Aegis of Marymoor

The inspection identified moderate violations including failure to provide a functioning wheelchair per service plan, incomplete fingerprint background checks for two staff working beyond the 120-day provisional period, missing keys for lockable resident storage, and inadequate narcotic medication count documentation. The facility responded appropriately by immediately correcting deficiencies during the inspection, implementing staff training, securing equipment, and documenting corrective actions. A follow-up inspection confirmed all violations were corrected and no new deficiencies were found, demonstrating effective remediation and compliance restoration within the required timeframe (completed by 2/20/2025).

This fire safety inspection identified 16 violations including blocked egress routes, improperly maintained fire protection systems, missing safety documentation, and a fire door held open in a resident room. While multiple code violations were present, none represented immediate life-threatening conditions. The facility demonstrated a good response by correcting all violations within approximately 2.5 months, as confirmed by the follow-up inspection showing full compliance and approval status restored.

This was a follow-up inspection confirming previous deficiencies had been corrected. The facility successfully resolved prior violations related to WAC 388-78A-2560-5-b-i and now meets all licensing requirements with no current deficiencies found. The facility demonstrated appropriate corrective action by addressing and resolving the previously cited issues, resulting in full compliance at follow-up.

This is an administrative scheduling letter for an Informal Dispute Resolution (IDR) meeting regarding a Statement of Deficiencies dated January 2, 2024, and related civil fine. The document does not contain the actual inspection findings, violation details, or information about the facility's response to the cited deficiency under WAC 388-78A-2560. Without the underlying inspection report and deficiency details, no assessment of event severity or facility response can be made.

The facility failed to appoint a qualified administrator designee, leaving 52 residents under the supervision of an unqualified person and placing them at risk of unmet care needs. This is a repeat violation previously cited in September 2023, demonstrating a pattern of non-compliance. The facility's response was inadequate, as evidenced by the recurrence of the same deficiency within four months, resulting in a $200 civil fine. The follow-up visit confirms the facility had not maintained corrective actions from the prior citation.

The facility operated with an unqualified designee serving as General Manager who lacked required experience in providing or managing direct care to vulnerable adults, while the Administrator of Record was primarily stationed at another facility. This created a moderate risk to 43 residents by having unqualified leadership responsible for day-to-day operations, investigations, and hiring decisions. The facility responded appropriately by appointing a new qualified designee and correcting the deficiency by the completion date, with follow-up inspection on 01/02/2024 confirming no remaining violations.

The facility had multiple regulatory violations including failure to implement required respiratory protection program for 10 of 28 staff, denying a memory care resident independent access to their room despite representative's preference, employing an unqualified administrator, and late background check submission. These violations represented systemic compliance gaps affecting infection control, resident autonomy, and regulatory requirements. The facility responded appropriately by submitting correction plans within required timeframes, making immediate repairs during inspection (water temperature, first aid kits), and achieving full compliance by the September 2023 follow-up inspection with all deficiencies corrected.