Brookdale Nine Mile.
A large 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.
Citation history, plotted month by month.
7 deficiencies on record. Each bar is a month with a citation.
Finding distribution
7 total · 36 monthsScope × Severity (CMS A–L)
Questions to ask before you visit.
A short pre-tour checklist tailored to Brookdale Nine Mile's record and state requirements.
Seven inspection reports are on file with DSHS Residential Care Services, documenting nine deficiencies — can you walk us through the corrective action plans for those deficiencies and show us written documentation that each has been resolved?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Six complaints were filed with DSHS during the inspection period — were any of those complaints substantiated, and what specific changes did Brookdale Nine Mile make in response to substantiated findings?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility holds a DSHS Specialized Dementia Care contract — what written policies govern the dementia care program here, and can families review those policies along with documentation showing how staff competency in dementia care is assessed?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
5 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.
2025-05-01Annual Compliance VisitType A · 2 findings
Plain-language summary
During an unannounced inspection from March 10–13, 2025, at Brookdale Nine Mile, inspectors found multiple medication administration errors involving residents with high blood pressure and heart conditions, including instances where blood pressure medications were given when vital signs fell below the thresholds set by health care providers, and one resident with a documented fall risk who experienced four falls between January and March 2025 without adequate follow-up monitoring and evaluation. Deficiencies were cited related to medication administration protocols and monitoring of residents at risk for injury.
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“Resident 4 was administered losartan on three dates (02/08/2025, 02/09/2025, 03/02/2025) when systolic blood pressure was below the hold threshold of 110, contrary to physician orders to hold medication when SBP was less than 110.”
“Staff D, hired on 10/02/2024, had not completed required mental health and dementia specialty training despite the facility serving residents with dementia and mental health needs, failing to meet long-term care worker training requirements.”
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WAC 388-78A-2050: Resident 4 was administered losartan on three dates (02/08/2025, 02/09/2025, 03/02/2025) when systolic blood pressure was below the hold threshold of 110, contrary to physician orders to hold medication when SBP was less than 110. WAC 388-78A-2050: Resident 5's amlodipine medication was not given on 3/05/2025 and blood pressure was not documented, failing to assess the resident's condition to determine medication administration. WAC 388-78A-2050: Resident 8 was not administered carvedilol on 01/30/2025 and 02/10/2025 when vital signs were actually within parameters (SBP 109/65 HR 59 and 102/65 HR 57), but documentation incorrectly stated vitals were outside parameters. WAC 388-78A-2050: Resident 8 was not administered losartan/hydrochlorothiazide on 02/10/2025 when vital signs were within parameters (102/65 HR 57), but documentation incorrectly stated vitals were outside parameters. WAC 388-78A-2050: Resident 9 was administered amlodipine on 01/01/2025 when heart rate was 53, below the hold threshold of 60 bpm, contrary to physician orders. WAC 388-78A-2050: Resident 10 was administered carvedilol on six dates (01/06/2025, 01/12/2025, 01/14/2025, 02/26/2025, 02/27/2025, 03/10/2025) when heart rate was below the hold threshold of 60 bpm, contrary to physician orders. WAC 388-78A-2050: Resident 1 was not monitored for injury after four documented falls on 01/21/2025, 02/18/2025, 03/03/2025 and 03/04/2025, as required vital signs were not documented for three days following each fall. WAC 388-78A-2050: Resident 4's blood sugar was out of parameters on multiple occasions and the Primary Care Provider was not contacted as required by physician orders when blood sugar was below 80 or above 350. WAC 388-78A-2474: Staff D, hired on 10/02/2024, had not completed required mental health and dementia specialty training despite the facility serving residents with dementia and mental health needs, failing to meet long-term care worker training requirements.
2024-10-01Complaint Investigation1 finding
Plain-language summary
I don't have enough information in the source text to write a summary. The document shows a complaint investigation was conducted, but the "Narrative" and "Conclusion/Action" sections are blank or unclear, so I cannot determine what was actually found or whether any violations were cited. To provide families with accurate information, I would need the specific details about what the complaint alleged and what the investigation discovered.
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“The facility failed to timely report an allegation of sexual assault to law enforcement and the department. The alleged victim reported the incident to staff, but notification was delayed for two days, violating the requirement to report abuse and neglect.”
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WAC 388-78A-2630: The facility failed to timely report an allegation of sexual assault to law enforcement and the department. The alleged victim reported the incident to staff, but notification was delayed for two days, violating the requirement to report abuse and neglect.
2024-06-01Complaint InvestigationNo findings
2024-02-01Complaint Investigation1 finding
Plain-language summary
I don't have enough information in the source material to write an accurate summary. The narrative section is blank, and the outcome indicates either a citation was written or no citation was written, but doesn't specify what was actually investigated or found. To help families, I would need details about what complaint was received, what the facility was alleged to have done or failed to do, and what the inspection actually determined.
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“The facility failed to ensure availability of prescribed medications for a resident in a timely manner. The resident was without medication, which contributed to increased behavioral issues. The facility has since updated its resident admission process to ensure medication availability.”
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WAC 388-78A-2240: The facility failed to ensure availability of prescribed medications for a resident in a timely manner. The resident was without medication, which contributed to increased behavioral issues. The facility has since updated its resident admission process to ensure medication availability.
2024-01-01Complaint Investigation3 findings
Plain-language summary
A complaint investigation at Brookdale Nine Mile (November 2023) found that a resident required CPR and hospitalization, and while staff performed CPR appropriately and summoned emergency personnel, the facility was cited for failing to ensure all caregivers had current CPR and first aid training as required. The resident recovered and returned to the facility. A Statement of Deficiencies was issued.
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“Sample staff's personnel files showed they did not complete facility orientation, cardiopulmonary resuscitation and first aid training, and specialty trainings as required.”
“Named staff did not have current Washington state name and date of birth background check as required.”
“Facility did not complete character, competence, and suitability review for named staff as required for employment.”
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WAC 388-78a-2450(2)(e)(h)(i-vii), (3)(d)(i)(A)(C)(D): Sample staff's personnel files showed they did not complete facility orientation, cardiopulmonary resuscitation and first aid training, and specialty trainings as required. WAC 388-78a-2462(2)(a): Named staff did not have current Washington state name and date of birth background check as required. WAC 388-78a-24701(1): Facility did not complete character, competence, and suitability review for named staff as required for employment. WAC 388-78a-2450(2)(e)(h)(i-vii), (3)(d)(i)(A)(C)(D): A caregiver did not have CPR and first aid training as required by facility policy and regulations.
2 older inspections from 2023 are not shown above.
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