Inspection Reports for
Highgate Senior Living

The licensee failed to ensure that negotiated service agreements were updated following a change in condition for one resident, placing the resident at risk. This deficiency was uncorrected from a prior citation and resulted in a $400 civil fine.

The follow-up inspection found no deficiencies and confirmed that the facility met Assisted Living Facility licensing requirements. The previously cited deficiency regarding failure to update negotiated service agreements following changes in resident condition was corrected.

The complaint #212722 concerned the fire suppression system. The fire sprinkler system was out of service from February 17, 2026 at 1400 hours to February 18, 2026 at approximately 1000 hours. The facility did not provide required fire watch logs or repair documentation initially. Both issues were corrected with documentation submitted and accepted.

The facility failed to provide documentation of fire watch logs and fire sprinkler system repairs during the outage period. Both violations were corrected with documentation submitted for review, resulting in an Approved status.

The inspection identified multiple fire safety violations including improper clearance from ignition sources, extension cord misuse, failure to provide required documentation for fire system maintenance, missing delayed egress locking system signs, and unsecured compressed gas cylinders. Several violations were corrected on site, but some remain open as noted.

The Department found no deficiencies during the follow-up inspection on 07/29/2025. Previous deficiencies related to fingerprint background checks and training requirements were corrected.

The complaint alleged that the facility did not give a named resident their ordered medication for several days. The investigation confirmed the allegation and citations were written. The deficiency was previously cited on 05/10/2023 and repeated during this investigation.

The follow-up inspection on 07/24/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies under WAC 388-78A-2240 were corrected.

The inspection followed complaint investigations regarding a resident-to-resident altercation and a witnessed fall with injury. The investigations found failures in discharge procedures, investigation follow-up, and service agreement updates. Abuse was substantiated in the altercation case. The facility failed to cooperate fully during the investigation.

The follow-up inspection conducted on 06/04/2025 found no deficiencies; all previously cited violations were corrected. The facility submitted a plan of correction and documentation showing compliance with discharge notification, investigation procedures, and service agreement updates.

The inspection found multiple fire safety violations including ceiling clearance, power tap usage, missing outlet covers, smoke detector sensitivity documentation, emergency lighting, and delayed egress locking system issues. All violations were corrected on site and the facility was approved.

The complaint alleged that a staff member did not ensure residents swallowed their medications and that a resident was not receiving their medications as prescribed. The investigation confirmed the deficiency and citations were written. The follow-up inspection verified correction.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited medication administration deficiencies were corrected.

The complaint investigation involved three complaint numbers (119191, 120880, 120897) all related to failure to monitor and assess residents' health concerns. The investigation substantiated the allegations with citations written for failed provider practice regarding monitoring residents' well-being and timely response to health changes.

The investigation found failed provider practice related to monitoring residents' well-being, specifically that the facility failed to identify and take timely action on a resident's decline in medical condition, contributing to an emergent hospitalization. Citations were written for these deficiencies.

The complaint investigation involved allegations that a named resident had a worsening pressure injury and that wound assessment documentation may have been falsified or incomplete. The facility failed to notify the resident's representative and complete proper assessments. Multiple investigations confirmed these failures and citations were issued referencing WAC 388-78A-2100 and WAC 388-78A-2640.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

The complaint investigation involved a resident exhibiting behavior changes and refusing care after a staff member began providing personal care. The facility investigated and suspended the staff member. The facility failed to immediately report suspected sexual abuse to authorities, resulting in a citation.

The follow-up inspection found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as verified by the Department.

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

Complaint number 90403 alleged failure to report an outbreak of flu-like symptoms. The investigation substantiated the allegation with findings of failure to notify the local health jurisdiction and complaint resolution unit.

The investigation confirmed that the facility experienced two outbreaks of flu-like symptoms among residents and staff but failed to notify the local health jurisdiction and the complaint resolution unit as required. The facility isolated residents, implemented cleaning practices, and monitored ill residents but did not follow reporting requirements under WAC 388-78A-2610(2)(f).

The complaint investigation (Complaint #80527) was triggered by a resident to resident altercation. The facility failed to monitor the two residents involved after the incident, which was substantiated by interviews and record reviews. The facility was cited for this failure.

The investigation found that residents were clean, interactions were appropriate, and staff were responsive. However, the facility failed to monitor the named residents after the resident to resident altercation, resulting in a citation for noncompliance with WAC 388-78A-2120(3)(b).

Complaint #63371 investigated fire sprinkler pipe failure and fire safety response. The fire department responded, and the facility complied with fire system failure policies. Two residents were relocated due to impact. No violations were cited.

The facility experienced a fire sprinkler supply pipe rupture activating the fire alarm and fire watch. Two residents impacted by the rupture were relocated within the building. The facility complied with policies and procedures for fire system failure and the fire watch was discontinued once the system was restored. The inspection resulted in an approved status.