Columbia Crest Center
COLUMBIA CREST CENTER in MOSES LAKE, WA — inspection on November 17, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the comprehensive assessment, dated 07/12/2025, showed Resident 2 was cognitively intact, required the set up assistance for dressing, personal hygiene, toileting, bathing, and was independent with self-propelling in the wheelchair.During a concurrent observation and interview, on 10/01/2025 at 1:10 PM, Resident 2 was in their room finishing lunch when a fly was noted to land on Resident 2's bedside table, lunch tray, shoulder, and bed. Resident 2 stated they always had a fly in their room.
Observation of Resident 2's bed showed it was covered with personal belongings, food wrappers, empty soda bottles, and random loose papers.
Observation of the sink and counter in Resident 2's room showed it was cluttered with personal belongings, hygiene supplies, empty medicine cups with ointment residue, food wrappers, and food crumbs.
Multiple soda bottles were observed on the counter, on the bed, and on the nightstand to have a dark, moist substance inside (not soda), and Resident 2 stated it was chewing tobacco and spit. Resident 2 stated their room was cleaned two-three times per week which included sweeping, mopping, and cleaning the bathroom. Resident 2 stated housekeeping did not throw away any garbage that was in the room unless they put it in the garbage can. Resident 2 stated it had been a long time since their counter and sink were cleared off and wiped down.
During an interview, on 10/01/2025 at 2:25 PM, Staff B, Director of Nursing, stated Resident 1's specialized urinals had been disposed of and replacements ordered.
Staff B stated the current process for cleaning and maintaining Resident 1's specialized urinals did not meet infection control expectations.
During an interview, on 10/01/2025 at 2:30 PM, Staff A, Administrator, stated resident rooms should be cleaned daily and have a deep cleaning at least once a month.
Staff A confirmed facility policy for cleaning resident rooms and personal equipment was not followed for Resident 1 and Resident 2.Reference: WAC 388-97-0880 (1-2)
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IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Columbia Crest Center
1100 East Nelson Road Moses Lake, WA 98837
SUMMARY STATEMENT OF DEFICIENCIES
stated Licensed Nurses (LNs) were documenting the number of beers dispensed to Resident 3 in the Controlled Substance Log Book for the past month.
Staff H stated it was not their practice to review the total amount of alcohol Resident 3 consumed in a day.
Staff H stated they had been instructed to notify local law enforcement if/when Resident 3 appeared intoxicated and chose to leave the facility in their personal vehicle.
During an interview, on 10/01/2025 at 12:55 PM, Staff I, NA, stated Resident 3 required assistance in loading their wheelchair into their personal vehicle.
Staff I stated Resident 3 did not use the facility sign out sheet when leaving or returning from an outing, and staff were aware of Resident 3's absence through verbal report.
During an interview, on 10/01/2025 at 2:30 PM, Staff B, DON, stated Resident 3 had been non-compliant with a lot of the facility's attempts to monitor their safety and confirmed implementation and documentation regarding Resident 3's alcohol consumption should have been done prior to 10/01/2025 as ordered by the physician.
During an interview, on 10/01/2025 at 2:40 PM, Staff A, Administrator, stated they were aware of Resident 3's alcohol consumption and the plan for monitoring, documenting, and reducing the amount of alcohol Resident 3 consumed.
Staff A stated they were unaware the reduction plan was not being implemented.Reference: WAC 388-97-1060 (1)(3)(g)
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