Inspection Reports for
Laurel Cove Community

17201 15th Ave NE, Shoreline, WA 98155, United States, WA, 98155

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15 Reports

2023–2026

Inspection Report — Jun 16, 2026

Follow-Up
Date: Jun 16, 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 all previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.

Inspection Report — Aug 7, 2025

Complaint Investigation
Date: Aug 7, 2025

Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding allegations that a resident was physically held during care by staff, which may have contributed to bruises.

Complaint Details
The complaint investigation (Compliance Determination #63824) concerned a resident who was physically held during care, possibly causing bruises. The facility staff denied contributing to the bruises, but the investigation confirmed failure to update care documentation. Citations were issued.
Findings
The investigation found that the facility failed to update the assessment and negotiated service agreement for a resident with aggressive behaviors during care. Citations were written for this deficiency.

Deficiencies (1)
WAC 388-78A-2100 - The assisted living facility failed to complete an updated assessment and negotiated service agreement to include a resident's aggressive behaviors during care.
Report Facts
Total residents: 65 Resident sample size: 2

Inspection Report — May 6, 2025

Complaint Investigation
Date: May 6, 2025

Visit Reason
The document is a follow-up inspection letter and multiple complaint investigation reports related to Laurel Cove Community Assisted Living Facility, addressing compliance with licensing laws and regulations, medication management, and resident care concerns.

Complaint Details
Multiple complaint investigations from 09/19/2024 through 10/24/2024 addressed allegations including medication errors, failure to notify family members, improper medication storage, and resident care issues. Some allegations were substantiated with citations issued, while others were unsubstantiated or unable to be confirmed.
Findings
The follow-up inspection on 05/06/2025 found no deficiencies and the facility met licensing requirements. Earlier complaint investigations from 09/19/2024 through 10/24/2024 identified multiple deficiencies related to medication errors, failure to notify family of changes, and failure to secure medications, with citations issued. Some deficiencies were recurring and uncorrected at the time of those investigations.

Deficiencies (4)
WAC 388-78A-2260 Storing, securing, and accounting for medications. The facility failed to safely store medications for residents requiring assistance, resulting in unmonitored access and risk of ingesting expired medications.
WAC 388-78A-2260 Storing, securing, and accounting for medications. The facility failed to safely store medications for a sampled resident, resulting in access to medications not ordered for self-administration.
WAC 388-78A-2210 Medication services. The facility failed to correctly transcribe physician's orders for two sampled residents, resulting in incorrect medication doses and hospitalization.
WAC 388-78A-2640 Reporting significant change in a resident's condition. The facility failed to notify a resident's family representative of a significant change, placing the resident at risk.
Report Facts
Total residents: 78 Resident sample size: 4 Days incorrect medication dose administered: 15

Employees mentioned
NameTitleContext
Michelle McglonNursing Consultant InstitutionalDepartment staff who conducted inspections and investigations

Inspection Report — Mar 12, 2025

Enforcement
Date: Mar 12, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Laurel Cove Community to address previously cited deficiencies and impose a civil fine for medication storage violations.

Findings
The facility failed to safely store medications for one resident, resulting in unmonitored access to expired prescription medication. This deficiency is uncorrected, recurring, and resulted in a $700 civil fine.

Deficiencies (1)
WAC 388-78A-2260 (1) Storing, securing, and accounting for medications. The licensee failed to safely store medications for one resident, allowing unmonitored access to expired prescription medication.
Report Facts
Civil fine amount: 700

Inspection Report — Jan 15, 2025

Enforcement
Date: Jan 15, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Laurel Cove Community to assess compliance and impose a civil fine based on medication storage violations.

Findings
The facility was fined $400 for failing to safely store medications for one resident requiring assistance, resulting in the resident having access to medications they were not ordered to self-administer. This deficiency was uncorrected from a previous citation dated October 24, 2024.

