torbett has 10 citations on record. Know the moment anything changes.
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Citation history, plotted month by month.
10 deficiencies on record. Each bar is a month with a citation.
Finding distribution
10 total · 36 monthsScope × Severity (CMS A–L)
Questions to ask before you visit.
A short pre-tour checklist tailored to Brookdale Torbett's record and state requirements.
The most recent inspection on February 1, 2025 identified deficiencies — can you walk us through the written corrective action plan the community submitted to DSHS, and show documentation that each deficiency has been resolved?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
DSHS records show 8 complaints on file — can you explain which complaints were substantiated, what changes were made in response, and provide any internal incident review summaries families can review?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
This community holds a DSHS Specialized Dementia Care contract — can you provide a copy of the written dementia care program that describes staff training requirements, resident assessment protocols, and how the memory care environment differs from assisted living?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
8 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-04-01Complaint Investigation1 finding
Plain-language summary
I don't have enough information in the source text to write an accurate summary. The document shows that a complaint investigation was conducted, but the "Outcome" and "Conclusion/Action" fields are blank or unclear, and the narrative section contains only formatting placeholders with no actual findings. To provide families with a meaningful summary, I would need the specific details about what was alleged in the complaint and what the inspection found.
“The facility failed to ensure residents received medications as prescribed. Three of the named residents missed multiple consecutive doses of various medications despite the facility having assumed responsibility for obtaining residents' medications.”
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WAC 388-78a-2240: The facility failed to ensure residents received medications as prescribed. Three of the named residents missed multiple consecutive doses of various medications despite the facility having assumed responsibility for obtaining residents' medications.
2025-03-01Complaint InvestigationType A · 1 finding
Plain-language summary
An unannounced complaint investigation of Brookdale Torbett on December 30, 2024 found deficiencies in infection control practices: the facility failed to implement appropriate infection control measures or provide necessary supplies for all six sampled residents, and failed to provide seven of nine staff members with required training and protective equipment to prevent disease spread. These failures contributed to the spread of two infectious diseases throughout the facility and placed residents at risk of illness complications and decreased quality of life. A citation was issued under Washington's infection control licensing requirements, with a compliance deadline of January 30, 2025.
“The facility failed to implement and manage appropriate infection control practices and provide necessary supplies to care for residents. The facility also failed to provide staff with necessary training and protection to prevent spread of infections. These failures contributed to the spread of norovirus and COVID-19 throughout the facility, affecting 24 residents and 15 staff members.”
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WAC 388-78A-2610: The facility failed to implement and manage appropriate infection control practices and provide necessary supplies to care for residents. The facility also failed to provide staff with necessary training and protection to prevent spread of infections. These failures contributed to the spread of norovirus and COVID-19 throughout the facility, affecting 24 residents and 15 staff members.
2025-02-01Annual Compliance VisitType B · 1 finding
Plain-language summary
A routine inspection of Brookdale Torbett, conducted December 9–13, 2024, found that the facility failed to investigate or document investigations for multiple incidents involving four residents, including falls with injuries, physical aggression, and altercations between residents. The facility's policy required management to complete and lock incident investigations within three business days, but staff were unable to locate completed investigations for falls on 11/22/2024, incidents of aggression on 11/27/2024, and resident altercations on 11/29/2024 and 12/20/2024. This failure to investigate placed residents at risk of further injury or harm.
“The assisted living facility failed to investigate and document investigative actions and findings for alleged or suspected abuse, neglect, financial exploitation, or incidents affecting resident health or life. Not all incidents were being investigated.”
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WAC 388-78A-2371: The assisted living facility failed to investigate and document investigative actions and findings for alleged or suspected abuse, neglect, financial exploitation, or incidents affecting resident health or life. Not all incidents were being investigated.
2024-12-01Complaint InvestigationType A · 2 findings
Plain-language summary
A complaint investigation at Brookdale Torbett on October 1 and 14, 2024 found that the facility failed to maintain a resident's dignity and respect. Staff did not complete their usual room-by-room checks due to short staffing on the night shift, leaving one resident lying on a bare mattress with only a bed pad for an extended period after overnight incontinence episodes; the resident also had an unsecured urinary catheter. The facility was cited for this deficiency and required to submit a plan of correction.
“The facility failed to ensure a resident was treated with dignity and respect. The resident was left lying on a bare mattress without sheets or clothing for an extended period due to staff not following shift change procedures, resulting in unmet care needs.”
“The assisted living facility failed to comply with resident rights requirements under RCW 70.129. Staff did not follow normal room-to-room procedures during shift change due to staffing levels, leaving a resident with unmet needs and dignity concerns.”
