Colonial Court Assisted Living and Memory Care.

STATE: OF WASHINGTON DEPARTMENT OF SOCIAL AND HEAL TH SERVICES AGING AND LONG-TERM SUPPORT ADMINISTRATION 8511 E Trent Ave, Ste 102, Spoka.ne Valley, WA 9921% Veda Living Spokane Cataldo LLC Colonial Court Assisted Living and Memory Care 12016 E Cata.ldo Ave Spokane Vall.ey, WA 99206 RE: Colonial Court Assisted Living and Memory Care License# 2674 Dear Administrator: This letter addresses Compliance Determination(s) 66041 (Completion Date 09/23/2025) and 63484 (Completion Date 08/06/2025). The Department completed a follow-up inspection of your Assisted Living Facility on 09/23/2025 and found no deficiencies. Your facility meets the. Assisted Living Facility licensing requirements. The Department found that deficiencies for the following licensing laws and regulations were corrected: WAC 3B8-78A-2090, WAC 388-78A-2090-1., WAC 3B8-78A-2090~1-a, WAC 388-?BA-2090-1-b, WAC 388-78A-2090-1-c, WAC 388-78A-2090-2, WAC 388-78A-2090-2-a, WAC 388-78A-2090- 2-b, WAC 388-78A-2090-2-c, WAC 388-78A-2090-3, WAC 388-?BA-2090-4, WAC 388-78A- 2090-4-a, WAC 388-78A-2090-4-b, WAC 388~78A-2090-5, WAC 388-78A-2090-5-.a, WAC 388- 78A-2090-5-b, WAC 388-78A-2090-5-c, WAC 388-78A-2090-6, WAC 388-78A-2090-6-a, WAC 388-78A-2090-6-b, WAC 3B8-78A-2090-6-c, WAC 388-78A-2090-6-d, WAC 388-78A-2090-6-e, WAC 38B-78A-2090-7, WAC 388-78A-2090-7-a, WAC 388-78A-2090-7-b, WAC 38B-78A-2090- 7-c; WAC 388-78A-2090-7-c-i, WAC 388-78A-2090-7-c-ii, WAC 388-78A-2090-7-d, WAC 388- 78A-2090-8, WAC 38B-78A-2090-8-a, WAC 38B-78A-209Q .. 8-b, WAC 388-78A-2090-8-b-i, WAC 388-78A-2090-B-b-ii, WAC 388-78A-2090-9, WAC 388-78A-2090-10, WAC 388-78A-2090-11, WAC 388-78A-2090-11-a, WAC 388-78A-2090-11-b, WAC 388-78A-2090-11-c, WAC 388-78A- 2210-1-b, WAC 38B-78A-2210-2-a, WAC 388-78A-2240, WAC 388-78A-2250-2, WAC 388-78A- 2305-1, WAC 388-78A-2474-,2-c, WAC 388-?BA-2474-2-d, WAC 388-?BA-2474"'.2-e The Department staff who did the on-site verification: Patricia Eddy, Community Licensor If you have any questions, p.lease contact me at (509)993-7821. This document was prepared by Residential Care Services for the Locator website. Colonial Court Assisted Living and Memory Care# 2674 09/23/2025 Page 2 of2 Sincerely, Stephanie Jenks, Community Field Manager Region 1, Unit B Residential Care Services This document was prepared by Residential Care Services for the Locator website. -4J !'. i ~- ~ . J. . STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES AGING AND l ON!G-lERMI SUPPORT ADMINISTRATION 1517 E Trent.Ave, Ste 10'2, Spokane Valley, WA 99.21.2 Statement of Defmenc1es License #:. 2674 Co mpi]rnnce Determination# 63484 Plan of C orredion Coilonial Coiurt Assisted Living and Memory Care Completion Date Page 1 of 14 Licensee: Veda Living Spokane Cataldo LLC 08/06/2025 You are required to be in compliance at all times with all licensing laws and regulations to maintain your Assisted Living Facilty license. The dep,artment completed data collection for the unannounced on-site fulll inspection and complaint investigation on 07/28/2025, 07/29/2025, 07/30/2025 and 07 /3112025 ot Colonial Court Assi,sted Living and M ernory Care 12016 E Cataldo Ave Spokane Valley, WA 99206 This document references the following complaf nt numbers: 188891 , 188-680. The followmg samplie was selected for review during the unannounced on-site visit 10 of 34 current residents and O former residents.. The dep,artment staff that inspected ~e Assisted Living Fadlity: Patricia Eddy, Community licensor Carla Rose, NCI Community Licensor F om: DSHS, Aging and Long-Term Support.Administration Residential Care Services, Region 1 Unit 8 1 8517 ETrent Ave, Ste 102 Spokane Valley, WA 99212 This document was prepared by Residential Care Services for the Locator website. 08/11/2025 This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of Co rredion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 3 of 14 Licensee: Veda Living Spoikane Cataldo LLC 08J\J6/2025 (lb} Hearing_ (5} Individual's communication abitities, including: (a} Modes of expression; (lb} Ability to make se f understood; and (c} Ability to understa1nd others. (6) Significant known behaviors or symptoms of the individual causing concern o requiring1s pecial! care, induding: (a) History of substance abuse; (lb} History of harming self others, or property; or 1 (c} Other conditions that may requi e behavioral inteJYention strategies; (d) lndfvidual's-abi,lity o leave the assisted living facility unsupervised; and (e) Other safety considerations that may pose a danger t,o the individual or others, such as use of medical devices or the individual's ability to smoke unsupervised, if smokiing ·s permitted in the ass.isted living faciliily. (7} Individual's special needs, by evaluatiing available in ormation, or if available informabon does not indicate the presence of special needs, selecting and using an appropriate tool, to determine the presence of symptoms c.onsistent wtth, and implications for care and services of: (a) Mental illness, or nee s for psychological or mental health services, except where protec ed by confidentiality laws; (b} Developmental disabilfty; (c} Dementia. \Nhile screening a resident for dementia, the asslsted living facility must: (i} Base any determination that ~he resident