Deficiencies (1)
WAC 388-78A-2260(1) Storing, securing, and accounting for medications. The licensee failed to safely store medications for one resident requiring assistance, placing the resident at risk of ingesting unauthorized medications.
Report Facts
Civil fine amount: 400

Employees mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter

Inspection Report — Jan 15, 2025

Follow-Up
Date: Jan 15, 2025

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

Complaint Details
The complaint investigation involved allegations that the facility failed to treat a resident's infection resulting in sepsis and hospitalization, failed to follow a treatment plan ordered by the doctor, and failed to issue a refund to the resident. The investigation found the facility failed to coordinate care by not obtaining or notifying the physician about diagnostic tests and failed to process the refund. Citations were written.
Findings
The Department found that deficiencies related to coordination of health care services were corrected during the follow-up inspection on 01/15/2025. No deficiencies were found at that time.

Deficiencies (4)
WAC 388-78A-2350 Coordination of health care services. The assisted living facility must coordinate services with external health care providers to meet the residents' needs, consistent with the resident's negotiated service agreement. The facility failed to notify the physician when a resident with an allergy to iodine had worsening skin breakdown, resulting in lack of appropriate treatment.
WAC 388-78A-2350 Coordination of health care services. The assisted living facility must respond appropriately when there are observable or reported changes in the resident's physical, mental, or emotional functioning. The facility failed to notify the physician regarding a resident's allergy to iodine and worsening blister, resulting in a stage 2 wound.
WAC 388-78A-2350 Coordination of health care services. The assisted living facility must coordinate services with external health care providers to meet the residents' needs. The facility failed to notify the physician of not obtaining a diagnostic test and did not follow a treatment plan, resulting in decreased health status and hospitalization of a resident.
WAC 388-78A-2380 Freedom of movement. An assisted living facility must ensure all conditions are present before moving residents into units or buildings with exits that may restrict a resident's egress. The facility failed to have a system in place to allow egress from a secured door in the Memory Care Unit, restricting freedom of movement.
Report Facts
Total residents: 66 Resident sample size: 1 Closed records sample size: 1

Employees mentioned
NameTitleContext
Michelle McglonNursing Consultant InstitutionalNamed as department staff who inspected the Assisted Living Facility and investigator for complaint

Inspection Report — Dec 30, 2024

Follow-Up
Date: Dec 30, 2024

Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 12/30/2024 to verify correction of previously cited deficiencies.

Complaint Details
The report references complaint number 149280 and documents findings from an unannounced on-site full inspection and complaint investigation conducted on 09/30/2024 and 10/02/2024. Multiple deficiencies were found related to tuberculosis testing, service agreements, staff training, water temperature, emergency preparedness, assessments, and record provision.
Findings
The Department found no deficiencies during the follow-up inspection and confirmed that all previously cited deficiencies were corrected.

Deficiencies (8)
WAC 388-78A-2484 Tuberculosis Two step skin testing. The assisted living facility failed to ensure 3 of 6 staff completed the required two-step tuberculin skin test, placing 68 residents at risk of exposure to a communicable disease.
WAC 388-78A-2150 Signing negotiated service agreement. The assisted living facility failed to ensure the negotiated service agreement was signed at least annually by residents or their representatives for 3 of 9 sampled residents, placing 6 residents at risk for receiving or not receiving agreed care.
WAC 388-78A-2140 Negotiated service agreement contents. The assisted living facility failed to identify and document clearly defined roles and responsibilities of hospice providers and an alternate plan for 1 of 11 sampled residents, placing Resident 4 at risk for unmet care needs.
WAC 388-78A-2474 Training and home care aide certification requirements. The assisted living facility failed to ensure all staff received facility orientation training, placing 68 residents at risk of unqualified staff unfamiliar with expected duties.
WAC 388-78A-2950 Water supply. The assisted living facility failed to ensure water temperatures in resident areas were maintained between 105°F and 120°F, placing 68 residents at risk for burns and injury.
WAC 388-78A-2700 Emergency and disaster preparedness. The assisted living facility failed to develop and maintain a current disaster plan including alternative resident accommodations and provisions for essential needs, placing 68 residents at risk of displacement without essential provisions.
WAC 388-78A-2090 Full assessment topics. The assisted living facility failed to complete a full assessment within 14 days for 1 of 3 sampled residents, placing Resident 7 at risk for unmet needs and decreased quality of life.
WAC 388-78A-3140 Responsibilities during inspections. The assisted living facility failed to provide requested records and policies after numerous requests, placing 68 residents at risk of harm due to inability to review safe practice documentation.
Report Facts
Residents at risk: 68 Sampled residents: 11 Sampled residents with unsigned service plans: 3 Sampled residents with incomplete assessments: 1 Staff missing two-step TB test: 3

