Inspection Reports for
Edmonds Landing Assisted Living

180 Second Avenue South, Edmonds, WA 98020, WA, 98020

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11 Reports

2023–2026

Inspection Report — Mar 25, 2026

Life Safety
Date: Mar 25, 2026

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 03/25/2026.

Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

Inspection Report — Sep 3, 2024

Follow-Up
Date: Sep 3, 2024

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to the Respiratory Protection Program.

Complaint Details
The complaint investigation (Complaint #132306) was triggered by allegations of positive COVID cases and failure to implement a Respiratory Protection Program. The investigation found the facility did not ensure all caregivers were fit-tested for N95 respirators, constituting a deficiency.
Findings
The follow-up inspection on 09/03/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies regarding fit testing of caregivers for respirators were corrected.

Deficiencies (1)
WAC 388-78A-2730-1-b - The Assisted Living Facility failed to follow a Respiratory Protection Program by ensuring only 6 of 18 caregiving staff were fit-tested for respirator masks, placing 37 residents at risk of COVID-19 exposure.
Report Facts
Total residents: 37 Resident sample size: 2 Caregiving staff fit-tested: 6 Caregiving staff total: 18

Employees mentioned
NameTitleContext
Hayley PinkhamALF LicensorConducted the complaint investigation and follow-up inspection

Inspection Report — Aug 5, 2024

Follow-Up
Date: Aug 5, 2024

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to fire and life safety compliance.

Findings
The follow-up inspection on 08/05/2024 found no deficiencies and confirmed the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Deficiencies (2)
WAC 388-78A-2040 Other requirements. The Assisted Living Facility failed to ensure compliance with the Washington State Patrol Office of State Fire Marshal after failing their follow-up Fire and Life Safety Inspection. This placed 40 residents, staff, and visitors at risk.
IFC 1031.10.2 - Power Test. The facility was unable to provide documentation for the annual 90-minute power test for emergency lights as required.
Report Facts
Total residents: 40 Licensed beds: 83

Inspection Report — Jun 13, 2024

Follow-Up
Date: Jun 13, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

Findings
The follow-up inspection on 06/13/2024 found no deficiencies and confirmed that the previously cited deficiency regarding the national fingerprint background check was corrected.

Deficiencies (6)
WAC 388-78A-24642 Background checks National fingerprint background check. Administrators and caregivers hired after January 7, 2012 must complete a national fingerprint background check and follow department procedures. The facility failed to ensure this for one sampled staff.
WAC 388-78A-2305 Food sanitation. The facility failed to have a system ensuring ready-to-eat foods were labeled, dated, and safe, and two staff lacked valid food handler permits, placing residents at risk of food-borne illness.
WAC 388-78A-2090 Full assessment topics. The facility failed to complete a full assessment addressing care and safety needs for one sampled resident, placing the resident at risk for injury and entrapment.
WAC 388-78A-2140 Negotiated service agreement contents. The facility failed to develop and document negotiated service agreements signed annually by residents or representatives for three of eight sampled residents, placing them at risk for unmet care needs.
WAC 388-78A-3100 Safe storage of supplies and equipment. The facility failed to secure hazardous chemicals in common areas, placing residents at risk for harm and poisoning.
WAC 388-78A-2483 Tuberculosis One test. The facility failed to ensure one of six staff members completed the required one-step tuberculin skin test within three days of hire, placing residents at risk of communicable disease exposure.
Report Facts
Sampled residents: 5 Sampled residents: 10 Residents at risk: 36 Residents at risk: 37 Staff without valid food handler permits: 2 Staff without required tuberculosis test: 1 Sampled staff: 6 Sampled residents: 8

Inspection Report — May 22, 2024

Follow-Up
Date: May 22, 2024

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to compliance determinations 41443 and 37350.

Complaint Details
The complaint investigation involved an allegation that a named resident fell and sustained a significant injury. The investigation found that the facility failed to follow the resident's negotiated service agreement, contributing to the fall. Citations were written.
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 (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility failed to implement the Negotiated Service Agreement for 1 of 2 residents when transferred without the correct equipment, contributing to a fall and significant injury.
Report Facts
Total residents: 39 Resident sample size: 2

Employees mentioned
NameTitleContext
Hayley PinkhamALF LicensorInvestigator who conducted complaint investigation and off-site verification
Staff AExecutive DirectorStated expectation that staff follow the Negotiated Service Agreement and use transfer belt

Inspection Report — May 22, 2024

Follow-Up
Date: May 22, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up inspection of the Edmonds Landing Assisted Living Facility to verify correction of previously cited deficiencies related to a complaint investigation involving a resident fall.

Complaint Details
The complaint investigation involved a resident who fell and sustained a significant injury. The investigation found that the facility staff did not follow the resident's negotiated service agreement, specifically failing to use a transfer belt during transfers. Citations were written for deficient practice.
Findings
The follow-up inspection on 05/22/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to failure to implement the negotiated service agreement were corrected.

Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility must provide the care and services as agreed upon in the negotiated service agreement to each resident unless a deviation is mutually agreed upon. The facility failed to implement the agreement for one resident, contributing to a fall and injury.
Report Facts
Total residents: 39 Resident sample size: 2

Inspection Report — May 15, 2024

Enforcement
Date: May 15, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to the assisted living facility to assess compliance and impose a civil fine based on unresolved violations.

Findings
The facility failed to ensure a national fingerprint background check for one staff member, placing 36 residents at risk. This violation was uncorrected from a previous citation and resulted in a $300 civil fine.