has short-term memory loss upon objective evidence; and (ii) Document the evidence in the res,iden s record. (d} Other condi~ions affecting cognition, such as traumatic brain injury. (8) Individual's level of personal care needs, including: (a} Ability to perform activities of daily liv1ing; (b} Medication managemen ability, including: (i) The fndividual's abil'ity to obtain and appropriatelo/ use over-the-counter medications; and (ii) l-1ow the individual will obtain prescribed medications for use in the assisted living facility. (9} lndiividual's activities, typical daily routines, habits and service preferences. This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of Co rredion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 4 of 14 Licensee: Veda Living Spoikane Cataldo LLC 08J\J6/2025 (10) lndividua 's personal identity and lifestyle, to the extent the individual is willingi to share the informatfon, and the manner in which they are expressed, including preferences regarding food, community contacts, hobbies, spinitual preferences, or other sources of pleasure and comfort (11} Who has decision-making authority for the individual, including: (a} The presence of any advance dfrective, or other legal document that will esta lish a substitute decision maker 1n the future; (b) The presence of any egal, document tha establishes a current substitute decision make , and (c) The scope of decisi:on-makfng authority of any substitute decision maker_ 'rh:is require:m·ent was not m,.et as evidenced by: Based on interview and record review, the facility faifed to complete a full assessment within 14 days of-admlssion for 2 o· 7 residents (Res;ldent 3 and 5) and safety assessments for medical devices for 3 of 7 residents (Resident 3, 5, and 6) sampled for assessments_T his failure placed residents a risk of-unmet care needs due to not having a full assessment and risk of harm from use of a medical device that was not assessed to be sa e. Findings included ... In an interview on 07 /29112025 at 2: 25 PM, Staff E, Resident Care Director/Registered Nurs.e, stated that when residents were admitted, they began working on the full assessment and completed them vvibhin 14 days_ In an interview on 07/30/2025 at 3:38 PM, Staff A, Executive Director/Owner, stated that safety assessments for medical devices should be in the care plans or assessments. Staff A further stated that i' medical device safety assessments were not in the care plan or full assessment, then they did not have them_ Review of the most recent, undated characteristics roster showed ~hat Resident 3 was admitted on /2025, Resident 5 was admitted on /2025, and Resident 6 Vvas admitted on /2023. <Resident 3> Observation on 0713112025 at 12:31 PM, showed Resident 3's bed had a bedrafl attached to tlhe side_ Review of Resident 3's Needs and Servi,ce Plan (NSP, ~he facility's tttled negotiated This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of Co rredion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 5 of 14 Licensee: Veda Living Spoikane Cataldo LLC 08J\J6/2025 service agreement) dated 04112/2025, showed it did not indude any information related to their bedrail. Review of Resident 3's fuU assessment shovvs it was completed on 04/1412025, 26 days after the 14-day requirement. Further review showed it di, not include a safety assessment for a edraiil. In an inteiview on 7/29/2025 at 3:10 PM, Staff A stated they were unable to provide an assessment that was within the 14-day requirement for Resident 3. <Resident 5> ObseNation on 07130/2025 at 10:40 AM, showe Resident 5's bed had a bedrail attached to the side and a trapeze (dev[ce installed above a bed used o assist in bed mobility) installed above the bed. Review of Resident 5's full assessment showed it was completed on 04/12/2025, five days after the 14-day requirement. Further review showed it di not include a safety assessment for a bedrail or trapeze. rt Review of Resident 5's N SP dated 04/12/2025, showed did not include any information related t,o their bedrail ortrapeze. In an 1ntetview on 07 /3012025 at 3: 30 PM, Staff E stated hat Resident srs 14-day assessment was due priorto their emplo,yment with the facility, and ~he previous nurse had not completed a full assessment prlor to 04112:/2025. <Resident 6> Obsetvation on 07 /3112025 at 1: 35 PM, showed Resident 6,'s bed had a bedrail attached to the side_ Review of Resident 6's full assessment showed it was completed on 06/1312025. Further rev·ew showed it did not include a safety assessment for a edratl. Review of Resident 5's NSP dated 06/'13/2025, showed it did not include any information related to their bedraiL In an inteiview on 07/3"1/2025 at 12:40 PM, Staff A confirmed that IRes1dents 3 and ·6 did not have safety assessments for their bedrails. This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of C ()rred,ion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 6 of 14 Licensee: Veda Living Spo:kane Cataldo LLC 08J\J6/2025 PlanlAttestation State:ment 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, Colonial Court. Assi,sted Uving and Memory Care is or will be in compl1lance vvith thi!s law and / or regulation on 1 (Date} Q9/1 D12D25 In additi,on, I will implement a system to monitor and ensure ,continued compliance with 1 this requirement. 