Smaller home · May offer a more intimate, personalized care environment.
Keystone
Keystone is a residential care community in Seattle, Washington, operating 64 beds in King County. It is classified as a behavioral health licensed community with a reported occupancy rate of approximately 95%. This is well above the Washington state average, suggesting strong local demand and limited availability.
Inspection history indicates ongoing fire safety compliance concerns, with the most recent inspection on June 16, 2025, being a follow-up visit that confirmed some previously cited issues had been corrected but still identified concerns such as debris on sprinkler heads, gaps in fire alarm maintenance, and obstructed exit pathways. Earlier inspections also revealed repeated fire safety code issues, along with a substantiated complaint in August 2024 related to failure to provide a required discharge notice after a resident altercation. No fines or license suspensions are listed in the available reports. While the pattern of citations raises concern, it also shows gradual corrective efforts over time, so families are advised to review the most current state inspection records before making a decision.
The community offers amenities such as bicycle storage, a landscaped public plaza, and street-level retail, which are more typical of an urban residential setting than a traditional care-focused environment. Housing-related services are also highlighted, along with pet policies and general tenant support, suggesting a primary focus on residential living rather than intensive clinical care.
Keystone is best suited for more independent older adults in the Seattle area who prefer an urban, community-integrated living environment with access to basic services rather than higher levels of medical or personal care. Its high occupancy also reflects strong interest in this type of housing. However, families considering this community should confirm current licensing details and carefully review recent inspection records to ensure the setting aligns with their loved one’s care needs.
Community insights.
About 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 2022 vs. Washington state average• Total deficiencies (68% above)
• Deficiencies per inspection (29% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
| 52 | 31 | This facility has 68% more total deficiencies than a typical Washington assisted living residence (52 vs. WA avg 31).↑ 68% worse |
|
Deficiencies per inspection
| 5.8 | 4.51 | This facility has 29% more deficiencies per inspection than a typical Washington assisted living residence (5.8 vs. WA avg 4.51).↑ 29% worse |
Inspections
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total inspections
| 9 | 9 | This facility has total inspections in line with the Washington average (9 vs. WA avg 9).— At avg |
What does this home offer?
Pets Allowed
Living Spaces & Floor Plans for Keystone
Places of interest near Keystone
3.7 miles from city center
Estimated distance in miles from Seattle's city center to Keystone's address, calculated via Google Maps.
Calculate Travel Distance to Keystone
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Compare Assisted Living around Seattle
Info below is compiled from the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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City and state of the facility. Used for mapping and state-average comparisons.
|
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
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Indicates whether residents are allowed to have pets in the facility.
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Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
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Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
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Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
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Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
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Inspection events categorized as complaint-related by the state regulator.
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Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
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The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
| |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Murano Senior Living | AL IL MC | Seattle | 130
Facility
130
WA AVG
81
Rank
#28 / 356 | Yes |
98
Facility
98
WA AVG
51
Rank
#7 / 619 | Studio / 1 Bed / 2 Bed |
60.0%
Facility
60.0%
WA AVG
75%
Rank
#228 / 276 | - | 5 | 3
Facility
3
WA AVG
8
Rank
#204 / 282 | 11
Facility
11
WA AVG
31
Rank
#54 / 279 | 2.2
Facility
2.2
WA AVG
3.4
Rank
#46 / 279 |
| Horizon House | AL IL MC RC | Seattle | 90
Facility
90
WA AVG
81
Rank
#127 / 356 | Yes |
98
Facility
98
WA AVG
51
Rank
#7 / 619 | 1 Bed / 2 Bed / Penthouse |
73.3%
Facility
73.3%
WA AVG
75%
Rank
#157 / 276 | - | 6 | 0
Facility
0
WA AVG
8
Rank
#1 / 282 | 24
Facility
24
WA AVG
31
Rank
#131 / 279 | 4.0
Facility
4.0
WA AVG
3.4
Rank
#127 / 279 |
| Aegis Living West Seattle | AL HOS MC RC | Seattle (North Admiral) | 84
Facility
84
WA AVG
81
Rank
#152 / 356 | Yes |
76
Facility
76
WA AVG
51
Rank
#107 / 619 | Studio / 1 Bed / 2 Bed |
81.0%
Facility
81.0%
WA AVG
75%
Rank
#115 / 276 | F | 10 | 3
Facility
3
WA AVG
8
Rank
#204 / 282 | 41
Facility
41
WA AVG
31
Rank
#198 / 279 | 4.1
Facility
4.1
WA AVG
3.4
Rank
#137 / 279 |
| Quail Park Memory Care Residences of West Seattle | AL MC | Seattle (Junction) | 66
Facility
66
WA AVG
81
Rank
#212 / 356 | No |
97
Facility
97
WA AVG
51
Rank
#12 / 619 | 330 / 369 / 372 / 376 / 446 / 480 sq. ft |
86.4%
Facility
86.4%
WA AVG
75%
Rank
#67 / 276 | - | 7 | 0
Facility
0
WA AVG
8
Rank
#1 / 282 | 19
Facility
19
WA AVG
31
Rank
#110 / 279 | 2.7
Facility
2.7
WA AVG
3.4
Rank
#65 / 279 |
| Keystone | AL | N Seattle | 64
Facility
64
WA AVG
81
Rank
#222 / 356 | Yes |
95
Facility
95
WA AVG
51
Rank
#19 / 619 | - |
100.0%
Facility
100.0%
WA AVG
75%
Rank
#1 / 276 | - | 9 | 2
Facility
2
WA AVG
8
Rank
#163 / 282 | 52
Facility
52
WA AVG
31
Rank
#229 / 279 | 5.8
Facility
5.8
WA AVG
3.4
Rank
#211 / 279 |
Financial Assistance for
Assisted Living in Washington
Keystone is located in N Seattle, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Frequently Asked Questions about Keystone
Is Keystone in a walkable area?
Keystone has a walk score of 95. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
What is the license number of Keystone?
According to WA state health department records, Keystone's license number is 2599.
What is the occupancy rate at Keystone?
Keystone's occupancy is 100%.
Does Keystone have different floorplan options?
Yes — see the floorplan options available at Keystone on this page.
Are pets allowed at Keystone?
Yes, Keystone allows residents to bring their pets.
How many beds does Keystone have?
Keystone has 64 beds.
Has Keystone had any deficiencies?
Keystone has had 52 reported deficiencies according to records from WA Dept. of Social and Health Services (DSHS).
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