Inspection Reports for Aegis Living West Seattle

4700 SW Admiral Way, Seattle, WA 98116, United States, WA

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Deficiencies per Year

12 9 6 3 0
2022
2023
2025
Unclassified

Census Over Time

60 80 100 120 Nov '22 Jul '23 Apr '25 Jun '25
Census Capacity
Inspection Report Life Safety Deficiencies: 7 Sep 24, 2025
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility on 2025-09-24.
Findings
The inspection found multiple fire safety code violations related to record keeping, appliance connections, penetrations, fire extinguishers, carbon monoxide detection, power testing, and maintenance. Most violations were corrected except for a maintenance violation observed during reinspection regarding the lack of a weekly inspection log for the emergency generator.
Deficiencies (7)
Description
Records of emergency evacuation drills were not maintained as required.
Gas-fired commercial cooking appliances were not properly connected to building piping.
Materials and firestop systems protecting penetrations were not maintained properly.
Portable fire extinguishers were not maintained in accordance with NFPA 10.
Carbon monoxide detection was not installed as required.
Battery-powered emergency lighting equipment was not tested annually for at least 90 minutes.
Emergency and standby power systems lacked a weekly inspection log of the generator.
Report Facts
Next inspection scheduled date: Next inspection scheduled on or after 2025-10-24
Employees Mentioned
NameTitleContext
Alan HarlanDeputy State Fire MarshalSigned as Deputy State Fire Marshal on the inspection report
Inspection Report Life Safety Deficiencies: 7 Jul 16, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire protection and safety codes.
Findings
Multiple deficiencies were cited related to record keeping, appliance connections, penetrations, fire extinguishers, carbon monoxide detection, power tests, and maintenance. Some violations were corrected, while others required further documentation or corrective action.
Deficiencies (7)
Description
Facility will need to show all requirements need for documentation on reports.
Required restraining device are not found attached to gas-fueled cooking appliances.
2nd floor electrical room South Hall is a penetration.
Monthly Inspection by Facility Maintenance Log not provided.
Carbon monoxide detector will need to be added near fireplace.
Annual 90 minute power test had not been performed and documented.
Log of weekly inspections and monthly 30-minute full load test not provided.
Report Facts
Next inspection scheduled date: Aug 15, 2025 Next inspection scheduled date: Oct 24, 2025
Employees Mentioned
NameTitleContext
Connor NewtonMaintenance DirectorNamed as Owner or Authorized Representative signing inspection documents
Jason Van GorkumDeputy State Fire MarshalConducted the inspection and signed the report
Inspection Report Follow-Up Census: 67 Capacity: 68 Deficiencies: 0 Jun 12, 2025
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 related to background checks and tuberculosis testing were corrected.
Report Facts
Residents reviewed: 4 Current residents: 67 Former residents: 0
Employees Mentioned
NameTitleContext
Alma DuranLicensorDepartment staff who did the on-site verification
Keiko KitanoLicensorDepartment staff who did the on-site verification
Inspection Report Follow-Up Census: 67 Deficiencies: 2 Apr 14, 2025
Visit Reason
The Department of Social and Health Services completed a follow-up visit to the assisted living facility to verify correction of previously cited deficiencies related to staff background checks and tuberculosis testing.
Findings
The facility was found to have uncorrected deficiencies regarding failure to ensure two staff members underwent national fingerprint background checks within 120 days of hire and failure to ensure two staff members had tuberculosis screening within three days of hire. These deficiencies placed 67 residents at risk and resulted in civil fines.
Deficiencies (2)
Description
Failure to ensure two staff had undergone a national fingerprint background check within 120 days of hire.
Failure to ensure two staff members had Tuberculosis screening within three days of being hired.
Report Facts
Civil fine amount: 300 Civil fine amount: 300 Total civil fines: 600 Residents at risk: 67
Inspection Report Follow-Up Census: 67 Deficiencies: 2 Apr 8, 2025
Visit Reason
The department completed data collection for an unannounced on-site follow-up inspection of Aegis Living of West Seattle 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. Previous deficiencies related to background checks and tuberculosis testing were found to be uncorrected at the time of the visit.
Deficiencies (2)
Description
Failed to ensure that 2 of 3 sampled staff had undergone a national fingerprint background check within 120 days of hire.
Failed to ensure that 2 of 3 sampled staff had Tuberculosis screening within three days of hire.
Report Facts
Residents at risk: 67 Sampled staff: 3 Residents reviewed: 67
Employees Mentioned
NameTitleContext
Staff BCare ManagerNamed in deficiency for lack of fingerprint background check and TB screening.
Staff ECare ManagerNamed in deficiency for lack of fingerprint background check and TB screening.
Staff DCare ManagerNamed in deficiency for lack of TB screening.
Staff FCare ManagerNamed in deficiency for lack of TB screening.