8/25/25 Administrator (or Representative) Date WAC 388-78A-221IO, Medicat·oni se;rvic.es. (1} An assisted lliving facility providing medication ser.trce, either dfrecllly or indirectly, must: (b) Develop and implement systems that support and promote safe medication service for each restdent. (2} The assisted living facility must ensure the following residents receive tiheir medications as prescribed, except as provided for in WAC 388-78A-2230 and 388-78A-225□ : (a} Each resident who requires medication assistance and his or her negotiated service agreement indicates the assisted living faci.lity will provide medication assistance; and l'h:is require,ment was not m,et as evidenced by: Based on interview and record review, t1he facility failed to adlmJnister medications as prescribed for 1 of 10 residents (Resident 10). This failed practice contributed to Resident 10 to receive medications that shoul, have been held and placed the resident at nisk of health col"Tij)lications. Findings included ... Review of Resident 10's Needs and Se Mee Plan (NSP, the facility's tltled neg,otiated service agreement} dated 0B/1212024, showed they had a diagnosis of and . Further review showed they received medication assistance from the facility. Review of Resident 1O 's Medications Administration Record (MAR) for May, June and July 2025, showed they were prescribe ca!"Vedilol (medication to treat heart failure and HTN} to be ad minis ered twice daily. The order showed the medication should have been held when the systoli:c blood pressure (SBP, top number of blood pressure) was This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of C ()rred,ion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 7 of 14 Licensee: Veda Living Spo:kane Cataldo LLC 08J\J6/2025 bel'ow 100 or the heart rate (HR) was bellow 60. Further review showed the carvedilol was administered vvhen it shoulid have been held on the following dates: 05/1212025 SBP 96, HIR 52 05/20/2025 SBP 97 05/21/2025 SBP 97, HR 59 05/26/2025 HR 55 06/09/2025 SBP 96 06/12/2025 SBP 90, HR 57 06/13/2025 SBP 91 , HR 56 06/22/2025 HR 52 07 /08:/2025 SBP 81 , HR 59 07 /091/2025 SBP 87 07127/2025 HR 55 07 /28./2025 HR 58 In an interview on 07 /3 '112025 at 5: 05 PM, Staff E, Resident Care DirectorfReg1stered Nurse, stated that they tried to audit MARs tvvice a week but there were times they were unabl·e to do so. PlanlAtte.station S,tate.ment I hereby certify th al: I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, Colonial Court .Assisted Living and Memory Care is or will be in compliance wi h this law and I or regulation on 1 (Date) 09/02/2025 In additi:on, I wllll impl,ement a system to monitor and ensure continued compliance with this requirement. At-nbe-r Barbe-r 08/25/25 Administrator {or Representative) Date WAC 388-78A-2240 !N,onavalilla.bility of medlicatiio1ns. When the assisted living faciHty lhas 1 assumed responsibilliity fo,r obtaini1ng a r-esident'is pr·escribed 1medications, the assisted liv1i,ng 1 facility m.ust obtain them1i 1n a correct and timely ma1n1ner. This require,ment was not m,et as evid,e:nced by: Based on interview and record review, tlhe facility failed to order medtcations in a l1imel:yr manner for 2 of 10 residents (Resident 3 and 7). This tailled practice placed Res1ident 7 at risk for recurring urinary tract infections and resulted in residents missing doses of ~heir medications. This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of C ()rred,ion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 8 of 14 Licensee: Veda Living Spo:kane Cataldo LLC 08J\J6/2025 Findings included < Resident 7> Review of Resident 7's NSP dated 06/27/2025, showed they had a diagnosis of and they were required to have a continuous foley catheter (thin, flexible tube inserted in o the bladder to drain urine into a collection bag) due to urinary retention (inability to urinate). Further review showed they received medication assistance from the faciHty. Review of Resident 7's July 2025 MAR, showed they had an order for sulfamethoxazole and trimethoprim (SMZ-TMP, antibiotic prescribed to prevent Ullls) and was to be administered athree times per wee I< while foley catheter in place.JI Further review showed the medication was not adm1nis ered from 07.!07/2025 through 07/30/2025, for a total of 11 missed doses, because the medicati:on was not available. Review of a progress note dated 07/21/2025, showed that Resident 7 had a Urinary Tract lnfoctfon (UTI) and they appeared "to be more confused than [their] normal baseline." Review of a visit note from Resident 7's primary care provider dated 07/29/2025, showed the resident had a diagnosis of . In an interview on 07 /3112025 at 12:45 PM, Staff E stated that they thought the order for Resident 7's antibiotic was 1:aken care of, and they had not followed up 1.muil 07/30/2025. <Resident 3> Review of Resident 3's Needs and Servi,ce Plan (NSP, ~he facilrty's titled negotiated service agreement} dated 04/12/2025, showed diagnoses of and . Further review ·showed they received medication assistance from the facility. Review of Resident 3's rv1 edications Administration Records (MARs} for June and July 2025, showed they were prescribed di1goxin (medication to reat CHF and AF) to be administered tiNice a week. The