Horizon House
Horizon House is a 90-bed independent and assisted living community with memory care at 900 University Street in downtown Seattle, King County, Washington, licensed as a boarding home (License #212, expiring August 31, 2026). Operated as a non-profit Continuing Care Retirement Community and led by administrator Lauri D. Warfield-Larson, the facility serves independent and assisted living residents alongside dedicated memory care. Pets are welcome.
Fire and life safety compliance is the dominant concern. Since 2023, the Washington Department of Social and Health Services and the Office of the State Fire Marshal have issued 24 deficiencies across six inspections, averaging 8 per year; 27 percent above the state benchmark of 6.3. In June 2023, a fire protection survey found 17 deficiencies spanning fire-rated construction penetration gaps, missing inspection documentation, nonfunctional fire doors, sprinkler head maintenance failures, and broken exit signage, resulting in facility disapproval. That inspection exposed systematic documentation and maintenance gaps rather than isolated problems. A February 2025 complaint investigation confirmed the facility had failed to correct violations from two prior fire-safety inspections (July 2024 and September 2024), and the facility received a Letter of Non-compliance from the Deputy State Fire Marshal with expectations for timely correction. The May 20, 2025 fire-safety inspection found two additional deficiencies: missing fire-smoke damper inspection documentation and nonfunctional horizontal fire-rated doors in the memory care unit. The facility states it is upgrading its kitchen fire system to UL300 compliance and that violations from previous related inspections have been corrected. The facility is currently under expectation for continued correction of fire-safety deficiencies.
Staffing credentialing has also been documented as an area requiring attention. In November 2023, one staff member lacked a completed national fingerprint background check, affecting all 68 residents; in December 2024, another staff member worked for 49 days with expired credentials (September 11 through December 6, 2024), placing all 63 residents at risk. Both were corrected at follow-up. An April 2025 food sanitation follow-up inspection found zero deficiencies after the facility corrected a prior ice machine cleanliness issue that had placed 42 of 66 residents at risk for foodborne illness. No substantiated abuse or neglect allegations have been issued; a December 2024 complaint investigation regarding aggressive speech by one staff member to another in the presence of a resident found no emotional harm to the resident or abuse or neglect.
The community maintains occupancy at 73 percent (66 of 90 beds), in line with the Washington state average of 72.5 percent. Amenities include an aquatic center, BEAM exercise and fitness program, massage studio, acupuncture services, concierge, hair and nail salon, housekeeping, valet parking, business center, and group transportation for events and outings, plus grocery trips and Uber/Lyft credits. Dining is served at The Terrace (full-service) and The Bistro (grab-and-go). Over 60 resident-led committees and groups provide structured engagement in the arts, advocacy, social events, and lifelong learning. The facility offers rehabilitation services, assisted living with memory support, health and wellness programs, gardening and outdoors activities, and dining-nutrition education. Apartment options include one-bedroom, two-bedroom, and penthouse configurations. The high walk score of 98 reflects downtown Seattle location 0.5 miles from the city center and convenient access to shopping, services, and Virginia Mason healthcare resources.
Families should ask about fire-safety compliance with the State Fire Marshal, and staff emergency response before placement, given the ongoing pattern of fire-safety deficiencies.
About this community
Occupancy
Staffing
Key information about the people who lead and staff this community.
Inspection History
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2023 vs. Washington state average• Deficiencies per inspection (18% above) 3 Better Metrics better than Washington average:
• Total deficiencies (23% below)
• Deficiencies per year (22% below)
• Total inspections (33% below)
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
| 24 | 31 | This facility has 23% fewer total deficiencies than a typical Washington assisted living residence (24 vs. WA avg 31).↓ 23% better |
|
Deficiencies per year
| 8 | 10.3 | This facility has 22% fewer deficiencies per year than a typical Washington assisted living residence (8 vs. WA avg 10.3).↓ 22% better |
|
Deficiencies per inspection
| 4 | 3.4 | This facility has 18% more deficiencies per inspection than a typical Washington assisted living residence (4 vs. WA avg 3.4).↑ 18% worse |
Inspections
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total inspections
| 6 | 9 | This facility has 33% fewer total inspections than a typical Washington assisted living residence (6 vs. WA avg 9).↓ 33% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
- The May 20, 2025 fire safety inspection found previous violations corrected and ongoing upgrades to the wet system, with only two remaining deficiencies related to fire damper inspection and memory care fire doors.
- The February 20, 2025 complaint investigation confirmed failure to correct fire and life safety violations from multiple prior inspections, including extinguishing system service and missing fire/smoke damper documentation.