Employees mentioned
NameTitleContext
Staff AExecutive DirectorConfirmed inability to provide documentation for staff TB tests and reported working to find resident accommodations and Disaster Manual completion.
Staff GDirector of NursingConfirmed absence of signed service plans for Residents 1, 4, and 6 and acknowledged additional records may be requested.
Staff EResident Care CoordinatorConfirmed Resident 4 was enrolled in hospice services and unable to locate a Temporary Care Plan showing changes.
Staff HEnvironmental Guest AssociateReported water temperatures and located hose for emergency water supply.
Staff FHousekeeping AssistantRecords reviewed showed no facility orientation.
Staff BNursing AssistantDid not complete two-step TB test and lacked facility orientation.
Staff CNursing AssistantDid not complete two-step TB test and lacked facility orientation.
Staff DNursing AssistantDid not complete two-step TB test and lacked facility orientation.

Notice — Dec 13, 2024

Date: Dec 13, 2024

Visit Reason
This document communicates the outcome of the Informal Dispute Resolution process for disputed deficiencies identified in the Statement of Deficiencies report dated October 10, 2024.

Findings
After review, no changes were made to the prior Statement of Deficiencies report. The facility is instructed to begin correcting the disputed deficiencies immediately and submit a Plan/Attestation Statement within 10 calendar days.

Report Facts
Correction timeframe: 45 IDR response timeframe: 10

Inspection Report — Dec 10, 2024

Complaint Investigation
Date: Dec 10, 2024

Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding the Assisted Living Facility's failure to notify the local health jurisdiction about a gastrointestinal illness outbreak among residents and staff.

Complaint Details
Complaint number 158929 alleged the facility failed to notify the local health jurisdiction when residents and staff had diarrhea, nausea, and vomiting. The investigation substantiated this allegation with citation(s) written.
Findings
The investigation found that the facility failed to notify the King County Communicable Disease Department of a communicable disease outbreak involving 22 residents with gastrointestinal symptoms. This failure placed all 75 residents at risk for continued spread of the disease. The facility was cited for noncompliance with WAC 388-78A-2610 Infection control.

Deficiencies (1)
WAC 388-78A-2610 Infection control. The assisted living facility failed to notify the King County Communicable Disease Department of a communicable disease outbreak when 22 residents developed gastrointestinal illness symptoms. This failure placed all 75 residents at risk for continued spread of the disease.
Report Facts
Total residents: 75 Resident sample size: 22 Days delay in notification: 18

Inspection Report — Oct 24, 2024

Enforcement
Date: Oct 24, 2024

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Laurel Cove Community to address previously cited deficiencies and impose a civil fine related to regulatory violations.

Findings
The licensee failed to notify a resident’s physician about a documented allergy to iodine and worsening skin breakdown, resulting in the resident not receiving appropriate treatment. This deficiency was uncorrected from a prior citation and resulted in a $500 civil fine.

Deficiencies (1)
WAC 388-78A-2350 Coordination of health care services. The licensee failed to notify the resident’s physician when one resident had a documented allergy to iodine and worsening skin breakdown. This failure resulted in the resident not receiving appropriate treatment and worsening skin breakdown.
Report Facts
Civil fine amount: 500

Inspection Report — Apr 30, 2024

Complaint Investigation
Date: Apr 30, 2024

Visit Reason
The inspection was conducted as an unannounced complaint investigation involving multiple allegations related to resident safety, discharge procedures, and care planning at the Assisted Living Facility.

