Inspection Reports for
Cogir of Mill Creek
14905 Bothell Everett Hwy, Mill Creek, WA 98012, United States, WA, 98012
Back to Facility Profile7 Reports
Inspection Report — May 26, 2026
Complaint Investigation
Date: May 26, 2026
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility based on complaint number 223242 regarding a resident unable to manage their medication and with poor vision.
Complaint Details
Complaint number 223242 involved a resident unable to manage medication, confused, and with poor vision. The allegation was substantiated as a deficiency was cited and corrected.
Findings
The facility failed to ensure that a medication agreement for family assistance was documented to show that the resident would receive medication as prescribed by their primary care physician. This deficiency was corrected at the time of the exit conference and a consultation was issued.
Deficiencies (1)
WAC 388-78A-2290 Family assistance with medications and treatments. The facility did not ensure that a medication agreement was documented for family assistance to show that the resident would receive medication as prescribed by their primary care physician.
Report Facts
Total residents: 83
Resident sample size: 3
Inspection Report — Jan 21, 2026
Follow-Up
Date: Jan 21, 2026
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Deficiencies (4)
WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. The facility failed to ensure 1 of 2 staff had a valid Washington State name and date of birth background check completed every two years, placing residents at risk.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure 1 of 3 staff completed tuberculosis testing within three days of hire, placing residents at risk of exposure to a communicable disease.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure 2 of 6 staff completed required training prior to providing care, including First Aid training and 12 hours of continuing education, causing residents to receive care from inadequately trained staff.
WAC 388-78A-2040 Other requirements. The facility failed to ensure a Medical Test Site Waiver license was obtained to perform medical testing on 2 residents, resulting in noncompliance with licensure requirements and risk of inaccurate clinical laboratory services.
Report Facts
Sampled residents: 9
Staff with invalid background check: 1
Staff without TB testing: 1
Staff without required training: 2
Residents without valid medical test site waiver: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Medication Technician | Named in background check and continuing education deficiencies |
| Staff B | Care Partner | Named in tuberculosis testing deficiency |
| Staff C | Care Partner | Named in training deficiency for First Aid |
| Staff G | Assistant Executive Director | Provided statements regarding background check and training deficiencies |
| Staff H | Administrative Assistant | Provided statements regarding tuberculosis testing and training deficiencies |
| Staff A | Executive Director | Provided statement regarding Medical Test Site Waiver license expiration |
Inspection Report — Oct 14, 2025
Complaint Investigation
Date: Oct 14, 2025
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to allegations that the facility did not administer medication as prescribed, failed to conduct an assessment for a significant change in condition, and did not notify family immediately after a resident fall.
Complaint Details
The complaint investigation (Intake ID 195970) included allegations that medication was not administered as prescribed, no assessment was conducted for a significant change in condition, and family was not notified immediately after a fall. The medication and fall notification allegations were not substantiated. The assessment deficiency was substantiated and corrected.
Findings
The investigation found that the facility staff administered medications as prescribed and followed fall notification policies. However, a deficiency was identified for not conducting an assessment for a resident's significant change in condition, which was corrected by the exit conference. A consultation was issued under WAC 388-78A-2100 (2)(b)(i).
Deficiencies (1)
WAC 388-78A-2100 (2)(b)(i) - The assisted living facility must complete an assessment specifically focused on a resident's identified problems and related issues consistent with the resident's change of condition. The facility initially failed to conduct this assessment but corrected the deficiency by the exit conference.
Report Facts
Total residents: 87
Resident sample size: 3
Inspection Report — Apr 25, 2025
Follow-Up
Date: Apr 25, 2025
Visit Reason
This document is a follow-up inspection of an Assisted Living Facility to verify correction of previously cited deficiencies related to medication administration.
Complaint Details
The complaint investigation (Complaint #163107) found that the facility failed to follow medication administration orders and failed to inform Med Techs about a resident's diarrhea, resulting in medication errors. One citation was issued for noncompliance with WAC 388-78A-2210 Medication Services.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited medication administration deficiencies were corrected.
Deficiencies (1)
WAC 388-78A-2210 Medication services. The Assisted Living Facility failed to ensure Resident 1 received prescribed routine pain medication for 21 days due to failure to process and follow up on medication orders.
Report Facts
Total residents: 102
Resident sample size: 3
Days without prescribed medication: 21
Inspection Report — Jul 10, 2024
Follow-Up
Date: Jul 10, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.
Deficiencies (7)
WAC 388-78A-2466 - The facility failed to ensure 1 of 6 staff had a current Washington State name and date of birth background check, placing residents at risk.
WAC 388-78A-2480 - The facility failed to ensure 3 of 6 staff were screened for tuberculosis within three days of employment, risking resident exposure to communicable disease.
