Inspection Reports for Laurel Cove Community

17201 15th Ave NE, Shoreline, WA 98155, United States, WA, 98155

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Deficiencies per Year

8 6 4 2 0
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

49 56 63 70 77 84 Jan '24 Jun '24 Dec '24 Dec '24 Aug '25
Census Capacity
Inspection Report Complaint Investigation Census: 65 Deficiencies: 1 Aug 7, 2025
Visit Reason
The visit was an unannounced on-site complaint investigation regarding allegations that a Named Resident was physically held during care by staff, which may have contributed to bruises.
Findings
The investigation found that the Named Resident was physically aggressive and the facility staff denied causing bruises. However, the facility failed to update the resident's assessment and negotiated service agreement to include aggressive behaviors during care, resulting in a citation for failed provider practice.
Complaint Details
The complaint alleged that the Named Resident was physically held during care by staff, possibly causing bruises. The investigation concluded the allegation was substantiated by failure to update care documentation, though staff denied causing bruises.
Deficiencies (1)
Description
Failure to complete an updated assessment and Negotiated Service Agreement to include the Named Resident's aggressive behaviors during care.
Report Facts
Total residents: 65 Resident sample size: 2 Episodes of behaviors: 10
Employees Mentioned
NameTitleContext
Michelle McglonNursing Consultant InstitutionalInvestigator who conducted the complaint investigation
Jamie SingerField ManagerSigned the statement of deficiencies and plan of correction
Inspection Report Follow-Up Deficiencies: 0 May 6, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previous deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets the Assisted Living Facility licensing requirements.
Report Facts
Resident census sample: 2 Resident census sample: 3 Total residents: 78 Resident sample size: 4 Deficiency citation count: 1 Deficiency citation count: 1 Deficiency citation count: 1
Employees Mentioned
NameTitleContext
Michelle McglonNursing Consultant InstitutionalDepartment staff who conducted on-site verification and complaint investigations
Jamie SingerField ManagerSigned multiple compliance and deficiency reports
Inspection Report Enforcement Deficiencies: 1 Mar 12, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Laurel Cove Community to address previously cited deficiencies and to impose a civil fine related to medication storage violations.
Findings
The facility failed to safely store medications for one resident, resulting in unmonitored access to medications and risk of ingesting expired prescriptions. This deficiency was uncorrected and recurring, previously cited on January 15, 2025, and October 24, 2024.
Deficiencies (1)
Description
Failure to safely store medications for one resident, resulting in unmonitored access and risk of ingesting expired medication.
Report Facts
Civil fine amount: 700
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter regarding the civil fine
Jamie SingerField ManagerContact person for the plan of correction and appeals
Inspection Report Enforcement Deficiencies: 1 Jan 15, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Laurel Cove Community to assess compliance and imposed a civil fine based on violations found during the inspection.
Findings
The licensee failed to safely store medications for one resident who required assistance, resulting in the resident having access to medications they were not ordered to self-administer. This was an uncorrected deficiency previously cited on October 24, 2024.
Deficiencies (1)
Description
Failure to safely store medications for one resident requiring assistance, resulting in risk of ingesting unauthorized medications.
Report Facts
Civil fine amount: 400
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Jamie SingerField ManagerContact person for plan of correction and appeals
Inspection Report Follow-Up Deficiencies: 0 Jan 15, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to coordination of health care services.
Findings
The follow-up inspection found no deficiencies, indicating that the previously cited issues regarding coordination of health care services were corrected.
Employees Mentioned
NameTitleContext
Michelle McglonNursing Consultant InstitutionalDepartment staff who did the On Site verification for the follow-up inspection.
Inspection Report Follow-Up Census: 68 Deficiencies: 7 Dec 30, 2024
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 12/30/2024 to verify correction of previously cited deficiencies from Compliance Determinations 52232 and 47161.
Findings
The follow-up inspection found no deficiencies, indicating that the previously cited issues related to tuberculosis skin testing, negotiated service agreements, training, water supply, emergency preparedness, full assessments, and record keeping were corrected or addressed.