MARs showed the medicati.on was not administered on 06/02:/2025 and 07/28./2025 because the med ic ati:on was not ava i I ab Ie . In an interview on 07/30/2025 at 3: 30 PM, Staff E, Resident Care DiredorfRegi1stered Nurse, stated that their facility process: is that medications are ordered 10 days prior to This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of Co rredion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 9 of 14 Licensee: Veda Living Spoikane Cataldo LLC 08J\J6/2025 the last avail:able dose. Staffr E confirmed that Resi. ent 3's digoxin was not ordered until the day it was scheduled to be administered and that Resident 3 did not receive he medication on 06/02/2025 and 07/28/2025_ Plan/Attestation S,tatem ent I hereby certify that I have reviewed this report and have taken or wlll take active measures to corred this deficiency. By taking this action, Colonial Court Assisted Uving and Memory Care is or will be in compliance INith this law and / or regulation on 1 (Date) 09/02/2025 In addition, I will impl,ement a system to monitor and ensure continued compliance with this requirement. 08/25/25 Administrator {or Representative) Date WAC 388-78A-22.50, Alteration of medicat:ions. The assisted living facHiity must generally p:r,ovide medicatio,ns i1n the form the·~ a1r,e tp1rescrilbed when admiinisteri1ng medications or p:r,ovid:in•g 1medication aissistance to a reside:nt. Tihe assisted !living facil.ity may proviide medications in a1n altered fo;rm co1ns1istent w"th the following: (2} Residents must be aware that the medication is being altered or added to their food. T:Ms require:ment was not m;•et as evide:nced by: Based on interview and record review, the facility failed to ensure that memory care residents were aware that medicalfons were mixed ·n their pudding for 2 of 10 residents (Resident 7 and 10). This failed practice placed ~he residents at risk from not having knowledge that they were being given medications. Findings included ... Review of Resident 1O 's assessment dated 05/16/2025, showed they had a diagnosis of , and that they recei:ved medication assistance from the facil.ity. Further review showed their medications were crushed V\lhen administered. Review of Resident 7's Needs and Servfce Plan (NSP, bhe fadlfty's UUed negotiated service agreement) dated 06/2712025, showed they had a diagnosis of , and they received medication assistance from the facility_ In an inteNiew on 07/31/2025 at 09: 25 AM, Staff C, Medication Technician, stated bhat This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of Co rredion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 10 of 14 Licensee: Veda Living Spoikane Cataldo LLC 08J\J6/2025 they often did not tell memory care residents that they were given medications. Staff C further stated that they di:d not tell them they had their medications, they told Resident 7 and ·10 tihat they told them it was the1ir "sweet treats'1 or their "vitamins.• In an interview on 07 /3 '112025 at 2:40 PM Staff F, Caregiver/Medicatiion Technician, confirmed that Resident: 10 received ~heir medication in chocolate pudding. Staff F then sta ed that Resident 10 liked chocolate and when they administered their medications, they did not tell them it had medicine in tt they told them "Here is your chocota e_" Pl anlA tte.stati on Staite.m ent I hereby certify that I have reviewed this report and have taken or will take actrve measures to correct this deficiency. By taking this action, Colonial Court Assisted Living and Memory Care is or will be in compliance vvith this law and / or regulation on (Date) 8/15/2025 In additi:on, I will, impl,ement a system to monitor and ensure continued compliance with this requirement_ 08/25/25 Amhe-r Sarber Admrnistrator (or Representative) Date WAC 388-78.A-230·5 ifo,od sanitation. The as.s;isted living1f aciiHty must: (1) Man.age food, and maintain any on-site fo•od service facilities in compliance wi:th chapter 246-215 WAC, Food service; l'h:is require,ment was not met as evide:nced by: Based on observatfon and in ervfew, the fac1i ty faited to maintain on-site food service in compliance with the Washington State Retail Food Code related to dating opened foods and storing of opened food packages in 1 of 1 kitchens (Kitchen 1 ). This failed practice placed residents at risk of food borne illness. F·ndings included ... Per ttle Washington State Retail Food Code 03526 (2)(4){c), refrigerated, ready-to-eat food must be clearly marked when the original container is opened and 'Nith a procedure to discard food on or before the last date by V'Jh'ch the food must be consumed_ <Kitchen 1> Observation on 07/28/2025 at 1: 55 PM, showed tihe folloW'ing: A moldy cucumber and several• moldy lemons i.n ~he walk-in re rigerator. This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of Co rredion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 11 of 14 Licensee: Veda Living Spoikane Cataldo LLC 08J\J6/2025 An open bag of shredded lettuce with broW11 leaves and an open bag of leafy lettuce in ~he walk-in refrigerator_ Observation on 07/29/2025 at 09:25 PM showe ~he follow1ing: I A moldy tomato and eggplant in the walk-in re rigerator_ In an interview on 07/28/2025 at 1: 55 PM, Staff G, Food Services Director, stated · hey often had more