Inspection Reports for Laurel Cove Community
17201 15th Ave NE, Shoreline, WA 98155, United States, WA, 98155
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Census Over Time
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
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Investigator who conducted the complaint investigation |
| Jamie Singer | Field Manager | Signed 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
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Department staff who conducted on-site verification and complaint investigations |
| Jamie Singer | Field Manager | Signed 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
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter regarding the civil fine |
| Jamie Singer | Field Manager | Contact 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
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Jamie Singer | Field Manager | Contact 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
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Department 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
| Name | Title | Context |
|---|---|---|
| Jamie Singer | Field Manager | Signed letters and correspondence related to inspection and follow-up. |
| Faith Le | NCI | Department staff who conducted on-site verification. |
| Erin Steinbrenner | Nursing Consultant Institutional | Department staff who conducted on-site verification and complaint investigation. |
| Staff A | Executive Director | Interviewed regarding tuberculosis testing, emergency preparedness, and record provision. |
| Staff G | Director of Nursing | Interviewed regarding service plans and record provision. |
| Staff K | Regional Nurse | Requested 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
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Department staff who conducted the investigation and on-site verification |
| Jamie Singer | Field Manager | Signed the follow-up inspection letter and statement of deficiencies |
| Staff A | Executive Director | Interviewed regarding the outbreak and notification to local health jurisdiction |
| Staff B | Regional Registered Nurse | Provided guidance to Staff A regarding the outbreak |
| Collateral Contact 1 | LHJ Representative | Confirmed 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
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the letter regarding the civil fine and complaint investigation. |
| Jamie Singer | Field Manager | Contact 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
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Jamie Singer | Field Manager | Contact 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
| Name | Title | Context |
|---|---|---|
| Staci Dilg | IDR Program Manager | Signed the IDR results letter |
| Jamie Singer | Field Manager | Recipient 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
| Name | Title | Context |
|---|---|---|
| Michelle Mcglon | Nursing Consultant Institutional | Investigator who conducted the on-site verification and complaint investigation |
| Jamie Singer | Field Manager | Signed correspondence related to inspection and findings |
| Chelsea Sear | Administrator or Representative | Signed 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
| Name | Title | Context |
|---|---|---|
| Lisa Hauk | Complaint Investigator | Department staff who investigated the Assisted Living Facility |
| Staff A | Health and Wellness Director | Interviewed 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
| Name | Title | Context |
|---|---|---|
| Faith Le | NCI | Department staff who inspected the Assisted Living Facility |
| Jamie Singer | Field Manager | Signed compliance determination and inspection documents |
| Scottie Sindora | ALF Licensor | Department staff who inspected the Assisted Living Facility |
| Sunny Kent | Licensor | Department staff who inspected the Assisted Living Facility |
| Staff A | Nursing Assistant | Mentioned in relation to care provision and fingerprint background check |
| Staff F | Resident Care Coordinator | Interviewed regarding medication administration and resident care |
| Staff G | Administrator | Interviewed regarding fingerprint background check compliance |
| Staff H | Nursing Assistant | Mentioned in observation of care provision |
| Staff C | Health and Wellness Director | Interviewed regarding medication administration and Respiratory Protection Program |
| Staff J | Nursing Assistant | Interviewed regarding resident medication |
| Staff L | Nursing Assistant | Mentioned in relation to Respiratory Protection Program |
| Staff M | Nursing Assistant | Mentioned 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
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the enforcement letter |
| Jamie Singer | Field Manager | Contact 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
| Name | Title | Context |
|---|---|---|
| Chelsea Searle | Executive Director | Named as participant representing the facility in the IDR process. |
| Melanie Manley | Director of Nursing | Named as participant representing the facility in the IDR process. |
| Monica Thielen | Regional Nurse | Named as participant representing the facility in the IDR process. |
| Kelsey Engelhardt | Business Office Manager | Named as participant representing the facility in the IDR process. |
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