Cornerstone Court.
Cornerstone Court is Grade A−, ranked in the top 17% of Washington memory care with 2 DSHS citations on record; last inspected May 2025.
A medium home, reviewed on public record.
Ranked against 37 Washington facilities.
ALF memory care · 36-month window. Higher percentile = better. Source: Washington DSHS · Aging and Disability Services Administration.
FACILITY WATCH · BETA
Cornerstone Court has 2 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
2 deficiencies on record. Each bar is a month with a citation.
Finding distribution
2 total · 36 monthsScope × Severity (CMS A–L)
Questions to ask before you visit.
A short pre-tour checklist tailored to Cornerstone Court's record and state requirements.
The facility holds a DSHS Specialized Dementia Care contract — can you provide a copy of your written dementia care program and explain how it meets the contract requirements for residents with cognitive impairment?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
DSHS records show 2 deficiencies across 2 inspection reports, with the most recent inspection on May 1, 2025 — can you walk us through the corrective action plans submitted for those deficiencies and show documentation that they have been resolved?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
With 40 licensed beds and a dementia care designation, what documentation can you provide that demonstrates how staff are trained specifically for dementia care, and how often is that training refreshed?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every DSHS visit, verbatim.
2 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-05-01Annual Compliance Visit1 · Inspections
Plain-language summary
During an unannounced routine inspection of Cornerstone Court from August 11-13, 2025, inspectors found deficiencies in medication management: staff failed to notify a physician when one resident repeatedly refused prescribed eye drops for glaucoma over a two-month period, and staff failed to notify a physician when another resident's heart medication was held multiple times based on vital signs. The facility's policy required physician notification in both situations, and these failures placed residents at risk of health complications.
“https://fortress.wa.gov/dshs/adsaapps/lookup/RCSForms/BH/2644/inspections/2025/R Cornerstone Court 64095 66910 - SW.pdf”
Full inspector notes
Statement of Deficiencies License #: 2644 Compliance Determination # 64095 Plan of Correction Cornerstone Court 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 08/11/2025, 08/12/2025 and 08/13/2025 of: Cornerstone Court 12322 W Ruby Rd Spokane, WA 99218 The following sample was selected for review during the unannounced on-site visit: 10 of 38 current residents and 0 former residents. The department staff that inspected the Assisted Living Facility: Carla Rose, NCI Community 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 #: 2644 Compliance Determination # 64095 Plan of Correction Cornerstone Court 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-2230 Medication refusal. (1) When a resident who is receiving medication assistance or medication administration services from the assisted living facility chooses to not take his or her medications, the assisted living facility must: (c) Notify the physician of the refusal and follow any instructions provided, unless there is a staff person available who, acting within his or her scope of practice, is able to evaluate the significance of the resident not getting his or her medication, and such staff person; (ii) Takes the appropriate action, including notifying the prescriber or primary care practitioner when there is a consistent pattern of the resident choosing to not take his or her medications. This requirement was not met as evidenced by: Based on interview and record review, the facility failed to ensure the physician was notified when a resident refused medications for 1 of 7 residents (Resident 5). This failed practice placed the resident at risk of health complications. Findings included… Review of a facility policy titled "Managing Resident Medications" dated 04/12/2024, showed that when a resident refused a medication staff were “to report to the RN [registered nurse] and to the PCP [primary care physician].” Review of Resident 5’s Care Plan dated 01/06/2025, showed they had a diagnosis of and . Further review showed the facility provided . Statement of Deficiencies License #: 2644 Compliance Determination # 64095 Plan of Correction Cornerstone Court Completion Date medication administration assistance. Review of a provider order dated 10/23/2024, showed that Resident 5 had was prescribed lantanoprost (medicated eye drops that treat glaucoma) daily at bedtime. Review of the Medication Administration Records (MAR) for June, July, and August 2025 showed that Resident 5 refused the latanoprost eye drops on the following dates: 06/03/2025 – refused 06/05/2025 – refused 06/14/2025 – refused 07/10/2025 – refused 07/13/2025 – refused 07/17/2025 – refused 07/20/2025 – refused 07/22/2025 – refused 07/27/2025 – refused 08/02/2025 – refused In an interview on 08/12/2025 at 1:45 PM, Staff H, Resident Care Manager (RCM), stated that medication technicians were supposed to notify the RCM or the RN when a resident did not get their medication. Staff H further stated they were unaware that Resident 5 had not been getting their latanoprost eye drops and they would have notified had they been aware. 