Aegis Living Ballard

A resident physically assaulted another resident by striking and choking them after an unwanted kissing attempt, constituting a serious safety violation with actual resident harm. The facility responded promptly by separating the residents, conducting an investigation, and notifying appropriate contacts and the department, but failed to report the physical assault to local police as required by regulation. While the facility's immediate protective actions were appropriate, the incomplete compliance with mandatory reporting requirements represents a significant gap in their response protocol.

The facility failed to develop a safety plan for a memory care resident with an unspecified seizure diagnosis, placing them at risk for serious complications from unrecognized seizure activity. This resident actually experienced a seizure requiring hospitalization in 2024, yet no monitoring interventions or emergency protocols were documented in their care plan. Management acknowledged the missing safety plan during the exit interview and committed to corrective action by March 2025, but the response was reactive rather than proactive given the prior hospitalization event.

The facility failed to maintain availability of anti-seizure medication (levetiracetam) for a resident, resulting in five missed doses over three days despite having policies requiring medication reordering at 7-day supply levels and emergency backup procedures. This systemic failure in medication management led to the resident experiencing a seizure requiring hospitalization, representing actual harm from a preventable medication error. The facility conducted an investigation, acknowledged the policy violations by multiple staff members, submitted a corrective action plan, and successfully passed a follow-up inspection showing all deficiencies were corrected within the required timeframe, demonstrating adequate remediation of the serious medication management breakdown.