Inspection Reports for Cedar Creek Memory Care Community
21006 72nd Ave W, Edmonds, WA 98026, United States, WA, 98026
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
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
| Name | Title | Context |
|---|---|---|
| Damon Roberson | Deputy State Fire Marshal | Signed the inspection report |
| Maria Lopez-Navarro | Executive Director | Signed 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
| Name | Title | Context |
|---|---|---|
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who did the on-site verification |
| Faith Le | NCI | Department staff who inspected the Assisted Living Facility |
| Judith Mellor | RN, Licensor | Department staff who inspected the Assisted Living Facility |
| Jamie Singer | Field Manager | Signed 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
| Name | Title | Context |
|---|---|---|
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who did the on-site verification |
| Jamie Singer | Field Manager | Signed follow-up inspection letter and correspondence |
| Faith Le | NCI | Department staff that inspected the Assisted Living Facility |
| Judith Mellon | RN, Licensor | Department staff that inspected the Assisted Living Facility |
| Staff I | Culinary Director | Observed food sanitation deficiencies and housekeeping issues |
| Staff A | Administrator | Interviewed during environmental tour related to housekeeping |
| Staff H | Physical Plant Director | Interviewed during environmental tour related to housekeeping |
| Staff E | Resident Assistant | Observed unsecured oxygen tanks in Resident 2's apartment |
| Staff G | Director of Resident Services | Interviewed 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
| Name | Title | Context |
|---|---|---|
| Faith Le | NCI | Department staff who did the on-site verification |
| Jamie Singer | Field Manager | Signed 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
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Jamie Singer | Field Manager | Contact 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
| Name | Title | Context |
|---|---|---|
| Arthur Jesse Ward | Deputy State Fire Marshal | Conducted 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
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the letter imposing the civil fine. |
| Jamie Singer | Field Manager | Contact 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
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Investigator who conducted the complaint investigation |
| Jamie Singer | Field Manager | Signed 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
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Department staff who did the on-site verification during follow-up inspection |
| Jamie Singer | Field Manager | Signed correspondence related to follow-up inspection and compliance |
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