Inspection Reports for Emerald City Senior Living

The Department of Social and Health Services completed a complaint investigation at the assisted living facility Greenlake Emerald City on October 31, 2025, due to concerns about failure to implement required mental health and emergency policies for a resident exhibiting suicidal behavior.

The licensee failed to implement multiple policies related to accidents, emergencies, mental health deterioration, psychiatric crisis, and suicide precautions for one resident, resulting in inadequate mental health services and contributing to a second suicide attempt requiring hospitalization. This deficiency was recurring, previously cited in February and June 2025.

Complaint investigation conducted on October 31, 2025. The deficiency was substantiated and resulted in a civil fine. The violation was recurring, previously cited on February 12, 2025, and June 5, 2025.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to staff training, safe storage of supplies and medications, medication administration, housekeeping, infection control, emergency preparedness, and resident care planning were corrected or addressed.

A follow-up visit was conducted on August 7, 2025, to assess compliance with previously cited deficiencies and to impose civil fines for uncorrected violations at the Greenlake Emerald City assisted living facility.

The facility was found to have multiple uncorrected deficiencies related to staff training, safe storage of supplies and medications, medication services, and maintenance/housekeeping. These deficiencies placed residents at risk of harm, injury, poisoning, and decreased quality of life.

The Department of Social and Health Services completed a Full Inspection at the assisted living facility Greenlake Emerald City, resulting in the imposition of civil fines due to violations related to medication services and nonavailability of medications.

The facility failed to ensure safe medication systems, resulting in medications not administered timely or as prescribed for multiple residents, missing narcotic count verification signatures, and medications administered without proper identification. Additionally, medications were unavailable for six residents, placing them at risk for medical complications. These deficiencies were recurring from previous citations.

The Department of Social and Health Services completed a follow-up visit to the assisted living facility to address previously cited deficiencies and to impose a civil fine based on violations found.

The facility was fined $400 for failing to notify the physician or conduct an evaluation when a resident refused medication, which placed the resident at risk for health decline. This deficiency was previously cited and remains uncorrected.

The inspection was a follow-up and complaint investigation related to multiple allegations including neglect, failure to implement care plans, medication issues, abuse and neglect, and environmental concerns at Greenlake Emerald City Assisted Living Facility.

The Department found multiple deficiencies including failure to implement care plans and safety checks, neglect in skin care management, and failure to implement negotiated service agreements. Several allegations such as medication diversion, abuse, and environmental concerns were not substantiated. The facility was cited for failed provider practices.

The complaint investigation included allegations of resident neglect resulting in death, failure to know or implement care plans, skin breakdown neglect, failure to notify family or physician, medication diversion, abuse and neglect, staff dishonesty, and environmental cleanliness. Some allegations were substantiated with citations, while others were not substantiated.

The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations including medication refusals by a resident and missed prescribed medication injections.

The facility failed to evaluate outcomes and notify the physician when a resident refused medications from November 2024 through January 2025, and failed to administer prescribed monthly haloperidol injections on time from November 2024 to February 2025. These failures placed residents at risk for medical deterioration and psychosis exacerbation. Citations were written for these deficiencies.

The complaint investigation was substantiated with findings that the facility failed to notify the physician or conduct evaluations when Resident 1 refused medications repeatedly, and failed to administer Resident 2's prescribed haloperidol injections on schedule, resulting in risk to residents' health.

The Department of Social and Health Services completed a follow-up visit to the assisted living facility to verify correction of previously cited deficiencies.

The facility failed to implement required standards of a Respiratory Protection Program and ensure availability of physician-ordered medications for a resident, resulting in civil fines. These deficiencies were uncorrected from a prior citation on September 24, 2024.

The inspection was conducted as an unannounced complaint investigation involving multiple allegations including verbal abuse, medication issues, and infection control concerns at Greenlake Emerald City Assisted Living Facility.

The facility was found non-compliant with licensing laws due to failure to implement a Respiratory Protection Program, failure to ensure availability of prescribed medications for residents, and deficiencies in staff respirator medical evaluations and fit-testing. Allegations of verbal abuse were unsubstantiated. The facility had a COVID-19 outbreak in mid-2024 and failed to maintain required infection control measures. Medication availability issues placed residents at risk of harm.

The complaint investigation included allegations of verbal abuse by staff, medication availability issues, and infection control concerns. The verbal abuse allegations were unsubstantiated. Medication availability issues were confirmed with Resident 1 missing multiple doses of prescribed medications. Infection control deficiencies related to lack of a Respiratory Protection Program and expired or missing respirator fit-testing for staff were identified.

The inspection was conducted as an unannounced complaint investigation regarding multiple allegations including miscommunication causing delay in care, delayed assessment for abdominal pain, and administration of medication not ordered by a physician.

The investigation found that the facility failed to administer prescribed antibiotics timely, resulting in six missed doses for a urinary tract infection, constituting a failed provider practice and citation. The facility appropriately assessed and transferred the resident for abdominal pain, and no failed practice was identified regarding diuretic medication administration.

The complaint investigation was substantiated with failed provider practice identified and citation(s) written related to medication administration delays and miscommunication.