Deficiencies (1)
WAC 388-78A-24642(1) Background checks—National fingerprint background check. The licensee failed to ensure a national fingerprint background check for one staff member was completed, placing residents at risk.
Report Facts
Civil fine amount: 300 Residents at risk: 36

Inspection Report — Aug 17, 2023

Life Safety
Date: Aug 17, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility to assess compliance with fire and life safety codes.

Findings
The facility was found to be noncompliant with multiple fire safety requirements, including lack of documentation for fire drills, inspections, and maintenance of fire protection systems. Numerous fire doors did not close and latch properly, and emergency equipment testing documentation was missing. The overall status was Disapproved.

Deficiencies (13)
IFC 0405.5 2018 - Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months.
IFC 701.6 2018 WAC 51-54A - Facility is unable to provide documentation that the annual fire wall inspection has been completed.
IFC 705.2 2018 - Facility is unable to provide documentation that the annual fire door inspection has been completed. Several fire door operational requirements were not met.
IFC 705.2.4 2018 - Private dining/living room and activities room fire doors did not close and latch properly.
IFC 706.1 2018 - Facility is unable to provide documentation that the annual fire wall inspection has been completed.
IFC 903.5 2009, 2012, 2015, 2018 - Facility is unable to provide documentation for the 3 year dry system full flow trip test, quarterly sprinkler system inspections, and other sprinkler system maintenance requirements. Kitchen sprinkler heads have loose or missing escutcheon rings.
IFC 904.12 2015, 2018 - Signage shall be provided on the exhaust hood or system cabinet indicating the type and arrangement of cooking appliances protected by the automatic fire extinguishing system. Signage was missing.
IFC 906.2 2015, 2018 - Facility is unable to provide documentation for annual fire extinguisher inspections and monthly fire extinguisher visual inspections.
IFC 907.8 2018 - Facility is unable to provide documentation for monthly single station smoke alarm testing.
IFC 915.1 2015, 2018 WAC 51-54A - Facility is unable to provide documentation for monthly carbon monoxide detector testing. Carbon monoxide detector in hallway by room 153 failed push button test.
IFC 1031.10.2 2018 - Facility is unable to provide documentation for the monthly 30 second activation test and the annual 90 minute power test for emergency lights.
IFC 1203.4 2018 - Facility is unable to provide documentation for annual servicing of the emergency generator and weekly inspections including monthly 30 minute full load testing.
WAC 212-12-040 - Facility cannot provide a documented emergency plan in accordance with WAC 212-12-040.
Report Facts
Fire drills documentation missing: 12 Sprinkler system inspection documentation missing: 5 Fire extinguisher inspection documentation missing: 2

Inspection Report — Apr 21, 2023

Complaint Investigation
Date: Apr 21, 2023

Visit Reason
The inspection was conducted in response to complaints alleging residents were left without care for 8 hours, a resident screaming for two hours without staff response, and long call light wait times causing distress.

Complaint Details
The complaint investigation involved allegations that residents were left without care for extended periods, a resident screamed for help without staff response, and long call light waits caused distress. The investigation confirmed long wait times and failure to implement service agreements, resulting in citations. Some individual resident allegations were denied or found unsubstantiated.
Findings
The investigation found that residents experienced very long wait times for care and call light responses, with failure to implement negotiated service agreements. Some allegations were denied by residents or found unsubstantiated, but overall, failed provider practices were identified and citations were written.

Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility failed to provide agreed care and services timely to 5 of 5 sampled residents, placing them at risk of harm and reducing quality of life.
Report Facts
Total residents: 39 Resident sample size: 7 Excessive call light wait times: 126 Excessive call light wait times: 73 Excessive call light wait times: 24 Excessive call light wait times: 23 Excessive call light wait times: 32

Inspection Report — Mar 16, 2023

Follow-Up
Date: Mar 16, 2023

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

Complaint Details
The department conducted an unannounced on-site complaint investigation on 01/12/2023 referencing complaint numbers 64273, 66053, and 66236. The investigation found the facility was not in compliance with licensing laws due to failure to maintain the RPP, including incomplete fit-testing of staff respirators.
Findings
The follow-up inspection on 03/16/2023 found no deficiencies and confirmed the facility meets licensing requirements. Previously cited deficiencies were corrected as verified on-site.

Deficiencies (1)
WAC 388-78A-2730 Licensee's responsibilities. The facility failed to maintain a Respiratory Protection Program (RPP) ensuring staff wore fit-tested respirator masks, placing 36 residents at risk of respiratory illness. This deficiency was corrected as of the follow-up inspection.
Report Facts
Residents at risk: 36 Sample size: 5

Employees mentioned
NameTitleContext
Staff ANamed in deficiency finding for stating not all caregivers had been fit-tested.
Erin SteinbrennerNursing Consultant InstitutionalConducted on-site verification of corrected deficiencies during follow-up inspection.

Inspection Report — Jan 13, 2023

Follow-Up
Date: Jan 13, 2023

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication administration errors.

Complaint Details
The complaint investigation found that a named resident received extra doses of medication due to transcription errors. The facility failed to administer medication according to physician orders, resulting in 27 extra doses of Abiraterone from 10/22/2022 through 11/07/2022. The complaint was substantiated with citations written.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited medication administration errors were corrected.

Deficiencies (1)
WAC 388-78A-2210 Medication services. The facility failed to ensure a resident received medications as prescribed, resulting in 27 extra doses of Abiraterone due to transcription errors in the Medication Administration Record. The error was discovered by the pharmacy and corrected.
Report Facts
Total residents: 40 Resident sample size: 2 Extra medication doses: 27

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