fruits and vegetables. than what they used and they went ad quickly. Per the Wash'ngton State Retail Food Code 03306 ( 1) (d), Preventing food and ingredient contamination, stored food in packages must have covered containers or I/\ITappings_ Observation on 07/28/2025 at 1: 55 PM, showed tihe following: Pickles, s:liiced onions, mayonnaise wi~h a darker surface color, sliced cheese with a dark yellow color that appeared hard from air exposure, shredded carrots, shredded cheese, sliced ham, chopped lettuce, and mixed chopped fruit salad uncovered on the san wich station. Chopped lettuce, cucumber and tomato medley, and butter uncovered in ~he refrigerator below the sandwich staU,on. Three rays of Jell-O, cooked broccoli and cheese frittata, tray o uncooked biscuits with reddish-orange liquid splattered on several of them, and tray of seared tn chicken uncovered the walk-in refrigerator_ An open bag of c:h"cken an open bag ot corn, and three containers of lee cream vvith unsecured lids in the freezer_ An 1.mseal,ed bag of gravy in the pantry. In an interview on 07128/2025 at 1: 55 PM Staff G stated that ~he food in the sandwich station was served at lunch and dinner. Staff G further stated his practice was to leave all of the containers in tlhe sand'!Nich station uncovered from thrnughout ~he day and then cover them at night. Observation on 07129/2025 at 09:25 AM, showed ~he following ltems uncovered in the walk-in refrigerator. The broccoli and cheese frittala from the prior day_ Cooked br-ussels sprouts from dinner the night before_ Two trays of red and orange Jel,1-O, prepared the previous day_ A second tray of orange Jell-O, that was almost empty. A bowl of melon and grape ambrosia salad. A tray o raw fish_ In an interview on 07 /29/2025 at 09:2 5 AM, Staff J, Cook, stated that when they ha 1 lefto-ver food, it was supposed to be placed in the walk-in refrigerator and then covered once it was cooled_ Slaff J stated that the frittata, Jell-O, and fish should have be en This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of Co rredion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 12 of 14 Licensee: Veda Living Spoikane Cataldo LLC 08J\J6/2025 covered. Staff J then stated that the empty Jell-O tray s!hould have been removed. Staff J further stated they would season the fish for the meal ~hat day and then cover it Observation on 07/29/2025 at 09:40 AM, showe ~he following uncovered on the sandwich station: Pickles Mayonnaise with a- darker surface color Diced tomatoes He~bs Shredded cheese Mixed chopped fruit salad In an interview on 07 /291/2025 at 09:40 AM, Staff G stated that the fruit salad was prepared the day p or and would be served at lunch. Observation on 07/29/2025 at 3:45 PM, showed the following uncovered in the walk-in refrigerato . Three trays of Jell-0. Tray of raw fish. A bowl of melon and grape ambrosia salad. Container of cooked bacon slfces. Observation 011 07/29/2025 at 3A9 PM, showed the following in I.he freezer: Open bag of chicken. Open bag of com. Three containers of ·ce cream witt-1 unsecured lids. Open bag of fish. Three trays of small bowls of sorbet uncovered. PlanlAtte.station State,ment I hereby certify thal: I have reviewed l:his report and have taken or will take active measures to correct this deficiency. By taking this action, Colonial Court Assisted Living and Memory Care is or wil'I be in compliance with this law and / or regulation on (Date) 08/15/25 wm In additi:on, I implement a system to monitor and ensure continued compliance wfth this requirement. 08/25/25 Administrator {or Representative) Date This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of Co rredion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 13 of 14 Licensee: Veda Living Spoikane Cataldo LLC 08J\J6/2025 WAC 388-78A-247'4, Tr-ai1niing and hoime care aide certification requii:rements. (2) The assisted living facility must ensure all assisted living facility adm1nistrators, or their designees, and caregivers hired on or after January 7, 20·1.2 meet lhe ong-term care worker training requ[rements of chapter 388-112A 'WAC, including but no limited to: (c) Specialty for dementia, mental illness and/or deve opmental disabilities when serving residents V\lith any of those primary special needs; (d} Cardiopulmonary resusdtation and first aid; and (e) Continuing education_ This require,ment was not met as evid,e.nced by: Based on interview and record review, the facility failed to ensure that staff completed the required continuing educational training for 1 of 4 staff {Staff B) and required specialty mental health training and first aid training for 1 of 4 staff (Staff D). This failed practice placed residents at rJsk of receiviing care by untrained staff. F'ndings included ... <Staff B> Review of Staff B's, Caregiver, undated personnel file showed a hfre date of 01/27/2025. Further revi,ew sihowed it did not contain documentation for continuing education for the needed timeframe. Review of the staff schedules mm 07.I04/2025-07 /31/ 2025, showed tlhat Staff B worked 15 shills. In an interview on 07/31/2025 at 12:40 PM, Staff A, Executive Director stated they were not aware of-the equirement for assisted living facil:ities to ensure long-term care workers meetohe training requirements for continuing education. In an interview on 07 /3 '1/2025 at 4: 15 PM, Staff B stated they id not have any dooumentatfon that showed they completed any continuing education hours for the needed cimeframe. <Staff D> Review of Staff D's, Caregiver, undated personnel file showed a hire date of 05/01/2024. Further review sihowe d it did not contain documentation for mental health specialty This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #::. 