Inspection Reports for Cedar Creek Memory Care Community

21006 72nd Ave W, Edmonds, WA 98026, United States, WA, 98026

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Deficiencies per Year

8 6 4 2 0
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

36 40 44 48 52 56 Sep '22 Mar '23 Jan '24 Feb '24 Jun '25 Jun '25
Inspection Report Re-Inspection Deficiencies: 6 Oct 29, 2025
Visit Reason
The Office of the State Fire Marshal conducted a reinspection at the facility to verify compliance with fire safety code requirements.
Findings
The facility was found unable to provide documentation for monthly smoke alarm testing, monthly carbon monoxide detector testing, annual emergency generator servicing, monthly generator battery testing, annual fuel testing, and completion of unannounced fire drills as required.
Deficiencies (6)
Description
Facility is unable to provide documentation for the monthly single or multi station smoke alarm testing.
Facility is unable to provide documentation for the monthly carbon monoxide detector testing.
Facility is unable to provide documentation for the annual servicing of the emergency generator.
Facility failed to provide documentation indicating a monthly generator battery test was conducted.
Facility is unable to provide annual fuel testing results per NFPA 110 8.3.7.
Facility cannot provide documentation for the completion of unannounced fire drills, one drill per shift, per quarter, in the previous 12 months.
Report Facts
Next inspection scheduled date: Nov 28, 2025
Employees Mentioned
NameTitleContext
Damon RobersonDeputy State Fire MarshalSigned the inspection report
Maria Lopez-NavarroExecutive DirectorSigned as Owner or Authorized Representative
Inspection Report Follow-Up Census: 48 Deficiencies: 0 Jun 23, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 06/23/2025 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies, and the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies related to food sanitation, housekeeping, and safe storage were corrected.
Report Facts
Residents at risk: 48 Sample size for review: 7 Complaint number: 173233
Employees Mentioned
NameTitleContext
Erin SteinbrennerNursing Consultant InstitutionalDepartment staff who did the on-site verification
Faith LeNCIDepartment staff who inspected the Assisted Living Facility
Judith MellorRN, LicensorDepartment staff who inspected the Assisted Living Facility
Jamie SingerField ManagerSigned multiple letters related to inspection and plan of correction
Inspection Report Follow-Up Census: 48 Deficiencies: 0 Jun 23, 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. Previous deficiencies related to food sanitation, housekeeping, and safe storage were corrected.
Report Facts
Residents at risk: 48 Sample size: 7 Total residents: 48 Residents on second floor: 21 Residents on third floor: 27 Oxygen tanks unsecured: 1 Oxygen tanks total: 2
Employees Mentioned
NameTitleContext
Erin SteinbrennerNursing Consultant InstitutionalDepartment staff who did the on-site verification
Jamie SingerField ManagerSigned follow-up inspection letter and correspondence
Faith LeNCIDepartment staff that inspected the Assisted Living Facility
Judith MellonRN, LicensorDepartment staff that inspected the Assisted Living Facility
Staff ICulinary DirectorObserved food sanitation deficiencies and housekeeping issues
Staff AAdministratorInterviewed during environmental tour related to housekeeping
Staff HPhysical Plant DirectorInterviewed during environmental tour related to housekeeping
Staff EResident AssistantObserved unsecured oxygen tanks in Resident 2's apartment
Staff GDirector of Resident ServicesInterviewed regarding oxygen tank storage
Inspection Report Follow-Up Census: 49 Deficiencies: 2 Feb 13, 2024
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. The prior deficiencies related to negotiated service agreements and tuberculosis testing were corrected.
Deficiencies (2)
Description
Failure to develop and document a Negotiated Service Agreement (NSA) supporting care needs for 1 of 2 sampled residents, including risks related to anticoagulant medication.
Failure to ensure 1 of 2 staff members had tuberculosis screening within three days of employment, placing 49 residents at risk of exposure to communicable disease.
Report Facts
Sampled residents reviewed: 6 Residents at risk: 49 Staff members without timely TB screening: 1
Employees Mentioned
NameTitleContext
Faith LeNCIDepartment staff who did the on-site verification
Jamie SingerField ManagerSigned the follow-up inspection letter
Inspection Report Enforcement Census: 49 Deficiencies: 2 Jan 2, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to impose civil fines based on uncorrected and recurring deficiencies related to regulatory violations at Cedar Creek Memory Care Community.
Findings
The facility was fined for failing to develop and document a Negotiated Service Agreement supporting the care needs of one resident, placing the resident at risk related to anticoagulant medication, and for failing to ensure one staff member had timely tuberculosis screening, placing all 49 residents at risk of exposure to communicable disease.
Deficiencies (2)
Description
Failed to develop and document a Negotiated Service Agreement that supported the care needs of one resident related to anticoagulant medication.