Complaint Details
The inspection included a complaint investigation conducted on 09/30/2024 and 10/02/2024 referencing complaint number 149280. The complaint investigation found the facility not in compliance with licensing laws and regulations.
Deficiencies (7)
Description
Failure to ensure 3 of 6 staff completed required two-step tuberculosis skin testing.
Failure to ensure negotiated service agreements were signed annually by residents or representatives for 3 of 9 sampled residents.
Failure to ensure all staff received facility orientation training (6 of 6 sampled staff).
Failure to ensure water temperatures in resident areas were maintained between 105 and 120 degrees Fahrenheit, placing 68 residents at risk for burns and injury.
Failure to develop and maintain an emergency preparedness plan addressing alternative accommodations and essential needs for 68 residents at risk of displacement.
Failure to ensure full assessments were completed within 14 days of move-in for 1 of 3 sampled residents, placing Resident 7 at risk for unmet needs and decreased quality of life.
Failure to provide records and policies requested by the Department, placing 68 residents at risk of harm due to inability to review safe practices.
Report Facts
Residents at risk: 68 Sampled residents: 11 Sampled staff: 6 Deficiencies cited: 7
Employees Mentioned
NameTitleContext
Jamie SingerField ManagerSigned letters and correspondence related to inspection and follow-up.
Faith LeNCIDepartment staff who conducted on-site verification.
Erin SteinbrennerNursing Consultant InstitutionalDepartment staff who conducted on-site verification and complaint investigation.
Staff AExecutive DirectorInterviewed regarding tuberculosis testing, emergency preparedness, and record provision.
Staff GDirector of NursingInterviewed regarding service plans and record provision.
Staff KRegional NurseRequested records and participated in interviews related to emergency water access and record provision.
Inspection Report Complaint Investigation Census: 75 Capacity: 75 Deficiencies: 1 Dec 12, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the Assisted Living Facility's failure to notify the local health jurisdiction about residents and staff experiencing diarrhea, nausea, and vomiting.
Findings
The investigation found that the facility failed to notify the King County Communicable Disease Department of a communicable disease outbreak involving 22 residents with gastrointestinal illness symptoms, placing all 75 residents at risk. The Executive Director initially underreported the number of affected residents and did not notify the local health jurisdiction in a timely manner.
Complaint Details
The complaint investigation found that the Assisted Living Facility failed to notify the local health jurisdiction when residents and staff had diarrhea, nausea, and vomiting. The allegation was substantiated with failed provider practice identified and citations written.
Deficiencies (1)
Description
Failure to notify the King County Communicable Disease Department of a communicable disease outbreak involving 22 residents with gastrointestinal illness symptoms.
Report Facts
Total residents: 75 Resident sample size: 22 Days after initial outbreak onset: 18
Employees Mentioned
NameTitleContext
Michelle McglonNursing Consultant InstitutionalDepartment staff who conducted the investigation and on-site verification
Jamie SingerField ManagerSigned the follow-up inspection letter and statement of deficiencies
Staff AExecutive DirectorInterviewed regarding the outbreak and notification to local health jurisdiction
Staff BRegional Registered NurseProvided guidance to Staff A regarding the outbreak
Collateral Contact 1LHJ RepresentativeConfirmed that the facility did not notify the local health jurisdiction until after the department's unannounced visit
Inspection Report Complaint Investigation Deficiencies: 1 Oct 24, 2024
Visit Reason
The Department of Social and Health Services completed a complaint investigation at Laurel Cove Community to address alleged deficiencies related to medication services.
Findings
The licensee failed to correctly transcribe physician’s orders for two residents, resulting in one resident receiving medication at the wrong time and another receiving additional doses that contributed to hospitalization. This was a recurring deficiency previously cited in 2023.
Complaint Details
Complaint investigation completed on October 24, 2024. The deficiency was substantiated and resulted in a civil fine.
Deficiencies (1)
Description
Failure to correctly transcribe physician’s orders for two residents, leading to medication errors and hospitalization.
Report Facts
Civil fine amount: 700 Previous deficiency citation dates: February 1, 2023 and March 29, 2023
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the letter regarding the civil fine and complaint investigation.
Jamie SingerField ManagerContact person for plan of correction and inquiries related to the complaint investigation.
