Inspection Reports for
Providence Mount St. Vincent

4831 35th Ave SW, Seattle, WA, 98126

Back to Facility Profile

10 Reports

2022–2025

Inspection Report — Dec 11, 2025

Follow-Up
Date: Dec 11, 2025

Visit Reason
The Department of Social and Health Services conducted 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. Previously cited deficiencies were corrected.

Deficiencies (1)
WAC 388-78A-2466-1-a - The Assisted Living Facility failed to ensure a system was in place to submit background checks for volunteers every two years. This deficiency was corrected.
Report Facts
Sampled residents: 9 Total current residents: 66 Former residents: 0 Volunteers missing background checks: 4 Residents at risk: 68

Inspection Report — Nov 18, 2025

Life Safety
Date: Nov 18, 2025

Visit Reason
On 11/18/2025 the Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility.

Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

Inspection Report — Nov 18, 2025

Complaint Investigation
Date: Nov 18, 2025

Visit Reason
An unannounced complaint inspection was conducted due to a complaint about the fire alarm system at Providence Mount St Vincent.

Complaint Details
Complaint #200803 concerned a fire alarm issue. The fire alarm panel CPU was faulty, but the facility repaired it and complied with fire watch requirements. The complaint was resolved with no ongoing violations.
Findings
The fire alarm panel CPU was found to be faulty. The facility performed a fire watch, repaired the fire alarm, and stopped the fire watch. The facility is in compliance at this time.

Inspection Report — Nov 14, 2025

Follow-Up
Date: Nov 14, 2025

Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies related to medication services at the assisted living facility.

Complaint Details
The complaint investigation (07/15/2025 through 07/23/2025) involved allegations that the facility attempted to move a resident out, failed to assess the resident at the hospital, and did not administer ordered medications. The investigation substantiated the medication administration violation but found no violation regarding resident placement or hospital assessment.
Findings
The follow-up inspection found no deficiencies and confirmed that previously cited medication service deficiencies were corrected. Earlier complaint investigations and deficiency citations related to medication administration errors were documented, but the latest follow-up shows compliance.

Deficiencies (2)
WAC 388-78A-2210 Medication services. The assisted living facility failed to ensure residents received medications as prescribed, resulting in a resident not receiving prescribed medication and being at risk for worsening PTSD symptoms. This deficiency was previously cited and remains uncorrected as of the last cited report.
WAC 388-78A-2210 Medication services. The facility failed to ensure a resident received newly prescribed medications timely, including a delay in starting a prescribed Rivastigmine patch, placing the resident at risk for health complications.
Report Facts
Total residents: 73 Resident sample size: 4 Resident sample size: 2 Former residents sample size: 1

Inspection Report — Nov 3, 2025

Life Safety
Date: Nov 3, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Providence Mount St Vincent residential care facility.

Findings
The inspection identified multiple deficiencies including improper restraint of gas-fired appliances, failure to provide annual fire-resistance-rated construction and fire door inspection reports, and a sprinkler head loaded with debris. All violations remain uncorrected as indicated by the disapproved status.

Deficiencies (4)
IFC 606.4 (2021) Gas-fired appliances shall be restrained according to the manufacturers instructions. The facility's gas-fired commercial cooking appliances on casters were not properly restrained.
IFC 701.6 (2021) The owner must maintain an annual fire-resistance-rated construction report. The facility failed to provide this report during the inspection.
IFC 903.3.5 (2021) Water supplies for automatic sprinkler systems must comply with code requirements. The sprinkler head at the back of the kitchen was loaded with debris.
NFPA 80 Fire Door Inspection and Testing The facility failed to provide an annual fire door inspection report as required by code.
Report Facts
Next inspection scheduled: Dec 7, 2025

Inspection Report — Sep 23, 2025

Enforcement
Date: Sep 23, 2025

Visit Reason
The Department of Social and Health Services conducted a follow-up visit to Providence Mount St. Vincent to assess compliance and impose a civil fine based on medication service violations.

Findings
The licensee failed to ensure one resident received medication as prescribed, resulting in risk of worsening PTSD symptoms. This deficiency was uncorrected from a previous citation and led to a $500 civil fine.