267 4 C ompl:iance Deiermination # 63484 P.lan of C ()rred,ion Collonial Coiurt Assisted Living and Memory Care Completion Date Page 14 of 14 Licensee: Veda Living Spo:kane Cataldo LLC 08J\J6/2025 training and only showed a cardiopulmonary resuscitation (CPR) training certification without first aid. Review of the staff schedules frnm 01/04/2025-07/31/ 2025, showed that Staff D worked 15 shifts. In an interview on 07 /3 '1/2025 at 3: 55 PM, Staff A stated they were unable to provi:de Staff D's mental health specialty traiining certificate. Staff A stated they were unaware that Staff D's CPR training did not coiver first aid. Plan/Attestation S,tatem ent I hereby certify that I have reviewed this report and have taken or will take acti:ve measures to corred this deficiency. By taking this action, Colonial Court .Assisted Uving and Memory Care is or will be in compliance vvi h this law and / or regulalfon on (Date} 9/17/25 In additi:on, I wm impl:ement a system to monitor and ensure continued compliance wft!h this requirement. 08/25/25 Administrator {or Representative) Date This document was prepared by Residential Care Services for the Locator website. . 4J !'. i ~- ~ . J. . STATE OF WASl-l!INGTON DEPARTMENT OF SOCIAL AND HEAlT H SERVICES AGIING AND LONG-TERM SUPPORT ADMINISTRATION 1517 E Trent Ave, Ste 10'2., Spokane Valley, WA 99212 1 Veda Uving Spokane Cataldo llC Colonial Court Assisted Living and Memory Care 1201'6 E Cataldo Ave Spokane Valley, WA 99206 RE: Colonial Court Assisted Living and Memory Care# 267 Dear Adminfstrator: This document references the following complaint numbers 188891, 1886 80. The Department completed a full inspection and complaint 1nvestigatton of your Assisted Uving Facility on 08/06"2025 and found lhat your facility does not meet lhe Assisted living Facility requfrements. The De;putme·nt: • Wrote the enclosed report; and • May take licensing enforcement action based on many deficiency listed on the enclosed report; and • May ins.pedyour program to determine if you have corrected all deficiencies; and • Expects all deficiencies to be corrected \Nlthin the timeframe accepted by the department. You Must: • Begin the process of correcting the deficiency or de ic1enc1es immediately; • Contact the Field Manager for darificati'ons related to the Statement of Deficiencies (SOD); • \/IAthin 10 calendar days after you receive this letter, co plete and return tlle enclosed 'Plan/Attestation Statement'; o Sign and date the endosed report; o For each deficiency, indicate the date you have or will correc each deficiency; o Return tihe Plan/Attestation Statement and report with signatures to: Jessica Salquist, Regional Admi.nistrator Residential Care Services This document was prepared by Residential Care Services for the Locator website. Colonial Court Assisted Living and Memory Care #2674 08,06/2025 Page 2 of 5 Region 1, Unit B Preferred methods: eFa x: (509) 921-2426 Email: rcsregion 1e mail@dshs. Na .gov Optional method: 8517 E TrentAve, Ste 102 Spokane Valley, WA 99212 • Complete correclion('s) withfn 45 days, or sooner if directed by the Department, after review of your proposed correction dates. • Have your plan approved :by the Department. Consulltation(s):: In addition, the Department proV!lded consultabon on the foUowin9 deficiency or deficiencies not listed on the enclosed report. WAC 388-78A-2150· Signiing1n egotiated service agiree:ment. The assisted living facility imus:t ensure that the negotiated s,ervice agreement is agreed to and signed at leas.t a1ninually by: (1} The resident, or ~he resident's representatJive if the reS!ldent has one and is unable to S!lgn or chooses not to sign; (2} A .representative of the assisted living facility duly authorized by lihe assisted living fadlity to sign on its behalf; and The facility did not have all negotiated service agreements signed annually. The administrator said they had difficulty getting resadent representatives to return signed agreements. They were unaware that residents vvith representatives could sign their own agreements. The adminisbra or met with bhe resfdents and obtained signed agreements prior to the conclusion of the sutvey. WAC 388-18-.A-2290· 1Family assistance w:ith medications a1nd 'tre.atm:ents. (3) If the assisted living facility allows family assjstance with or administrabon of medications and treatments, and the resident and a famlly member(s) agree a famil!y nember Vvi1II provide medicatJion or treatment assistance, or medication or rreatmen administration to the resident, the assisted llvfng facility must requestthat the family member subm1t to the assisted living facility a written plan for such assistance or administratton ~at i.nclu es at a minimum: (a) By name, the family member who wi1II provide the medi:cation or treatment assistance or ad ministration; (b) A description of the medication