Alderwood Post Acute: Sexual Assault Response Failures - WA
Those facts come from a federal inspection completed September 3, 2025, triggered by a complaint at the 188th Street Southwest facility.
The employee accused of the assault, identified in inspection records as Staff E, kept working the night of the allegation. Staff A, a manager, told Staff E simply not to work with the resident that shift. Nobody explained why. Nobody took a statement. Staff E's next three days were scheduled days off, so they returned to work on August 22 without anyone having spoken to them about the allegation at all.
That was the day Staff A handed Staff E a suspension pending investigation form. Staff E told inspectors it was the first time they had seen the document. They noticed something else: on the employee signature line, someone had written "over phone." Nobody had called them. Nobody had spoken to them. Staff E said they were unsure why that notation was there.
Four days after the assault allegation, on August 23, a nursing progress note recorded that the resident had a new skin tear around her left labia. The note was written at 10:35 PM. After that entry, inspectors found no further documentation about the injury. No thorough skin check had been completed. No one had documented where the injury came from.
Staff D, the facility's licensed practical nurse and nurse manager, told inspectors on September 3 that she had been notified about the skin tear on August 23. "I haven't actually seen this skin tear myself," she said. She offered that the resident had fragile skin and skin issues elsewhere on her body, and that she had attributed the injury to that. Then she acknowledged what the location of the wound and the timing required: "Due to the fact that this skin issue was in a concerning place and the resident's recent allegation of sexual assault, this concern should have been reported and investigated." She had not reported it. She had not investigated it.
Staff A, in a separate interview the same day, walked inspectors through what an investigation of a sexual assault allegation is supposed to involve: suspending the accused staff member pending investigation, assessing the resident for injuries, documenting findings, placing the resident on alert to monitor for psychological effects, and obtaining statements from staff who had worked with the resident in the 48 hours before the allegation. Staff A then reviewed the August 23 progress note describing the labial skin tear and said it was the first time they had heard of it. "This should have been reported to the state and investigated," Staff A told inspectors.
Staff A also told inspectors that the prior Director of Nursing was the person responsible for investigating the initial report. That director is no longer identified in the inspection record as present at the facility.
What the inspection documents show, in total: a resident reported a sexual assault. The accused employee worked that same night with a verbal instruction to avoid her. The employee received no formal suspension notice for four days, and only after their scheduled days off had passed. A genital injury appeared eight days after the allegation. The nurse manager knew about it and did not report it to state authorities. The administrator who described the correct investigation protocol to inspectors said they had never been told about the injury. No skin assessment was completed. No staff statements were collected in the days following the allegation.
The inspection cited the facility under federal tags F600 and F609, which govern abuse prevention and the mandatory reporting of alleged violations. The resident was described as having experienced minimal harm or potential for actual harm. The inspection record does not describe any follow-up contact with Resident 1 about what she had reported, or what she experienced in the weeks that followed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Alderwood Post Acute & Rehabilitation from 2025-09-03 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Alderwood Post Acute & Rehabilitation in LYNNWOOD, WA was cited for violations during a health inspection on September 3, 2025.
Those facts come from a federal inspection completed September 3, 2025, triggered by a complaint at the 188th Street Southwest facility.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.