Keystone
Keystone is a residential care community in Seattle, Washington, operating 64 beds in King County. It is classified as a behavioral health licensed community with a reported occupancy rate of approximately 95%. This is well above the Washington state average, suggesting strong local demand and limited availability.
Inspection history indicates ongoing fire safety compliance concerns, with the most recent inspection on June 16, 2025, being a follow-up visit that confirmed some previously cited issues had been corrected but still identified concerns such as debris on sprinkler heads, gaps in fire alarm maintenance, and obstructed exit pathways. Earlier inspections also revealed repeated fire safety code issues, along with a substantiated complaint in August 2024 related to failure to provide a required discharge notice after a resident altercation. No fines or license suspensions are listed in the available reports. While the pattern of citations raises concern, it also shows gradual corrective efforts over time, so families are advised to review the most current state inspection records before making a decision.
The community offers amenities such as bicycle storage, a landscaped public plaza, and street-level retail, which are more typical of an urban residential setting than a traditional care-focused environment. Housing-related services are also highlighted, along with pet policies and general tenant support, suggesting a primary focus on residential living rather than intensive clinical care.
Keystone is best suited for more independent older adults in the Seattle area who prefer an urban, community-integrated living environment with access to basic services rather than higher levels of medical or personal care. Its high occupancy also reflects strong interest in this type of housing. However, families considering this community should confirm current licensing details and carefully review recent inspection records to ensure the setting aligns with their loved one’s care needs.
About this community
Occupancy
Inspection History
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2022 vs. Washington state average• Total deficiencies (68% above)
• Deficiencies per year (67% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
| 52 | 31 | This facility has 68% more total deficiencies than a typical Washington nursing home (52 vs. WA avg 31).↑ 68% worse |
|
Deficiencies per year
| 13 | 7.8 | This facility has 67% more deficiencies per year than a typical Washington nursing home (13 vs. WA avg 7.8).↑ 67% worse |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
- May 19, 2025 complaint investigation confirmed three fire safety violations including debris on sprinkler heads, faulty fire alarm system, and blocked basement exit paths, placing residents and staff at risk.
- June 16, 2025 re-inspection found all prior fire safety violations corrected, including cleared debris on sprinkler heads, restored fire alarm function, and unobstructed exit paths.
- February 6, 2025 fire safety inspection cited seven deficiencies, including missing fire system maintenance documentation, blocked sprinkler riser, and obstructed basement egress, with some issues corrected on site.
Places of interest near Keystone
3.7 miles from city center
Estimated distance in miles from Seattle's city center to Keystone's address, calculated via Google Maps.
Calculate Travel Distance to Keystone
Add your location
Compare Nursing Home around Seattle
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Mirabella Seattle | NH AL MC | Seattle (South Lake Union) | 63
Facility
63
WA AVG
82
Rank
#237 / 366 |
46.0%
Facility
46.0%
WA AVG
72.5%
Rank
#285 / 310 | -37% | 4.68
Facility
4.68
WA AVG
4.22
Rank
#10 / 90 | +2% | +11% | $8.3k
Facility
$8.3k
WA AVG
$87.7k
Rank
#35 / 92 | 41
Facility
41
WA AVG
48.9
Rank
#37 / 92 | 10.3
Facility
10.3
WA AVG
6.9
Rank
#76 / 92 | - | 36 | A+ |
99
Facility
99
WA AVG
51
Rank
#1 / 628 | Lee Burnside | $7.9M
Facility
$7.9M
WA AVG
$13.2M
Rank
#9 / 94 | $13.8M
Facility
$13.8M
WA AVG
$5.7M
Rank
#9 / 94 | 173.2%
Facility
173.2%
WA AVG
45.5%
Rank
#63 / 94 | 505520 | ||||
| Providence Mount St. Vincent | NH AL IL RC | Seattle (North Admiral) | 122
Facility
122
WA AVG
82
Rank
#43 / 366 |
62.3%
Facility
62.3%
WA AVG
72.5%
Rank
#240 / 310 | -14% | 4.63
Facility
4.63
WA AVG
4.22
Rank
#15 / 90 | +52% | +10% | $152.2k
Facility
$152.2k
WA AVG
$87.7k
Rank
#78 / 92 | 63
Facility
63
WA AVG
48.9
Rank
#65 / 92 | 7.9
Facility
7.9
WA AVG
6.9
Rank
#63 / 92 | 4 | 76 | - |
60
Facility
60
WA AVG
51
Rank
#252 / 628 | Maricor Gonzales - Lim | $32.3M
Facility
$32.3M
WA AVG
$13.2M
Rank
#5 / 94 | $16.8M
Facility
$16.8M
WA AVG
$5.7M
Rank
#7 / 94 | 52.2%
Facility
52.2%
WA AVG
45.5%
Rank
#76 / 94 | 505182 | ||||
| Skyline | NH AL IL MC | Seattle (Downtown Seattle) | 34
Facility
34
WA AVG
82
Rank
#343 / 366 |
79.3%
Facility
79.3%
WA AVG
72.5%
Rank
#124 / 310 | +9% | 5.24
Facility
5.24
WA AVG
4.22
Rank
#6 / 90 | +17% | +24% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 92 | 52
Facility
52
WA AVG
48.9
Rank
#51 / 92 | 17.3
Facility
17.3
WA AVG
6.9
Rank
#89 / 92 | - | 29 | - |
98
Facility
98
WA AVG
51
Rank
#7 / 628 | Presbyterian Retirement Communities Northwest | $5.4M
Facility
$5.4M
WA AVG
$13.2M
Rank
#3 / 94 | $14.4M
Facility
$14.4M
WA AVG
$5.7M
Rank
#8 / 94 | 266.3%
Facility
266.3%
WA AVG
45.5%
Rank
#91 / 94 | 505469 | ||||
| Kin On | NH AL HC NC | Seattle (Rainier Valley) | 100
Facility
100
WA AVG
82
Rank
#93 / 366 |
90.0%
Facility
90.0%
WA AVG
72.5%
Rank
#47 / 310 | +24% | 4.18
Facility
4.18
WA AVG
4.22
Rank
#38 / 90 | +41% | -1% | $25.5k
Facility
$25.5k
WA AVG
$87.7k
Rank
#47 / 92 | 47
Facility
47
WA AVG
48.9
Rank
#43 / 92 | 7.8
Facility
7.8
WA AVG
6.9
Rank
#62 / 92 | 1 | 93 | - |
84
Facility
84
WA AVG
51
Rank
#62 / 628 | Dennis Lam | $14.3M
Facility
$14.3M
WA AVG
$13.2M
Rank
#33 / 94 | $9.9M
Facility
$9.9M
WA AVG
$5.7M
Rank
#20 / 94 | 69.7%
Facility
69.7%
WA AVG
45.5%
Rank
#16 / 94 | 505453 |
Financial Assistance for
Nursing Home in Washington
Keystone is located in Seattle, Washington.
Here are the financial assistance programs available to residents in Washington.
Frequently Asked Questions about Keystone
Is Keystone in a walkable area?
Keystone has a walk score of 95. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
What is the license number of Keystone?
According to WA state health department records, Keystone's license number is 2599.
When does Keystone's license expire?
According to WA state health department records, Keystone's license expires on December 31, 2025.
What is the occupancy rate at Keystone?
Keystone's occupancy is 100%.
Does Keystone have different floorplan options?
Yes — see the floorplan options available at Keystone on this page.
How many beds does Keystone have?
Keystone has 64 beds.
Are there photos of Keystone?
Yes — there are 4 photos of Keystone in the photo gallery on this page.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance





