Inspection Reports for Cogir of Edmonds
21500 72nd Ave W, Edmonds, WA 98026, United States, WA, 98026
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16
12
8
4
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Census Over Time
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 24, 2025
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at the assisted living facility Cogir of Edmonds on September 24, 2025, due to concerns about resident monitoring and care.
Findings
The investigation found that the licensee failed to take appropriate life-saving measures when a resident was found unresponsive outside the facility, resulting in the resident not receiving timely life-saving care. This violation led to the imposition of a civil fine.
Complaint Details
Complaint investigation completed on September 24, 2025, substantiated by the finding that the facility failed to provide life-saving measures to an unresponsive resident.
Deficiencies (1)
| Description |
|---|
| Failure to take appropriate life saving measures when one resident was found unresponsive on the ground outside of the facility. |
Report Facts
Civil fine amount: 1500
Days to return SOD: 10
Days to request formal hearing: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fine letter |
| Jamie Singer | Field Manager | Contact person for plan of correction and questions |
Inspection Report
Follow-Up
Census: 59
Deficiencies: 2
Sep 8, 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, confirming that the facility met the Assisted Living Facility licensing requirements and corrected prior deficiencies related to water temperature and policies on bed side rails.
Deficiencies (2)
| Description |
|---|
| Hot water temperatures in the facility were above the required range of 105 F to 120 F, placing 59 residents at risk for burns and injury. |
| Failure to implement policies and procedures related to care and safety needs for 2 residents with bed side rails, placing them at risk for improper use of equipment, injury, and entrapment. |
Report Facts
Residents present: 59
Residents reviewed: 8
Hot water temperatures: 128.7
Hot water temperatures: 129.7
Residents with bed side rails: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Faith Le | NCI | Department staff who conducted the on-site verification and inspection |
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who inspected the Assisted Living Facility |
| Jamie Singer | Field Manager | Signed the follow-up inspection report and plan of correction |
| Staff G | Executive Director | Interviewed regarding hot water temperature issues and maintenance coordination |
| Staff H | Health and Wellness Director | Interviewed regarding bed side rails policy implementation and monitoring |
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 1
Aug 25, 2025
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation following an allegation that a resident was found unresponsive outside the facility, resulting in paramedics performing CPR and the resident's death.
Findings
The Assisted Living Facility staff called 911 but failed to be near the resident or follow 911 operator instructions, resulting in delayed life-saving measures. The resident did not have a POLST indicating full code, and staff failed to initiate CPR or communicate effectively during the emergency call. EMTs eventually performed CPR but the resident was pronounced deceased.
Complaint Details
The complaint involved a resident found unresponsive outside the facility, with paramedics performing CPR and determining the resident deceased. The investigation substantiated that staff failed to be near the resident during the 911 call and did not initiate CPR, despite being certified and trained. The resident did not have a POLST, indicating full code status.
Deficiencies (1)
| Description |
|---|
| Failure to take appropriate life-saving measures when a resident was found unresponsive outside the facility, resulting in the resident not receiving timely CPR from staff. |
Report Facts
Total residents: 65
Resident sample size: 2
Closed records sample size: 1
Duration of 911 call: 637
Duration of EMT CPR: 1230
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Investigator and on-site verification staff |
| Jamie Singer | Field Manager | Signed follow-up inspection letter |
| Michelle Stazis | Administrator | Facility administrator who signed plan of correction |
| Staff A | Licensed Practical Nurse – Health and Wellness Director | Responded to resident, confirmed no CPR initiated, certified in life-saving measures |
| Staff B | Caregiver | Responded to resident, confirmed no CPR initiated, certified in life-saving measures |
| Staff C | Medication Technician | Placed 911 call, failed to follow operator instructions or initiate CPR |
Inspection Report
Follow-Up
Deficiencies: 0
Apr 23, 2025
Visit Reason
This document addresses follow-up inspections of the Assisted Living Facility Cogir of Edmonds to verify correction of previously cited deficiencies.
Findings
The follow-up inspection completed on 04/23/2025 found no deficiencies, confirming that the facility meets Assisted Living Facility licensing requirements and corrected prior deficiencies.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Department staff who did the on-site verification during the follow-up inspection. |
| Jamie Singer | Field Manager | Signed the follow-up inspection letter. |
Inspection Report
Life Safety
Deficiencies: 3
Jan 29, 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
The inspection identified multiple violations including gaps in grease filters in the kitchen hood, fire door not closing properly, and sprinkler system issues such as wiring attached with tape, electrical wiring hanging on sprinkler piping, and potable water pipes zip tied to sprinkler piping.
Deficiencies (3)
| Description |
|---|
| The grease filters in the kitchen hood have multiple gaps between the filters. |
| The fire rated door from the 2nd floor corridor to the kitchen hallway drags on the floor and prevents the door from closing fully. |
| Sprinkler system issues: wire attached with tape to sprinkler piping in crawl space, electrical wire hanging on sprinkler piping in maintenance office, potable water pipes zip tied to sprinkler piping in maintenance office. |
Report Facts
Next inspection scheduled date: Feb 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Michelle Strazis | Executive Director | Authorized representative signing the inspection report |
Inspection Report
Follow-Up
Census: 58
Deficiencies: 0
Mar 14, 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 were corrected as per the cited licensing laws and regulations.
