Inspection Reports for Empress Senior Living at Laurelhurst
4020 NE 55th St, Seattle, WA 98105, United States, WA, 98105
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Follow-Up
Census: 53
Deficiencies: 1
Aug 20, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously identified deficiencies related to licensing laws and regulations.
Findings
The follow-up inspection on 08/20/2025 found no deficiencies, indicating the facility meets Assisted Living Facility licensing requirements. The prior complaint investigation found the facility failed to develop a policy to prevent elopement of Memory Care Residents, resulting in one resident eloping and sustaining an injury.
Complaint Details
The complaint investigation was triggered by an allegation that a named resident eloped from the MCU and was found blocks from the facility with an abrasion on the elbow. The investigation concluded the facility failed to have a policy and procedure to prevent unsafe elopement. The complaint was substantiated with citation(s) written.
Deficiencies (1)
| Description |
|---|
| Failure to develop a policy and procedure to ensure Memory Care Residents (MCU) were not allowed to elope, resulting in one resident eloping from the locked MCU and facility. |
Report Facts
Total residents: 53
Resident sample size: 7
Compliance Determination Completion Date: 06/25/2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Conducted the complaint investigation and on-site verification |
| Jamie Singer | Field Manager | Signed the follow-up inspection report and plan of correction documents |
| Staff A | Memory Care Director | Interviewed regarding lack of policy for elopement prevention |
| Staff B | Dietary Aide | Assumed Resident 1 was a visitor during elopement incident |
| Staff C | Receptionist | Observed Resident 1 walking out of the facility during elopement incident |
Inspection Report
Follow-Up
Census: 39
Deficiencies: 3
Mar 3, 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 and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to assessments and background checks were corrected.
Deficiencies (3)
| Description |
|---|
| Failed to develop and implement a system to ensure a resident provided details about a recent surgical procedure related to outpatient kidney dialysis, preventing development of a safety plan. |
| Failed to ensure a staff member renewed their name and date of birth background inquiry every two years, resulting in working without a valid background check for 501 days. |
| Failed to ensure a staff member completed a background check prior to working in the facility, placing residents at risk of exposure to staff with unknown criminal background. |
Report Facts
Residents sampled for review: 7
Total residents: 39
Staff working without valid background check: 1
Residents at risk due to staff background check failure: 38
Residents at risk due to staff background check failure: 39
Days Staff B worked without valid background check: 501
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Health and Wellness Director | Named in deficiency for failure to renew background check and failure to obtain surgical procedure information from resident |
| Staff E | Sales Advisor | Named in deficiency for failure to complete background check prior to working |
| Staff F | Building Office Manager | Interviewed regarding Staff E's background check status |
| Sunny Kent | Licensor | Department staff who conducted inspections |
| Scottie Sindora | ALF Licensor | Department staff who conducted inspections |
Inspection Report
Follow-Up
Census: 21
Deficiencies: 3
Oct 17, 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 food and nutrition services, tuberculosis testing, and emergency preparedness were corrected.
Deficiencies (3)
| Description |
|---|
| Failure to post food menus in dining rooms, resulting in residents not knowing the daily specials. |
| Failure to ensure tuberculosis screening for staff within three days of employment. |
| Failure to ensure an Adult Portable Bed Rail was securely fastened and covered, posing a safety risk to a resident. |
Report Facts
Residents at risk due to food menu posting deficiency: 21
Residents at risk due to tuberculosis screening deficiency: 21
Residents at risk due to bed rail safety deficiency: 1
Sample size for review during unannounced inspection: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sunny Kent | Licensor | Department staff who did the on-site verification. |
| Scottie Sindora | ALF Licensor | Department staff who did the on-site verification. |
| Staff F | Cook | Interviewed regarding food menu posting practices. |
| Staff C | Medication Technician | Staff with history of positive TB screening and involved in tuberculosis screening deficiency. |
| Staff G | Wellness Director, Licensed Practical Nurse | Interviewed regarding tuberculosis screening and bed rail safety deficiencies. |
| Staff E | Caregiver | Interviewed regarding bed rail usage by Resident 5. |
Inspection Report
Life Safety
Deficiencies: 11
Mar 2, 2023
Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Empress Senior Living on 03/02/2023 to assess compliance with fire protection and safety codes.
Findings
The facility was disapproved due to multiple deficiencies including lack of documentation for annual fire wall inspection, fire door operation issues, missing documentation for sprinkler system inspection, fire alarm testing, smoke detector sensitivity testing, carbon monoxide detector testing, emergency lighting power test, and emergency generator servicing. Two fire doors in memory care did not close properly.
Deficiencies (11)
| Description |
|---|
| Facility is unable to provide documentation that the annual fire wall inspection has been completed. |
| One set of the memory care dining room doors does not close properly. |
| The memory care serenity room door does not close properly. |
| Facility is unable to provide documentation for the 4 year fire and smoke damper inspection and 1 year damper test. |
| Facility is unable to provide documentation for the annual sprinkler system inspection. |
| Facility is unable to provide documentation for the annual fire alarm system testing. |
| Facility is unable to provide documentation for the required smoke detector sensitivity testing. |
| Both the first floor and basement fireplaces require the addition of a CO detector; a CO detector is required in the water heater room due to fuel burning appliances. |
| 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. |
| Facility is unable to provide documentation for the annual servicing of the emergency generator. |
Report Facts
Next inspection scheduled date: Apr 1, 2023
Provider Number: 2613
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jesse Ward | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Brice Anderson | Director of Maintenance | Signed as Owner or Authorized Representative |
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 1
Feb 16, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding the facility's failure to implement a Respiratory Protection Program (RPP) and fit testing for staff, triggered by allegations related to Covid-19 infections among residents and staff.
Findings
The facility failed to implement a Respiratory Protection Program and did not conduct respirator mask fit testing for staff, placing residents, staff, and visitors at risk for exposure to SARS-CoV-2. A citation was issued for this deficiency.
Complaint Details
The complaint involved four residents and one staff member testing positive for Covid-19. The investigation confirmed failure to implement required respiratory protection measures.
Deficiencies (1)
| Description |
|---|
| Failure to implement a Respiratory Protection Program (RPP) including respirator mask fit testing for staff. |
Report Facts
Total residents: 9
Resident sample size: 9
Closed records sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Prentice | Complaint Investigator | Investigator who conducted the complaint investigation |
| Jamie Singer | Field Manager | Department staff who did on-site verification and signed the follow-up letter |
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