Inspection Report Enforcement Deficiencies: 1 Oct 24, 2024
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Laurel Cove Community to assess compliance and enforce corrective actions related to previously cited deficiencies.
Findings
The facility failed to notify a resident’s physician about a documented allergy to iodine and worsening skin breakdown, resulting in the resident not receiving appropriate treatment. This deficiency was uncorrected from a prior citation dated September 10, 2024, leading to the imposition of a civil fine.
Deficiencies (1)
Description
Failure to notify the resident’s physician when one resident had a documented allergy to iodine and worsening skin breakdown, resulting in lack of appropriate treatment and worsening condition.
Report Facts
Civil fine amount: 500 Days to return Plan of Correction: 10 Days to request Informal Dispute Resolution: 10 Days to request Formal Administrative Hearing: 28 Days to pay civil fine: 28
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Jamie SingerField ManagerContact person for Plan of Correction and inquiries
Inspection Report Plan of Correction Deficiencies: 0 Oct 10, 2024
Visit Reason
This document reports the results of an Informal Dispute Resolution (IDR) process regarding disputed deficiencies identified in the Statement of Deficiencies (SOD) report dated October 10, 2024.
Findings
After review and consideration of all materials, oral statements, and records, the decision was made not to change the original SOD report dated October 10, 2024.
Report Facts
Correction timeframe: 45
Employees Mentioned
NameTitleContext
Staci DilgIDR Program ManagerSigned the IDR results letter
Jamie SingerField ManagerRecipient of Plan/Attestation Statement for disputed deficiencies
Inspection Report Complaint Investigation Census: 65 Deficiencies: 3 Jun 13, 2024
Visit Reason
The inspection was conducted as a complaint investigation following allegations involving resident incidents including inappropriate sexual behavior and a resident fall resulting in injury.
Findings
The investigation found failed provider practices including failure to assess and care plan for a resident's sexual behaviors placing others at risk, failure to provide written discharge notice causing resident displacement, and failure to monitor and address behavioral interventions related to sexual behaviors. Citations were written for these deficiencies.
Complaint Details
The complaint involved Resident 1 found indecently exposed in another resident's bed, and Resident 3 who was startled by staff, fell, was hospitalized, and discharged without proper notice. The investigation substantiated failed provider practices and citations were issued.
Deficiencies (3)
Description
Failed to assess and care plan for Resident 1's sexual behaviors placing residents at risk of sexual assault.
Failed to provide written discharge notice to Resident 3 or representative explaining reason and location of discharge.
Failed to complete assessment and monitoring for Resident 1's inappropriate sexual behaviors and failed to include interventions in the care plan.
Report Facts
Total residents: 65 Resident sample size: 4 Closed records sample size: 1
Employees Mentioned
NameTitleContext
Michelle McglonNursing Consultant InstitutionalInvestigator who conducted the on-site verification and complaint investigation
Jamie SingerField ManagerSigned correspondence related to inspection and findings
Chelsea SearAdministrator or RepresentativeSigned Plan of Correction and attestation statements
Inspection Report Complaint Investigation Census: 57 Deficiencies: 2 Jan 8, 2024
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation regarding a named resident who acquired a pressure area to their heel at the Assisted Living Facility.
Findings
The investigation found that the facility failed to document and coordinate care for the resident's pressure wound properly, including failure to update the resident's assessment and service plan with wound care instructions from Home Health nurses. This failure placed the resident at risk for unmet care needs and worsening skin breakdown.
Complaint Details
The complaint involved a named resident who acquired a pressure area to their heel. The investigation substantiated violations related to failure to document and coordinate care for the wound, including failure to update assessments and service plans as required.
Deficiencies (2)
Description
Failed to document relevant information regarding coordinating care for 1 of 3 sampled residents into their Assessment and Negotiated Service Agreement, placing the resident at risk for unmet care needs.
Failed to implement policies regarding skin breakdown and coordination of care for 1 of 3 sampled residents, contributing to worsening skin breakdown and risk of not receiving appropriate monitoring and interventions.