Report Facts
Residents sampled for review: 10
Current residents: 58
Former residents: 0
Residents at risk due to deficiencies: 58
Residents at risk due to food safety deficiency: 58
Residents in Memory Care Unit: 20
Residents in Evergreen Unit: 10
Residents in Cedar Unit: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Faith Le | NCI | Department staff who inspected the Assisted Living Facility |
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who inspected the Assisted Living Facility |
| Jamie Singer | Field Manager | Signed multiple letters related to inspection and compliance |
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 1
Dec 13, 2023
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility due to complaint number 105201 regarding the facility's failure to meet Assisted Living Facility requirements.
Findings
The investigation found that the facility failed to provide a written notification of transfer to a resident, placing the resident at risk of not knowing their rights regarding discharge and transfer. The facility refused to allow the resident to return from the hospital, citing the resident's level of care was too high for the facility.
Complaint Details
The complaint involved a named resident discharged to a hospital after the facility refused to allow return. The facility stated the resident's care needs exceeded their scope. Interviews revealed conflicting information about the resident's needs and that the resident's representative declined additional care offered by the facility.
Deficiencies (1)
| Description |
|---|
| Failed to provide a written notification of transfer to a resident. |
Report Facts
Total residents: 60
Resident sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Department staff who conducted the inspection and provided consultation |
| Jamie Singer | Field Manager | Signed letter regarding the complaint investigation |
Inspection Report
Life Safety
Deficiencies: 10
Dec 8, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire protection codes and regulations.
Findings
The inspection found multiple fire safety violations including unsealed penetrations, blocked fire doors, damaged sprinkler heads, improperly mounted fire extinguishers, non-operational carbon monoxide alarms, non-illuminated exit signs, and missing documentation for fire drills and emergency system maintenance.
Deficiencies (10)
| Description |
|---|
| Facility unable to provide documentation that the annual firewall inspection has been completed; unsealed penetrations in multiple locations |
| Fire doors blocked open preventing proper closing and latching |
| Fire doors installed with astragal without door coordinator, preventing proper closing and latching |
| Kitchen sprinkler head loaded with combustible materials (lint); two damaged sprinkler heads in memory care kitchen area |
| Fire extinguisher in hallway near room #121 low in pressure |
| Fire extinguisher in kitchen not mounted according to manufacturer's instructions |
| Carbon monoxide alarm in kitchen did not operate when tested; missing documentation for monthly carbon monoxide detector testing |
| Internally illuminated exit signs not illuminating in normal operation in multiple locations |
| Missing documentation for annual servicing of emergency generator and weekly inspections and monthly 30-minute full load testing |
| Facility cannot provide documentation for completion of twelve planned and unannounced fire drills in the previous 12 months |
Report Facts
Unsealed penetrations: 8
Fire drills missing: 12
Sprinkler heads damaged: 2
Fire doors blocked open: 2
Exit signs not illuminating: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arthur Jesse Ward | Deputy State Fire Marshal | Signed the inspection report dated 2023-02-02 |
| Brandon G. Brown | Deputy State Fire Marshal | Signed the inspection report dated 2022-12-08 |
Inspection Report
Life Safety
Deficiencies: 14
Jul 13, 2022
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at the facility to assess compliance with fire protection codes and maintenance requirements.
Findings
The inspection found multiple violations related to fire safety system maintenance and testing, including missing documentation for smoke detector sensitivity tests, fire department connection hydrostatic testing, sprinkler system inspections, and fire alarm system servicing. Some violations were corrected, while others remained outstanding.
Deficiencies (14)
| Description |
|---|
| Facility unable to provide documentation showing a Smoke Detector Sensitivity test conducted within the past 5 years. |
| Facility unable to provide documentation showing the facility FDC (Fire Department Connection) has received a Hydrostatic test within the past 5 years; FDC failed hydrostatic test on 6/15/22 and requires repair. |
| Facility unable to provide documentation showing quarterly inspections of the sprinkler system within the past 12 months. |
| Facility unable to provide documentation showing an internal pipe test on the fire sprinkler system within the past 5 years. |
| Facility unable to provide documentation showing the dry system full trip test conducted within the past 3 years. |
| Facility unable to provide documentation showing fire alarm system was compliant without deficiencies during last service on 01/08/2021. |
| Facility unable to provide documentation showing monthly 30 second emergency lighting test conducted within the past 12 months. |
| Facility unable to provide documentation showing annual 90 minute battery-powered emergency lighting test conducted within the past 12 months. |
| Facility unable to provide documentation showing weekly inspections and monthly 30 minute full load testing of the generator within the past 12 months. |
| Facility unable to provide documentation showing fire extinguishers serviced/tested since 11/2020, which is an annual requirement. |
| Facility unable to provide documentation showing annual inspections of rated fire doors completed within the past 12 months. |
| Multiple penetrations in walls and ceilings in 3rd floor Electrical Closet and 1st floor Boiler Room. |
| Facility unable to provide documentation showing smoke/fire dampers tested without deficiencies within the past 4 years. |
| Facility unable to provide documentation showing kitchen suppression system serviced/tested without deficiencies since 02/2021; this is a bi-annual requirement. |
Report Facts
Next inspection scheduled: Aug 12, 2022
Next inspection scheduled: Mar 31, 2022
Next inspection scheduled: Jan 20, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Named as Deputy State Fire Marshal conducting inspections and signing reports |
| Brendan Magee | Deputy State Fire Marshal | Named as Deputy State Fire Marshal conducting inspections and signing reports |
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