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, Cornerstone Court 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-2210 Medication services. (1) An assisted living facility providing medication service, either directly or indirectly, must: (b) Develop and implement systems that support and promote safe medication service for each resident. . Statement of Deficiencies License #: 2644 Compliance Determination # 64095 Plan of Correction Cornerstone Court Completion Date (2) The assisted living facility must ensure the following residents receive their medications as prescribed, except as provided for in WAC 388-78A-2230 and 388-78A-2250 : (a) Each resident who requires medication assistance and his or her negotiated service agreement indicates the assisted living facility will provide medication assistance; and This requirement was not met as evidenced by: Based on interview and record review, the facility failed to implement a medication system by not following physicians’ orders to notify the physician when medications were not given to 1 of 7 resident (Resident 7). This failed practice placed residents at risk of health complications. Findings included… Review of Resident 7’s Care Plan, dated 12/31/2024, showed they had a diagnosis of . Further review showed that the resident received medication assistance. Review of an Active Orders list dated 07/03/2025, showed it included an order for metoprolol (medication to treat heart conditions) to be given twice daily. Further review showed “Hold for HR (heart rate) < 60 or the BSP<100 & Notify MD (medical provider).” In an interview on 08/14/2025 at 10:43 AM, Staff G, Registered Nurse, stated that in the order for the metoprolol, “BSP” refers to the systolic blood pressure (SBP). Review of Resident 7’s MAR for June, July and August 2025 showed that the metoprolol was held 47 times on the following dates: 06/01/2025 AM HR 57 06/01/2025 PM SBP 94 06/02/2025 AM SBP 97 06/03/2025 PM HR 58 06/04/2025 PM HR 57 06/05/2025 PM HR 58 06/06/2025 PM HR 56 06/07/2025 PM SBP 86 06/08/2025 AM HR 57 06/09/2025 AM SBP 95 06/11/2025 PM SBP 98 06/12/2025 PM HR 58 06/13/2025 PM HR 56 06/14/2025 PM SBP 94 . Statement of Deficiencies License #: 2644 Compliance Determination # 64095 Plan of Correction Cornerstone Court Completion Date 06/16/2025 PM HR 56 06/17/2025 AM HR 54 06/19/2025 AM HR 59 06/20/2025 PM HR 58 06/21/2025 AM SBP 95 06/22/2025 PM HR 58 06/22/2025 PM SBP 98 06/23/2025 PM HR 58 06/25/2025 AM SBP 90 06/26/2025 AM HR 56 06/27/2025 AM SBP 99 06/27/2025 PM HR 56 07/03/2025 AM HR 57 07/04/2025 AM HR 56 SBP 95 07/05/2025 AM HR 56 07/11/2025 AM SBP 99 07/12/2025 AM HR 55 07/12/2025 PM SBP 99 07/13/2025 AM SBP 97 07/14/2025 AM HR 54 07/14/2025 PM HR 56 07/16/2025 AM HR 50 07/16/2025 PM SBP 92 07/17/2025 AM SBP 91 07/18/2025 PM HR 53 07/21/2025 AM HR 54 07/21/2025 PM SBP 94 07/23/2025 AM HR 56 07/23/2025 PM HR 55 07/24/2025 PM HR 58 07/26/2025 AM HR 59 SBP 90 07/27/2025 PM HR 56 07/28/2025 PM HR 55 07/30/2025 AM HR 55 SBP 98 07/30/2025 PM HR 56 07/31/2025 PM HR 58 08/01/2025 AM SBP 94 08/02/2025 AM HR 59 08/03/2025 AM SBP 97 08/04/2025 AM SBP 91 08/04/2025 PM HR 56 08/06/2025 PM HR 51 08/09/2025 PM HR 55 08/10/2025 AM SBP 78 08/11/2025 PM HR 54 SBP 94 In an interview on 08/15/2025 at 4:03 PM, Staff F, Administrator, confirmed that they had no documentation of communication with the provider as ordered when the metoprolol was held. . Statement of Deficiencies License #: 2644 Compliance Determination # 64095 Plan of Correction Cornerstone Court Completion Date In an interview on 08/12/2025 at 1:45 PM, Staff H stated they had the ability to audit MARs electronically, but they did not utilize the function often. Staff H stated they relied on the medication technicians to notify the RCM or the nurse when a resident did not get their medications. 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, Cornerstone Court 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 . . . . . .
2023-12-01Annual Compliance Visit1 · Inspections
Plain-language summary
A routine inspection was conducted in December 2023 and no deficiencies were cited. The facility was found to be in compliance with Washington DSHS requirements for Specialized Dementia Care.
“https://fortress.wa.gov/dshs/adsaapps/lookup/RCSForms/BH/2644/inspections/2023/R Cornerstone Court Inspection 10-27-2023 - EL.pdf”
Full inspector notes
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. 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.
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