Inspection Reports for
Merrill Gardens at The University
5300 24th Ave NE, Seattle, WA 98105, WA, 98105
Back to Facility Profile5 Reports
Inspection Report — Jul 10, 2025
Follow-Up
Date: Jul 10, 2025
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 07/10/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.
Report Facts
Sampled residents: 7
Total current residents: 33
Staff without valid food handler permits: 2
Staff without valid tuberculosis skin test: 2
Inspection Report — Feb 27, 2024
Follow-Up
Date: Feb 27, 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.
Complaint Details
The complaint investigation (Complaint #95177) found the facility failed to provide documentation for the 4-year fire and smoke damper inspection and hydrostatic testing of the Fire Department Connection. The investigation confirmed noncompliance and citations were written.
Findings
The follow-up inspection on 02/27/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to fire safety were corrected.
Deficiencies (1)
WAC 388-78A-2040 Other requirements. The Assisted Living Facility failed to ensure compliance with the Washington State Patrol Office of State Fire Marshal by not providing documentation of hydrostatic testing of the Fire Department Connection as required by NFPA 25. This deficiency was previously cited and remained uncorrected as of 01/24/2024.
Report Facts
Total residents: 36
Resident sample size: 33
Total residents: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Named as the department staff who conducted the on-site verification and complaint investigation |
| Staff A | Assistant Administrator | Interviewed regarding the fire marshal follow-up visit and correction status |
| Staff B | Administrator | Interviewed regarding knowledge of fire report corrections |
Inspection Report — Feb 20, 2024
Follow-Up
Date: Feb 20, 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 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as verified by off-site review.
Report Facts
Sampled residents: 7
Total residents: 35
Staff without up-to-date CE hours: 1
Sampled staff for TB testing: 5
Inspection Report — Jan 24, 2024
Enforcement
Date: Jan 24, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Merrill Gardens at The University to assess compliance after previous fire and life safety violations. This visit resulted in the imposition of a civil fine due to uncorrected deficiencies.
Findings
The facility failed to comply with the Washington State Patrol Office of State Fire Marshal requirements during their fourth follow-up Fire and Life Safety Inspection. This uncorrected deficiency placed 36 residents, staff, and visitors at risk and resulted in a $1,000 civil fine.
Deficiencies (1)
WAC 388-78A-2040(1)(2) Other requirements. The facility failed to ensure compliance with fire and life safety standards during the fourth follow-up inspection, placing residents, staff, and visitors at risk.
Report Facts
Civil fine amount: 1000
Number of residents, staff, and visitors at risk: 36
Inspection Report — Jun 1, 2023
Life Safety
Date: Jun 1, 2023
Visit Reason
The inspection was a fire safety and life safety code inspection conducted by the Office of the State Fire Marshal at the residential care facility.
Findings
The facility was found to have multiple deficiencies related to fire safety, fire alarm system testing, sprinkler system maintenance, emergency lighting, carbon monoxide detection, and fire door operation. The facility was unable to provide required documentation for many inspections and tests, and some fire doors were not functioning properly. The overall status was Disapproved.
Deficiencies (14)
IFC 701.6 2018 WAC 51-54A - Facility is unable to provide documentation that the annual fire wall inspection has been completed.
IFC 706.1 2018 - Dampers protecting ducts and air transfer openings shall be inspected and maintained in accordance with NFPA 80 and NFPA 105. Facility is unable to provide documentation for the 4 year fire and smoke damper inspection.
IFC 903.5 2009, 2012, 2015, 2018 - Facility was unable to provide documentation that the Fire Department Connection has been hydrostatically tested in accordance with NFPA 25.
IFC 907.8 2018 - Facility is unable to provide documentation for the annual fire alarm system testing. The main fire alarm panel is also in trouble state and needs repair. Facility is unable to provide documentation for the monthly single station smoke alarm testing.
IFC 0915.1 2015, 2018 WAC 51-54A - Facility is unable to provide documentation for the monthly carbon monoxide detector testing. NFPA 720 requires monthly inspection and testing of carbon monoxide alarms.
IFC 1008.1 2015, 2018 - Several emergency lights on all floors failed pushbutton or had flashing red failure lights. General assessment and repairs are needed.
IFC 1031.10.1 2018 - Facility is unable to provide documentation for the monthly 30 second activation test for emergency lights.
IFC 1031.10.2 2018 - Facility is unable to provide documentation for the annual 90 minute power test for emergency lights.
IFC 705.2 2018 - Assisted living office fire door has a disabled latch mechanism and will not close and latch as required. The employee lounge fire door was found propped open and needs to remain closed. Corridor fire door by room 419 is not closing properly.
IFC 0405.5 2018 - Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months.
IFC 604.1 2018 - Electrical hazards include extension cords without overcurrent protection and improper daisy chaining in the first floor activity room.
IFC 904.12.5.2 2018 - Facility is unable to provide documentation for the semi-annual kitchen suppression system servicing.
IFC 607.3.3 2018 - Facility is unable to provide documentation for the semi-annual hood cleaning.
IFC 705.2 2018 - Facility is unable to provide documentation that the annual fire door inspection has been completed. Multiple door conditions must be verified including labels, glazing, hardware, and signage.
Report Facts
Fire drills missing documentation: 12
Fire department connection hydrostatic test interval: 5
Fire alarm system inspection interval: 1
Emergency lighting activation test duration: 30
Emergency lighting power test duration: 90
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