Report Facts
Total residents: 57 Resident sample size: 3 Closed records sample size: 0
Employees Mentioned
NameTitleContext
Lisa HaukComplaint InvestigatorDepartment staff who investigated the Assisted Living Facility
Staff AHealth and Wellness DirectorInterviewed staff who stated she did not update the resident's assessment or service plan with wound care information
Inspection Report Follow-Up Deficiencies: 7 May 18, 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 the Assisted Living Facility licensing requirements. Previous deficiencies related to medication services and other regulatory requirements were corrected.
Deficiencies (7)
Description
Failed to ensure medications were administered as ordered for Resident 3, resulting in risk of harm due to insulin doses not meeting physician-set blood sugar parameters.
Failed to complete assessments focused on Resident 4's fragile skin and bruising, leaving the resident at risk for undetected injuries.
Failed to communicate with prescriber to clarify insulin dosage parameters for Resident 3, placing the resident at risk for health issues.
Failed to ensure background checks were completed within required timeframes for staff, placing residents at risk.
Failed to monitor residents' well-being by identifying and evaluating changes in physical, emotional, and mental functioning, including failure to document bruises and skin issues for Resident 4.
Failed to ensure the negotiated service agreement was updated to reflect skin breakdown interventions and blood thinning medication monitoring for Residents 2 and 7.
Failed to follow the Respiratory Protection Program to ensure all health care workers had medical evaluation or fit-testing for respirators, placing residents at risk for COVID-19 exposure.
Report Facts
Sample residents reviewed: 7 Total residents: 43 Blood sugar readings exceeding 250: 26 Blood sugar readings exceeding 250: 19 Blood sugar readings exceeding 250: 19 Staff A days past NFBC deadline: 48
Employees Mentioned
NameTitleContext
Faith LeNCIDepartment staff who inspected the Assisted Living Facility
Jamie SingerField ManagerSigned compliance determination and inspection documents
Scottie SindoraALF LicensorDepartment staff who inspected the Assisted Living Facility
Sunny KentLicensorDepartment staff who inspected the Assisted Living Facility
Staff ANursing AssistantMentioned in relation to care provision and fingerprint background check
Staff FResident Care CoordinatorInterviewed regarding medication administration and resident care
Staff GAdministratorInterviewed regarding fingerprint background check compliance
Staff HNursing AssistantMentioned in observation of care provision
Staff CHealth and Wellness DirectorInterviewed regarding medication administration and Respiratory Protection Program
Staff JNursing AssistantInterviewed regarding resident medication
Staff LNursing AssistantMentioned in relation to Respiratory Protection Program
Staff MNursing AssistantMentioned in relation to Respiratory Protection Program
Inspection Report Enforcement Deficiencies: 1 Mar 29, 2023
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Laurel Cove Community to assess compliance and imposed a civil fine based on violations found during the visit.
Findings
The licensee failed to ensure medication was administered as ordered for one resident, resulting in insulin doses that did not meet physician-set blood sugar parameters, placing the resident at risk of harm. This was an uncorrected deficiency previously cited on February 1, 2023.
Deficiencies (1)
Description
Failure to ensure medication were administered as ordered for one resident, resulting in insulin doses not meeting physician set blood sugar parameters and placing the resident at risk of harm.
Report Facts
Civil fine amount: 500
Employees Mentioned
NameTitleContext
Matt HauserCompliance SpecialistSigned the enforcement letter
Jamie SingerField ManagerContact person for plan of correction and inquiries
Notice Deficiencies: 0 Laurel Cove Community 2389 47161 101024 Sched Ltr 1124
Visit Reason
The letter confirms the scheduling of an Informal Dispute Resolution (IDR) meeting requested by the facility to dispute specific citations from a Statement of Deficiencies dated October 10, 2024.
Findings
The document does not contain inspection findings but lists the citations being disputed and the individuals representing the facility in the IDR process.
Employees Mentioned
NameTitleContext
Chelsea SearleExecutive DirectorNamed as participant representing the facility in the IDR process.
Melanie ManleyDirector of NursingNamed as participant representing the facility in the IDR process.
Monica ThielenRegional NurseNamed as participant representing the facility in the IDR process.
Kelsey EngelhardtBusiness Office ManagerNamed as participant representing the facility in the IDR process.

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