Complaint Details
The complaint investigation involved multiple allegations including a resident found indecently exposed with another resident, a resident's fall and subsequent hospitalization, and failure to provide proper discharge notice. The investigation substantiated failed provider practices and citations were issued.
Findings
The investigation found failed provider practices including failure to assess and care plan for a resident's sexual behaviors placing others at risk, failure to provide proper discharge notice causing resident displacement, and failure to monitor and address aggressive behaviors. Citations were written for these deficiencies.

Deficiencies (3)
WAC 388-78A-2660 Resident rights. The assisted living facility failed to provide a written discharge notice explaining the reason for discharge and the location where the resident would move, causing displacement and extended hospitalization.
WAC 388-78A-2100 Ongoing assessments. The assisted living facility failed to complete an assessment addressing identified behavior issues when a resident exhibited inappropriate sexual behaviors, placing other residents at risk.
WAC 388-78A-2140 Negotiated service agreement contents. The assisted living facility failed to ensure the service agreement included a plan to monitor and address interventions for identified behavior issues, placing residents at risk of sexual abuse.
Report Facts
Total residents: 65 Resident sample size: 4 Closed records sample size: 1

Inspection Report — Jan 8, 2024

Complaint Investigation
Date: Jan 8, 2024

Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding a named resident who acquired a pressure area to their heel at the Assisted Living Facility.

Complaint Details
The complaint investigation involved two complaint numbers (113333, 113137) and focused on a named resident who developed a pressure area on their heel. The investigation substantiated violations related to failure to document and coordinate care, and failure to implement policies, placing the resident at risk.
Findings
The investigation found that the facility failed to document and coordinate care for the resident's pressure area as required by policy and regulations. The resident's assessment and service plan were not updated to reflect the wound or home health instructions, placing the resident at risk for unmet care needs. The facility also failed to implement policies regarding skin breakdown and coordination of care, contributing to worsening skin injury.

Deficiencies (2)
WAC 388-78A-2350 Coordination of health care services. The facility failed to integrate relevant information from external providers into the resident's assessment and service plan, risking unmet care needs for one sampled resident.
WAC 388-78A-2600 Policies and procedures. The facility failed to implement policies and train staff on skin breakdown and coordination of care, contributing to worsening skin injury and risk of inadequate monitoring for one sampled resident.
Report Facts
Total residents: 57 Resident sample size: 3

Inspection Report — May 18, 2023

Follow-Up
Date: May 18, 2023

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.

Report Facts
Sampled residents: 1 Sampled residents: 7 Sampled residents: 6 Sampled residents: 43

Inspection Report — Mar 29, 2023

Enforcement
Date: Mar 29, 2023

Visit Reason
This document is a formal notice of a civil fine imposed on Laurel Cove Community following a follow-up visit by the Department of Social and Health Services Residential Care Services on March 29, 2023.

Findings
The licensee failed to ensure medication was administered as ordered for one resident, resulting in insulin doses that did not meet physician blood sugar parameters and placed the resident at risk of harm. This deficiency was uncorrected from a prior citation and resulted in a $500 civil fine.

Deficiencies (1)
WAC 388-78A-2210 (1)(a)(b)(2)(a) Medication services. The licensee failed to ensure medication were administered as ordered for one resident, resulting in insulin doses that did not meet physician blood sugar parameters and placed the resident at risk of harm.
Report Facts
Civil fine amount: 500

Notice — Laurel Cove Community 2389 47161 101024 Sched Ltr 1124

Date: Laurel Cove Community 2389 47161 101024 Sched Ltr 1124

Visit Reason
This letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute specific citations from a prior Statement of Deficiencies dated October 10, 2024.

Findings
The document does not contain inspection findings but serves to schedule the IDR meeting and list the citations being disputed.

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