Staff CWellness NurseNamed in deficiency for lack of fingerprint background check.
Staff GAdministratorConfirmed lack of documentation for fingerprint background checks and TB screening in interviews.
Staff KBusiness Office ManagerConfirmed Staff C had not completed fingerprint background check.
Inspection Report Follow-Up Census: 76 Deficiencies: 5 Sep 27, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 09/27/2023 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies related to staff training, background checks, tuberculosis testing, wound observation, and food sanitation were corrected.
Deficiencies (5)
Description
Failure to ensure 3 of 6 sampled staff completed required CPR training and 2 of 6 had necessary specialized dementia training.
Failure to ensure a National fingerprint background check was completed within 120 days of hire for 1 of 6 sampled staff.
Failure to ensure 7 of 9 staff completed required two-step tuberculin skin testing within required timeframe.
Failure to implement policy and procedure to initiate wound observation record for 1 resident with a pressure injury wound.
Failure to ensure 3 of 12 sampled kitchen staff had valid food handler's permits.
Report Facts
Residents at risk: 76 Sampled residents: 10 Sampled staff for CPR training: 6 Sampled staff for dementia training: 6 Sampled staff for fingerprint background check: 6 Sampled staff for tuberculosis testing: 9 Sampled kitchen staff for food handler permits: 12
Employees Mentioned
NameTitleContext
Erin SteinbrennerNursing Consultant InstitutionalDepartment staff who did the on-site verification during the follow-up inspection.
Faith LeNCIDepartment staff who inspected the Assisted Living Facility during the unannounced on-site full inspection.
Jamie SingerField ManagerSigned multiple documents related to the inspection and compliance determination.
Staff CCare ManagerNamed in deficiencies related to CPR training and specialized dementia training.
Staff DCare ManagerNamed in deficiencies related to CPR training and specialized dementia training.
Staff ECare ManagerNamed in deficiency related to CPR training.
Staff BCare ManagerNamed in deficiency related to fingerprint background check.
Staff ACare ManagerNamed in deficiency related to two-step tuberculin skin testing.
Staff FCare ManagerNamed in deficiency related to two-step tuberculin skin testing.
Staff GServerNamed in deficiency related to two-step tuberculin skin testing.
Staff IMedication Care ManagerNamed in deficiency related to two-step tuberculin skin testing.
Staff JBusiness ManagerInterviewed regarding staff training and compliance issues.
Staff LWellness NurseInterviewed regarding wound observation records for Resident 3.
Staff KHealth Services DirectorInterviewed regarding wound observation records for Resident 3.
Staff MDishwasherNamed in deficiency related to food handler's permit.
Staff NServerNamed in deficiency related to food handler's permit.
Staff OServerNamed in deficiency related to food handler's permit.
Inspection Report Complaint Investigation Census: 77 Capacity: 100 Deficiencies: 5 Jul 17, 2023
Visit Reason
The Assisted Living Facility failed their 2nd fire and life safety inspection and was issued a State Fire Marshal’s Office Letter of Non-Compliance. The visit was an unannounced complaint investigation to assess compliance with fire and life safety regulations.
Findings
The facility was found not in compliance with licensing laws and regulations due to failure to correct two fire and life safety violations from a previous inspection. Specific issues included improper storage on a rooftop stairwell, electrical room penetrations, a misplaced fire extinguisher, incomplete fire door inspections, and an open fire-rated door requiring repair.
Complaint Details
The complaint investigation was triggered by failure of the facility's 2nd fire and life safety inspection and issuance of a Letter of Non-Compliance by the State Fire Marshal’s Office. The investigation confirmed the facility had not corrected two violations from a prior inspection dated 05/31/2023. The Maintenance Director planned to complete repairs by 08/07/2023.
Deficiencies (5)
Description
Stairwell exiting from the rooftop was being used for storage.
Electrical rooms through all biddings need inspection and resolution of all penetrations.
Portable fire extinguisher found under counter in Pizza oven area, not on provided hanger.
Fire door annual inspection needs to be established and inspection sheet completed by end of 2023.
Left Fire Rated Door going into the DTV room has been cut open and needs replacement to meet manufacturer requirements.
Report Facts
Total residents: 77 Resident sample size: 3 Licensed capacity: 100
Employees Mentioned
NameTitleContext
Lisa HaukComplaint InvestigatorConducted the on-site complaint investigation
Jamie SingerField ManagerSigned official documents related to the inspection and plan of correction
Staff AMaintenance DirectorInterviewed regarding repair plans for fire and life safety violations
Inspection Report Life Safety Deficiencies: 9 Jul 5, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility to evaluate compliance with fire safety and life safety codes.
Findings
Multiple deficiencies were identified related to means of egress, fire door operation, fire extinguishing system service, maintenance, security, and fire drills. Some deficiencies were corrected during the inspection, while others require follow-up actions such as annual inspections and paperwork submission.