WAC 388-78A-2620 - The facility failed to ensure 3 of 10 pets had regular veterinary examinations and vaccinations, risking resident exposure to communicable diseases.
WAC 388-78A-2240 - The facility failed to obtain prescribed medications timely for 4 of 7 residents, resulting in missed doses and risk of medical complications.
WAC 388-78A-2290 - The facility failed to have a written plan for family assistance with medications for 1 of 2 residents, risking medication administration errors.
WAC 388-78A-2474 - The facility failed to ensure 2 of 6 staff completed required orientation and safety training prior to working with residents and 1 of 6 staff had valid CPR/First Aid training within 30 days of hire.
WAC 388-78A-2450 - The facility failed to maintain a national fingerprint background check on file for 1 of 6 staff during employment and for two years after termination.
Report Facts
Residents present: 79
Sampled residents: 9
Staff with missing background check: 1
Staff with delayed TB screening: 3
Pets without veterinary records: 3
Residents with missed medications: 4
Staff lacking orientation and safety training: 2
Staff lacking valid CPR/First Aid: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Executive Director | Named in findings for missing background checks and fingerprint documentation |
| Staff B | Caregiver | Named in findings for missing orientation, safety training, and CPR/First Aid certification |
| Staff C | Med Tech | Named in findings for delayed facility orientation and missing department-approved training |
Inspection Report — Mar 20, 2023
Life Safety
Date: Mar 20, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.
Findings
All violations noted during previous related inspections have been corrected. The facility was approved at this inspection.
Inspection Report — Feb 6, 2023
Life Safety
Date: Feb 6, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire protection inspection at the Cogir Mill Creek residential care facility to assess compliance with fire and life safety codes.
Findings
The facility was disapproved due to multiple deficiencies including lack of documentation for required fire drills, electrical hazards, blocked electrical panels, missing or damaged fire safety equipment, failure to provide required inspections and maintenance documentation for fire doors, sprinkler systems, fire extinguishers, fire alarm systems, carbon monoxide detectors, emergency lighting, and emergency generator servicing. Additionally, physical hazards such as unsecured oxygen tanks and compromised fire barriers were noted.
Deficiencies (30)
Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months.
Elevator equipment room by room 142 has two hanging heat detectors that appear to run the shunt trip.
First floor, exit door five, by room 141 the exit sign is hanging from the ceiling with exposed wiring.
Third-floor electrical room by car three elevator has storage blocking access to electrical panels.
First floor electrical room around the corner from room 127 has cardboard boxes, flammables and paint cans stored in front of electrical panels.
Facility unable to provide documentation for semi-annual hood cleaning.
Facility unable to provide documentation that the annual fire wall inspection has been completed.
Second floor maintenance office has a hole in the ceiling drywall compromising the fire barrier.
Facility unable to provide documentation that the annual fire door inspection has been completed.
Third floor elevator fire door by room 303 did not close.
Second-floor elevator fire door by room 207 did not close.
Second-floor elevator fire door on elevator car by room 256 did not close.
Elevator fire door by room 280 closed but did not latch.
First floor stairwell 4 fire door is not closing and latching properly.
Facility unable to provide documentation that the annual duct and air transfer openings inspection has been completed.
Facility unable to provide documentation for the annual sprinkler system inspection.
Facility unable to provide documentation for the 5 year internal piping inspection.
Facility unable to provide documentation for the 3 year dry system full flow trip test.
Facility unable to provide documentation for the semi-annual kitchen suppression system servicing.
Fire extinguisher by room 243 has not been serviced in several years.
First floor by the emergency food supply room has a fire extinguisher that hasn't been serviced since 2021.
Facility unable to provide documentation for the annual fire alarm system testing.
Facility unable to provide documentation for the monthly carbon monoxide detector testing.
First floor fireplace room needs a carbon monoxide detector for the gas appliance.
First floor theater room needs a CO2 detector due to the gas appliance fireplace.
Facility unable to provide documentation for the annual servicing of the emergency generator.
Room 266 oxygen tank was not secured.
Facility unable to provide documentation for the monthly 30 second activation test for the emergency lights.
Facility unable to provide documentation for the annual 90 minute power test for the emergency lights.
Facility unable to provide documentation of a fire emergency plan including actions to take by the person discovering a fire and method of sounding an alarm.
Report Facts
Fire drills documentation: 12
Fire extinguisher service years: 2021
Next inspection date: Mar 8, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Arthur Jesse Ward | Deputy State Fire Marshal | Signed and conducted the inspection. |
| Darrell Lorent | Maintenance Assistant | Signed as Owner or Authorized Representative. |
Viewing
Loading inspection reports...
