Inspection Reports for Aegis Senior Inn of Kent
10421 SE 248th St, Kent, WA, 98030
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
33 residents
Based on a May 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 33
Deficiencies: 1
May 28, 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, indicating the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to home care aide certification were corrected.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure 1 of 6 staff (Staff E) completed all required training and home care aide certification, placing all 33 residents at risk of unmet care needs. |
Report Facts
Residents present during inspection: 33
Staff with incomplete training: 1
Staff sample reviewed: 7
Days Staff E worked without certification: 823
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Care Manager | Named in deficiency for incomplete training and lack of home care aide certification |
| Staff A | General Manager | Interviewed regarding Staff E's lack of certification |
| Claudia Allis | ALF Licensor | Department staff who inspected the facility |
| Steven Garrett | LTC Licensor | Department staff who inspected the facility |
| Jane Hermano | NCI | Department staff who inspected the facility |
Inspection Report
Life Safety
Deficiencies: 6
Mar 18, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at Aegis Senior Inn of Kent to verify compliance with fire and life safety codes and to confirm correction of previous violations.
Findings
All violations noted during previous related inspections have been corrected as of the March 18, 2025 inspection. The prior inspection on December 24, 2024 cited multiple deficiencies including lack of documentation for sprinkler inspections, heat survey on fusible links, fire alarm system inspection, carbon monoxide detector testing, generator load testing, and missing fire drills.
Deficiencies (6)
| Description |
|---|
| Facility was unable to provide documentation for annual and quarterly sprinkler inspections. |
| Facility needs a heat survey on fusible links in the kitchen hood. |
| Facility was unable to provide documentation of annual fire alarm system inspection. |
| Facility was unable to provide documentation showing monthly testing of carbon monoxide detectors for the past 12 months. |
| Facility was unable to provide documentation for monthly 30 minute load test of generator for April and August. |
| Facility is missing the November fire drill for 2024. |
Report Facts
Number of fusible links: 3
Next inspection date: Jan 23, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Richard Durkin | Maintenance Director | Signed as Owner's Representative and Maintenance Director |
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 1
Jul 11, 2024
Visit Reason
The inspection was conducted as a complaint investigation regarding alleged safety concerns at the Assisted Living Facility.
Findings
The investigation found that the facility failed to implement hourly safety checks on a resident as required by the individualized care plan, resulting in the resident suffering sun exposure blisters on their feet. A citation was issued for this failed provider practice.
Complaint Details
Alleged safety concerns. The complaint was substantiated with a failed provider practice identified and citation written.
Deficiencies (1)
| Description |
|---|
| Facility failed to implement hourly safety checks on the Named Resident as stated in the individualized care plan and service agreement, resulting in sun exposure blisters on the resident's feet. |
Report Facts
Total residents: 38
Resident sample size: 1
Closed records sample size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Harrison Udoye | Community Complaint Investigator | Department staff who did the on-site verification and investigation |
| Laurie Anderson | Field Manager | Signed the follow-up inspection letter and statement of deficiencies |
| Staff B | Director of Nursing Services | Interviewed staff who described the resident's condition and safety checks |
| Staff A | Executive Director | Interviewed staff who described safety check procedures and service plan updates |
Inspection Report
Follow-Up
Census: 39
Deficiencies: 2
Nov 30, 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. Previous deficiencies related to background checks and tuberculosis screening were corrected.
Deficiencies (2)
| Description |
|---|
| Failure to submit a Department of Social and Health Services (DSHS) Washington state name and date of birth background inquiry for all staff within one day of hire, placing residents at risk of potential abuse or neglect. |
| Failure to ensure all staff were screened for tuberculosis, placing residents at risk of potential exposure to tuberculosis. |
Report Facts
Residents present: 39
Sample size: 7
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Forkgen | ALF Licensor | Department staff who did the on-site verification |
| Michelle Yip | ALF Licensor | Department staff who did the on-site verification |
| Kathy Young | Licensor | Department staff who did the on-site verification |
| Staff B | Registered Nurse/Wellness Nurse | Facility staff involved in background check and tuberculosis screening deficiencies |
| Staff D | Care Manager | Facility staff involved in background check and tuberculosis screening deficiencies |
| Staff I | Business Office Manager | Interviewed staff confirming background check and tuberculosis screening practices |
| Staff A | General Manager | Interviewed staff regarding contracted home care agency background checks |
Inspection Report
Life Safety
Deficiencies: 15
Dec 12, 2022
Visit Reason
An unannounced Fire and Life Safety Code inspection was conducted at Aegis Senior Inn of Kent by the Office of the State Fire Marshal to determine compliance with applicable codes.
Findings
The inspection found multiple fire and life safety code violations including inadequate working space around electrical panels, open junction boxes, missing documentation for hood cleaning and fire-resistant-rated construction inspections, fire doors not closing properly, deficiencies in sprinkler and backflow inspections, fire alarm system in trouble status, missing carbon monoxide alarms, lack of emergency lighting testing documentation, and missing fire drills for certain quarters.
Deficiencies (15)
| Description |
|---|
| The Supply closet by the Laundry room has an electrical panel that does not meet working space requirements. |
| The mechanical/electrical room/riser room has an open junction box. |
| Facility failed to have hood cleaning documentation readily available at time of inspection. |
| Facility unable to provide record of annual fire wall inspection and/or repairs for all fire-resistant-rated construction. |
| Facility unable to provide inventory record of annual inspection and/or repairs for all fire-resistant-rated doors. |
| Fire doors (cross corridor #9, #45, #43) did not close/latch properly. |
| Backflow inspection report states deficiencies: check valve 2 leaks, relief valve vents under 2.0. |
| Annual sprinkler report states deficiencies: quick head response sprinklers are due for sample testing. |
| Facility unable to provide documentation for quarterly sprinkler inspections. |
| Facility unable to provide documentation that a second semi-annual servicing of fire-extinguishing system was performed. |
| Facility needs a heat survey for commercial hood to determine fusible link rating; currently has 450 and 500 degree links. |
| Fire alarm system is currently in trouble status. |
| No carbon monoxide alarms in laundry room or near laundry room where gas-fed appliances are used. |
| Facility failed to provide documentation showing 30-second monthly testing of emergency lighting in last 12 months; last test recorded 2022-03-19. |
| Facility missing fire drills for first quarter day shift and fourth quarter day shift. |
Report Facts
Fire drills missing: 2
Fire doors not closing properly: 3
Backflow inspection deficiencies: 2
Fusible links: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cozetta Christian | Deputy State Fire Marshal | Conducted the inspection and signed the report |
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