Deficiencies (1)
WAC 388-78A-2210 (1)(a)(b)(2)(a)(b) Medication services. The licensee failed to ensure one resident received medication as prescribed, placing the resident at risk for worsening PTSD and nightmares.
Report Facts
Civil fine amount: 500

Inspection Report — Jun 24, 2024

Follow-Up
Date: Jun 24, 2024

Visit Reason
The Department conducted a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies from a full inspection and complaint investigation conducted in April 2024.

Complaint Details
The inspection was triggered by complaint number 124535. The complaint investigation found multiple deficiencies related to background checks, tuberculosis testing, administrator notification, weight monitoring, and safe storage of hazardous supplies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies cited in the full inspection were corrected.

Deficiencies (6)
WAC 388-78A-2462 Background checks Who is required to have. The facility failed to ensure that one sampled staff member completed the required Washington State name and date of birth background check and national fingerprint background check within the required timeframe. This placed 76 residents at risk for potential abuse or neglect from a staff member with unknown criminal background history.
WAC 388-78A-2480 Tuberculosis Testing Required. The facility failed to ensure that one of three sampled newly hired staff received a tuberculosis skin test within three days of being hired, placing 76 residents at risk of exposure to a communicable disease.
WAC 388-78A-2485 Tuberculosis Positive test result. The facility failed to ensure that one sampled staff member had a chest X-ray within seven days after a positive tuberculosis skin test result, placing 76 residents at risk of exposure to a communicable disease.
WAC 388-78A-2570 Notification of change in administrator. The facility failed to notify the department in writing within ten calendar days of the effective date of a change in the assisted living facility administrator, placing 76 residents at risk of exposure to an administrator who did not meet qualifications.
WAC 388-78A-2600 Policies and procedures. The facility failed to implement their policy to monitor weights every month for 8 of 10 sampled residents, placing those residents at risk for compromised health issues.
WAC 388-78A-3100 Safe storage of supplies and equipment. The facility failed to secure toxic chemicals in an area accessible to residents, placing 31 residents at risk for inadvertent ingestion of a toxic substance that could cause harm and compromise health.
Report Facts
Sampled residents: 10 Current residents: 76 Former residents: 0 Days late for background check: 223 Days late for tuberculosis skin test: 15 Days late for chest X-ray: 10 Residents at risk for compromised health issues: 8 Residents at risk for toxic chemical exposure: 31

Inspection Report — Dec 11, 2023

Life Safety
Date: Dec 11, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 12/11/2023.

Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

Inspection Report — Mar 2, 2023

Complaint Investigation
Date: Mar 2, 2023

Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility based on allegations regarding an immediate discharge notice issued to a resident while hospitalized and the attempted removal of the resident's property from the facility.

Complaint Details
The complaint investigation (complaint number 69318) addressed two allegations: an immediate discharge notice issued while the resident was hospitalized and attempted removal of the resident's property. The discharge letter deficiency was substantiated with citations written, while no violation was found regarding property removal.
Findings
The investigation found that the facility followed its discharge policy and that the resident repeatedly violated a behavior plan and could no longer be supported medically. However, the discharge letter failed to include required information. The facility packed the resident's belongings with the DPOA present and no violation was found regarding property removal. Citations were written for the discharge letter deficiency.

Deficiencies (1)
WAC 388-78A-2660 Resident rights. The discharge letter failed to include information that met discharge requirements, including details about resident safety and mental health advocacy. This deficiency placed the resident at risk of not knowing the appropriate reason for discharge.
Report Facts
Total residents: 77 Resident sample size: 2 Closed records sample size: 1

Inspection Report — Nov 14, 2022

Complaint Investigation
Date: Nov 14, 2022

Visit Reason
The inspection was conducted as a complaint investigation regarding an allegation that a staff member became angry and yelled at a resident.

Complaint Details
The complaint involved a staff member who became angry and yelled at a resident. The facility investigated, protected the resident, suspended the staff member, and made staffing adjustments. The staff member lacked a current background check, resulting in a citation.
Findings
The investigation found that the facility responded appropriately by protecting the resident and suspending the staff member during the investigation. However, a citation was issued because the staff member did not have a current required background check.

Deficiencies (1)
WAC 388-78A-2466 - The Assisted Living Facility failed to ensure a valid Washington state name and date of birth background check for one sampled staff member. This placed 78 of 78 residents at risk due to unknown criminal background history.
Report Facts
Total residents: 80 Resident sample size: 2 Deficiency count: 1 Residents at risk: 78

Viewing

Loading inspection reports...