Failed to ensure one staff member had tuberculin (TB) screening within three days of employment.
Report Facts
Civil fine amount: 400 Civil fine amount: 200 Total civil fines: 600 Resident census: 49
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Jamie SingerField ManagerContact person for the enforcement and plan of correction
Inspection Report Life Safety Deficiencies: 4 Apr 25, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Cedar Creek Memory Care facility to evaluate compliance with fire safety and related code requirements.
Findings
The inspection found multiple violations including lack of documentation for annual fire wall inspection, malfunctioning door coordinator preventing proper door closure and latching, missing documentation for monthly carbon monoxide detector testing, and missing documentation for the annual 90-minute emergency lighting power test.
Deficiencies (4)
Description
Facility is unable to provide documentation that the annual fire wall inspection has been completed.
The door coordinator in the second floor Ivy living room is not functioning properly, causing doors to not close and latch correctly.
Facility is unable to provide documentation for the monthly carbon monoxide detector testing.
Facility is unable to provide documentation for the annual 90-minute power test for the emergency lights.
Report Facts
Next inspection scheduled date: May 25, 2023
Employees Mentioned
NameTitleContext
Arthur Jesse WardDeputy State Fire MarshalConducted the inspection and signed the report
Inspection Report Complaint Investigation Deficiencies: 1 Apr 21, 2023
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at Cedar Creek Memory Care Community due to an incident involving failure to provide timely cardiopulmonary resuscitation (CPR) and emergency response for an unresponsive resident.
Findings
The investigation found that the licensee failed to provide CPR and call 911 immediately when a resident was found unresponsive, resulting in a delay of emergency life-saving measures that may have contributed to the resident's death. This violation led to the imposition of a $2,000 civil fine.
Complaint Details
Complaint investigation completed on April 21, 2023. The violation was substantiated as the failure to provide timely CPR and emergency response, resulting in a civil fine.
Deficiencies (1)
Description
Failure to provide cardiopulmonary resuscitation (CPR) and call 911 immediately when one resident was found unresponsive, causing delay in emergency life-saving measures.
Report Facts
Civil fine amount: 2000
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the letter imposing the civil fine.
Jamie SingerField ManagerContact person for plan of correction and inquiries.
Inspection Report Complaint Investigation Census: 43 Deficiencies: 2 Mar 29, 2023
Visit Reason
The investigation was triggered by a complaint alleging that a resident was found unresponsive with no CPR performed by staff and a delayed call to 911, resulting in the resident's death.
Findings
The facility failed to ensure staff had current CPR training, did not follow emergency policies for an unresponsive resident, and did not complete a thorough investigation to rule out abuse and neglect. Staff did not start CPR immediately and delayed calling 911, contributing to the resident's death.
Complaint Details
The complaint alleged that a named resident was found unresponsive with no CPR performed by staff and a delayed call to 911, resulting in the resident's death. The investigation substantiated failures in CPR training, emergency response, and investigation procedures.
Deficiencies (2)
Description
Failed to ensure 4 of 7 sampled staff had current CPR certifications, placing 43 residents at risk during emergencies.
Failed to provide cardiopulmonary resuscitation (CPR) and call 911 immediately when a resident was found unresponsive, resulting in delayed emergency life-saving measures.
Report Facts
Total residents: 43 Resident sample size: 2 Closed records sample size: 1 Staff with expired CPR certifications: 4
Employees Mentioned
NameTitleContext
Cathy PrenticeComplaint InvestigatorInvestigator who conducted the complaint investigation
Jamie SingerField ManagerSigned compliance determination and statement of deficiencies
Inspection Report Follow-Up Census: 46 Deficiencies: 1 Sep 20, 2022
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.
Findings
The follow-up inspection found that the facility did not meet licensing requirements at the time of the visit, with deficiencies related to alert charting and monitoring for residents with changes in condition. Some deficiencies were corrected, but others remained uncorrected from prior inspections.
Deficiencies (1)
Description
Failure to follow established policy to complete alert charting and monitoring every shift for a minimum of 72 hours for residents with a change of condition, placing residents at risk of decline in health status.
Report Facts
Residents sampled for review: 2 Current residents: 46 Former residents: 0
Employees Mentioned
NameTitleContext
Michelle McglonNursing Consultant InstitutionalDepartment staff who did the on-site verification during follow-up inspection
Jamie SingerField ManagerSigned correspondence related to follow-up inspection and compliance

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