or treatment assistance or admlnislirat:ion that the family membe · vvill provide, to be referred to as the primal"Y plan: (c} An alternate plan if the family member is unable to fulfill his or her duties as speci ied in the primary plan; (d} An emergency contact person and telephone number if the assisted living facility This document was prepared by Residential Care Services for the Locator website. Colonial Court Assisted Living and Memory Care #2674 08,06/2025 Page 3 of 5 observes changes in the resident's overall, functioning or condition that may re ate to the medication or treatment p Ian: and (e) Other information determined necessa,y by the assisted living facility. (4} The plan for family assistance vvith me ications or treatments must be si,gned and dated by: (a} The resident, if abl·e; (b} The resident's representative, if any; (c} The res'!dent's family mem er responsible for implementing the plan: and (d} A representative of the assisted livfng facility authorized by the assisted living facility to sign on its behalf. The facility has verbiage in tihe signed admlssfon paperwork that referenced amily plans; however it did not meet ohe requirements of the regulations. The fadlity created a family plan document that addressed each requirement o the regulation and had the p,lans signed prior to the conclusion of I.he survey. WAC 388-78.A-248.4 Tuberculosis Two step skin testing1. Unless 'the staff perso'n meets the requiiirem,e :nt for havi1ng no slkin testing or only one test. the assisted liviiing facility ,choosiing to do skin testing,. must e:nsiuire that each staff person has the,following tw,o-step sk1i1n testing: ( 1} An ini.tial skin test wjthfn three days of employmen and (2} A second test done one to three weeks after the first test The facility had a pr,evious employee who oversaw b.Jberculosfs (TB) testing of new hires. Once that staff member no longer worked there, ~hey discovered all of the TB testing records were missing and retested each staff member 1n June 2025. Employees hired after June all had TE tests that met the requirements, and the nurse managed tihe TB files. WAC 388-78,A-2930 Co,mmunicaitio1n system .. ( 1} The assisted li:ving facility must (a} Provide· residents and staff persons wilJh the means o summon on-duty staff assistance from all resident-accessible areas inclu ing: (iii) Corridors, as wel,I as common and ou door areas accessible to residents. The facility did not have an outdoor communication system for residents, staff; and visitors to use to summon staff in the budding. The facility placed dedicated pendants rn a secure location in both outdoor common areas prior to the conclusion of the surv,ey. This document was prepared by Residential Care Services for the Locator website. Colonial Court Assisted Living and Memory Care #2674 08/06/2025 Page 4 of 5 WAC 388-78A-3040, Laundry. (3) The assisted living facility must use washing machines bhat have a continuous supply of hot water with a temperature of 140 F measured a· the washing machine intake, that automatically dispenses a chemical sanitizer as spedfied by the manufacturer, or that employs alternate sanitization methods recommended by the manufacturer. The facility was not using a sanitizer to wash house laundry_I t was discovered that the washing machines they use have a built-in sanftizfng setting that can be used per the manufacturer's recommendations to ·sanitize laundry_P rior to the conclusion of the survey, the fadlity educated staff on tine use of ·selecting the sanitlze setting for house laundry and began washing all house linens usfng that settiing, WAC 388-78A-2950, Water supply. The as,sisted living fac"llity must: (6) Provide alll sinks in residen rooms, toile . moms and bathrooms, and bathing fixtures used by residents with hot water between ·105 F an 120 F at all times; and The facility checks water temperatures monthly_T he last monthly check on 07125/2025 showed the water temperatures were not wfithin 105 degrees to 120 degrees_T he fac'lily adjusted the water heater and corrected the temperatures of the water prior to tlle conclusion of bhe survey_ You Are Not: • Required to submit a plan of correction for the consultaition deficiency or deficiencies stated in this letter and not listed on the enclosed epott. You May: • Contact me for darif1cation of the deficiency or deficiencies found_ In Addiition. You M'.ay: • Request an Inform al Dispu,te Reso!lutiio:n (IOR) review within 10 working days after you receive this letter. Your IDR request must include: o V\lhat specific deficiency or deficiencies you disagree with; o V\lhy you disagree with each deficiency; and o Whether you want an ID R to occur in-person, by teijephone or as a paper review_ o Send your request to: Email: RCSIOR@dshs_wa_gov; or Fax: (360) 725-3225 1;f You Have Any Questions: • Please contact me at (509)323-7315_ Sincerely, 9 Satuut:- This document was prepared by Residential Care Services for the Locator website. Colonial Court Assisted Living and Memory Care #2674 08,06/2025 Page 5 of 5 Jessfca Salquist, Regional: Administrator Region 1 , Unit B Residential Care Services Enclosure This document was prepared by Residential Care Services for the Locator website.

STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEAL TH SERVICES AGING AND LONG-TERM SUPPORT ADMINISTRATION 8517 E Trent Ave, Ste 102, Spokane Valley, WA 99212 Veda Living Spokane Cataldo LLC Colonial Court Assisted Living and Memory Care 12016 E Cataldo Ave Spokane Valley, WA 99206 RE: Colonial Court Assisted Living and Memory Care# 2674 Dear Administrator: This document references Compliance Determination 48452 (10/30/2024), which included complaint number(s) 150352, 151141. The Department completed a complaint investigation of your Assisted Living Facility on 10/30/2024 and found that your facility does not meet the Assisted Living Facility requirements. The department staff who did the inspection and provided consultation: Raul Gatchalian, Community Complaint Investigator Consultation: WAC 388-78A-2630 Reporting abuse and neglect. (1) The assisted living facility must ensure that each staff person: (a) Makes a report to the department's Aging and Disability Services Administration Complaint Resolution Unit hotline consistent with chapter 74.34 RCW in all cases where the staff person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred; and (b) Makes an immediate report to the appropriate law enforcement agency and the department consistent with chapter 74.34 RCW of all incidents of suspected sexual abuse or physical abuse of a resident. This document was prepared by Residential Care Services for the Locator website. Colonial Court Assisted Living and Memory Care# 2674 10/30/2024 Page 2 of3 The facility reported the incident to law enforcement but not to the department. The facility provided staff in-services and education related to mandatory reporting. Moving forward the facility will make sure that incidents or allegations are reported to the department. You Must: • Begin the process of correcting the deficiency or deficiencies immediately; and • Complete correction as soon as possible. You Are Not: • Required to submit a plan-of-correction for the deficiency or deficiencies found. The Department May: • Inspect the facility to determine if you have corrected all deficiencies. You May: • Contact me for clarification of the deficiency or deficiencies found. In Addition, You May: • Request an Informal Dispute Resolution (IDR) review within 10 working days after you receive this letter. Your IDR request must include: o What specific deficiency or deficiencies you disagree with; o Why you disagree with each deficiency; and o Whether you want an IDR to occur in-person, by telephone or as a paper review. o Send your request to: IDR Program Manager Department of Social and Health Services Aging and Long-Term Support Administration Residential Care Services PO Box45600 Olympia, WA 98504-5600 If You Have Any Questions: • Please contact me at (509)993-7821. Sincerely, ~µ~ Stephanie Jenks, Field Manager Region 1, Unit B Residential Care Services This document was prepared by Residential Care Services for the Locator website. Colonial Court Assisted Living and Memory Care# 2674 10/30/2024 Page 3 of3 This document was prepared by Residential Care Services for the Locator website. Residential Care Services Investigation Summary Report Provider/Facility: Colonial Court Assisted Provider Type: Assisted Living Facility Living and Memory Care License/Cert.#: 2674 Intake ID: 150352 Compliance Determination #: 48452 Region/Unit #: RCS Region 1 / Unit B Investigator: Raul Gatchalian Investigation Date(s): 10/09/2024 through 10/30/2024 Complainant Contact Date(s): Allegation(s): Resident was touch inappropriately by staff. Investigation Methods: Sample: Total residents: 27 Resident sample size: 4 Closed records sample size: 0 Observations: Residents Resident care equipment Resident rooms Staff to resident interactions Resident to resident interactions Interviews: Identified resident representative Nursing staff Residents Family members Nurse administrator Record Reviews: Medical records State reporting log Incident investigation Facility policies Personnel files Staff training records Staff patterns Investigation Summary: The identified resident (AV) was not available (out of the facility). The identified resident representative was interviewed and stated that the facility notified them of the incident and completed an investigation. The identified resident representative did not think that AV was touched purposely, "it was the call pendant (necklace type) that touched the AV". The resident had no injury. The facility notified law enforcement and initiated an investigation. Law enforcement did not have any findings related to sexual abuse. All sampled staff denied any sexual abuse This document was prepared by Residential Care Services for the Locator website. occurring in the facility. All sampled staff had clear background check and completed training required to perform their duties. The facility failed to report it the incident to the department. The facility investigated the incident and unsubstantiated it. The facility provided staff in-services and education related to mandatory reporting. Moving forward the facility will make sure that any suspected abuse or neglect will be reported to the department. Failed practice consultation under WAC 388-78A-2630 (1) (a) and (b). 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. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website.