- The December 16, 2024 complaint investigation substantiated expired staff credentials placing 63 residents at risk, while aggressive speech by staff was found but caused no resident harm.
What does this home offer?
Pets Allowed
Housing Options: 1 Bed / 2 Bed / Penthouse
Building Type: High-rise
Transportation Services
Fitness and Recreation
Places of interest near Horizon House
0.5 miles from city center
Estimated distance in miles from Seattle's city center to Horizon House's address, calculated via Google Maps.
Calculate Travel Distance to Horizon House
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Compare Assisted Living around Seattle
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Aegis Living Madison | AL NH HC MC RC | Seattle (Miller Park) | 96
Facility
96
WA AVG
82
Rank
#117 / 366 | Yes |
90
Facility
90
WA AVG
51
Rank
#40 / 628 | Studio / 1 Bed / 2 Bed |
87.5%
Facility
87.5%
WA AVG
74.4%
Rank
#60 / 285 | C+ | 13 | 5
Facility
5
WA AVG
8
Rank
#245 / 285 | 48
Facility
48
WA AVG
31
Rank
#227 / 285 | 3.7
Facility
3.7
WA AVG
3.4
Rank
#125 / 285 |
| Horizon House | AL IL MC RC | Seattle (Downtown Seattle) | 90
Facility
90
WA AVG
82
Rank
#134 / 366 | Yes |
98
Facility
98
WA AVG
51
Rank
#7 / 628 | 1 Bed / 2 Bed / Penthouse |
73.3%
Facility
73.3%
WA AVG
74.4%
Rank
#159 / 285 | - | 6 | 0
Facility
0
WA AVG
8
Rank
#1 / 285 | 24
Facility
24
WA AVG
31
Rank
#134 / 285 | 4.0
Facility
4.0
WA AVG
3.4
Rank
#131 / 285 |
| Aegis Living West Seattle | AL HC MC RC | Seattle (North Admiral) | 84
Facility
84
WA AVG
82
Rank
#160 / 366 | Yes |
76
Facility
76
WA AVG
51
Rank
#107 / 628 | Studio / 1 Bed / 2 Bed |
81.0%
Facility
81.0%
WA AVG
74.4%
Rank
#111 / 285 | C+ | 10 | 3
Facility
3
WA AVG
8
Rank
#205 / 285 | 41
Facility
41
WA AVG
31
Rank
#203 / 285 | 4.1
Facility
4.1
WA AVG
3.4
Rank
#141 / 285 |
| Mirabella Seattle | AL MC NH | Seattle (South Lake Union) | 63
Facility
63
WA AVG
82
Rank
#237 / 366 | No |
99
Facility
99
WA AVG
51
Rank
#1 / 628 | 1 Bed / 2 Bed |
46.0%
Facility
46.0%
WA AVG
74.4%
Rank
#266 / 285 | A+ | 6 | 2
Facility
2
WA AVG
8
Rank
#166 / 285 | 43
Facility
43
WA AVG
31
Rank
#212 / 285 | 7.2
Facility
7.2
WA AVG
3.4
Rank
#251 / 285 |
| GenCare Lifestyle Seattle at Ballard Landmark | AL IL RC | Seattle (Adams) | 63
Facility
63
WA AVG
82
Rank
#237 / 366 | Yes |
96
Facility
96
WA AVG
51
Rank
#15 / 628 | Studio / 1 Bed / 2 Bed |
76.2%
Facility
76.2%
WA AVG
74.4%
Rank
#142 / 285 | A+ | 7 | 3
Facility
3
WA AVG
8
Rank
#205 / 285 | 64
Facility
64
WA AVG
31
Rank
#255 / 285 | 9.1
Facility
9.1
WA AVG
3.4
Rank
#269 / 285 |
Financial Assistance for
Assisted Living in Washington
Horizon House is located in Seattle, Washington.
Here are the financial assistance programs available to residents in Washington.
Frequently Asked Questions about Horizon House
What neighborhood is Horizon House in?
Horizon House is in the Downtown Seattle neighborhood of Seattle.
Is Horizon House in a walkable area?
Horizon House has a walk score of 98. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
What is the license number of Horizon House?
According to WA state health department records, Horizon House's license number is 212.
When does Horizon House's license expire?
According to WA state health department records, Horizon House's license expires on August 31, 2026.
What is the occupancy rate at Horizon House?
Horizon House's occupancy is 73%.
How many beds does Horizon House have?
Horizon House has 90 beds.
Are there photos of Horizon House?
Yes — there are 12 photos of Horizon House in the photo gallery on this page.
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