Deficiencies (9)
Description
Stairwell exiting from rooftop was being used for storage
Electrical rooms through all buildings need to be inspected and resolve all penetrations found
Portable fire extinguisher was found under counter in Pizza oven area, and not on the provided hanger
Left Fire Rated Door going into DTV room has been cut open and needs to be replaced and brought back to manufacturer requirements
Fire door annual inspection paperwork was not provided and needs to be established and shown by end of 2023
Emergency and standby power systems maintenance paperwork not provided; annual service needed
Compressed gas cylinders (O2) found stored in resident room 120 in designated holder
Facility needs to perform a heat serval for the kitchen hood to deuterium the fusible link required for installation
Fire drills must be held at unexpected times and under varying conditions to simulate unusual conditions that occur in case of fire
Report Facts
Provider Number: 2454 Next inspection scheduled on or after: Scheduled for 2023-08-07 as noted on page 7
Employees Mentioned
NameTitleContext
Jason Van GorkumDeputy State Fire MarshalConducted the inspection and signed the report
Connor NewtonMaintenance DirectorFacility representative signing the report
Inspection Report Life Safety Deficiencies: 4 Jul 5, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility to assess compliance with fire safety and life safety codes.
Findings
Multiple deficiencies were cited including improper storage in stairwell exiting from rooftop, electrical rooms requiring inspection and repair of penetrations, portable fire extinguisher placement issues, and fire door damage requiring replacement. Several items were corrected during the inspection.
Deficiencies (4)
Description
Stairwell exiting from rooftop was being used for storage
Electrical rooms throughout all buildings need to be inspected and resolve all penetrations found
Portable fire extinguisher was found under counter in Pizza oven area, and not on the provided hanger
Left Fire Rated Door going into DTV room has been cut open and needs to be replaced and brought back to manufacturers requirements
Report Facts
Next inspection scheduled date: Aug 7, 2023
Employees Mentioned
NameTitleContext
Jason Van GorkumDeputy State Fire MarshalSigned as inspector conducting the inspection
Conner NewtonMaintenance DirectorSigned as Owner or Authorized Representative
Inspection Report Complaint Investigation Census: 71 Deficiencies: 1 Dec 9, 2022
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that the Assisted Living Facility staff harassed a resident by opening her mail without knowledge, changed medication administration times without confirming with the resident's power of attorney, failed to reorder medications causing the resident to run out, and confiscated the resident's property.
Findings
The investigation found that the facility opened the resident's mail without consent, changed medication administration times but administered medications correctly, and managed medications appropriately after removal from the resident's apartment. No violations were identified regarding medication administration or confiscation of property. A failed provider practice was identified related to opening the resident's mail without consent, resulting in citations.
Complaint Details
The complaint was substantiated with a failed provider practice identified and citations written. The allegations included harassment by opening mail without knowledge, unauthorized changes to medication administration times, failure to reorder medications, and confiscation of property. Only the mail opening was found to be a violation.
Deficiencies (1)
Description
Assisted Living Facility failed to ensure resident rights by opening personal mail without consent, violating privacy regulations.
Report Facts
Total residents: 71 Resident sample size: 3 Closed records sample size: 0
Employees Mentioned
NameTitleContext
Lisa HaukComplaint InvestigatorDepartment staff who conducted the on-site investigation
Inspection Report Complaint Investigation Census: 70 Deficiencies: 1 Nov 9, 2022
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to complaints regarding failure to provide requested documents timely, staff behavior, and disputed charges.
Findings
The investigation found that the facility did not provide a Resident Representative a copy of a Negotiated Service Agreement within two working days, causing a delay. No violation was found regarding staff bullying allegations or disputed charges. The negotiated service agreement met requirements.
Complaint Details
Complaint investigation included allegations that the facility did not provide requested documents within 24 hours, staff acted intimidating and bullying towards a private caregiver, and the resident was charged for services not agreed upon. Only the first allegation was substantiated.
Deficiencies (1)
Description
Failure to provide a Resident Representative a copy of a Negotiated Service Agreement within two working days.
Report Facts
Total residents: 70 Resident sample size: 4 Closed records sample size: 1
Employees Mentioned
NameTitleContext
Lisa HaukComplaint InvestigatorConducted the complaint investigation and provided consultation
Jamie SingerField ManagerSigned the letter regarding the complaint investigation

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