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RCW 70.129.140(1): The facility failed to ensure a resident was treated with dignity and respect. The resident was left lying on a bare mattress without sheets or clothing for an extended period due to staff not following shift change procedures, resulting in unmet care needs. WAC 388-78A-2660(1): The assisted living facility failed to comply with resident rights requirements under RCW 70.129. Staff did not follow normal room-to-room procedures during shift change due to staffing levels, leaving a resident with unmet needs and dignity concerns.
2024-08-01Complaint InvestigationType A · 1 finding
Plain-language summary
A complaint investigation at Brookdale Torbett on May 31, 2024 found that the facility failed to implement a safe medication system for one resident, resulting in that resident not receiving their prescribed medications as ordered. A deficiency was cited under Washington's medication services regulation for failing to develop and implement systems that support safe medication delivery. The facility was required to submit a plan of correction to regain compliance with licensing requirements.
“The facility failed to ensure a safe medication system was implemented for one resident reviewed. Specifically, a physician's order for polyethylene glycol (constipation medication) dated 02/16/2024 was not correctly transcribed on the resident's Medication Administration Record, resulting in the resident not receiving the prescribed medication and subsequently becoming constipated and hospitalized.”
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WAC 388-78A-2210: The facility failed to ensure a safe medication system was implemented for one resident reviewed. Specifically, a physician's order for polyethylene glycol (constipation medication) dated 02/16/2024 was not correctly transcribed on the resident's Medication Administration Record, resulting in the resident not receiving the prescribed medication and subsequently becoming constipated and hospitalized.
2024-07-01Complaint Investigation1 finding
Plain-language summary
A complaint investigation at Brookdale Torbett found that a resident unable to communicate was sexually abused by another resident twice, and the facility failed to report these incidents as required by state law. Staff stated they were unaware the incidents had to be reported; the facility did assess and monitor the resident and assigned one-on-one staff for safety after becoming aware of the incidents. A deficiency citation was written under WAC 388-78a-2630.
“Facility staff failed to report sexual abuse of a resident by another resident. The resident was unable to communicate due to cognitive disability, and staff stated they were unaware the incident had to be reported.”
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WAC 388-78a-2630: Facility staff failed to report sexual abuse of a resident by another resident. The resident was unable to communicate due to cognitive disability, and staff stated they were unaware the incident had to be reported. WAC 388-78a-2630: Facility staff failed to report two instances of sexual abuse of a resident by another resident. The resident was unable to communicate due to cognitive disability, and staff stated they were unaware the incidents had to be reported.
2024-05-01Complaint Investigation1 finding
Plain-language summary
This complaint investigation did not result in a citation or finding of a failed provider practice. The facility was not found to have violated regulations based on the complaint received.
“Facility staff were not always aware when the call light was on as it only went to a pager carried by the medication technician that was often left in the medication room. An identified resident was observed in the bathroom with their call light on, calling out for help, and not receiving timely assistance with toileting and incontinence care as required by their care plan.”
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WAC 388-78a-2160: Facility staff were not always aware when the call light was on as it only went to a pager carried by the medication technician that was often left in the medication room. An identified resident was observed in the bathroom with their call light on, calling out for help, and not receiving timely assistance with toileting and incontinence care as required by their care plan. WAC 388-78a-2160: The identified resident was observed in the bathroom calling for help for an extended period while trying to transfer back to their wheelchair. The facility failed to implement the care plan to prevent falls, despite the resident having a documented history of falls in the bathroom.
2024-02-01Complaint Investigation2 findings
Plain-language summary
A complaint investigation at Brookdale Torbett from November 30 through December 15, 2023 found that a resident missed three doses of anti-seizure medication due to medication unavailability, resulting in a seizure that required emergency department evaluation and treatment. The facility's deficient practice was cited under WAC 388-78a-2240. A Statement of Deficiency was issued on December 15, 2023.
“The facility failed to provide one-on-one staff support for identified residents throughout the visit despite having agreed to this service in the negotiated service agreement. Facility staff confirmed they were not always able to provide the required one-on-one staffing.”
“The facility failed to ensure adequate medication availability, resulting in an identified resident missing three doses of anti-seizure medication and subsequently experiencing a seizure. The resident required emergency department evaluation and treatment.”
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WAC 388-78a-2160: The facility failed to provide one-on-one staff support for identified residents throughout the visit despite having agreed to this service in the negotiated service agreement. Facility staff confirmed they were not always able to provide the required one-on-one staffing. WAC 388-78a-2240: The facility failed to ensure adequate medication availability, resulting in an identified resident missing three doses of anti-seizure medication and subsequently experiencing a seizure. The resident required emergency department evaluation and treatment.
1 older inspection from 2023 are not shown above.
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