Aegis Living of West Seattle

The facility had seven fire code violations cited during July 2025 inspection, primarily documentation deficiencies (emergency drill records, fire extinguisher logs, generator inspection logs) and minor equipment issues (missing gas appliance restraints, fire penetration gaps, carbon monoxide detector placement). The facility responded promptly with corrective actions, resolving six of seven violations by the September reinspection and the final generator log violation by October, demonstrating a pattern of timely compliance with regulatory requirements. All violations were procedural or maintenance-related with no immediate resident safety impact.

The inspection identified seven fire and life safety code violations at this residential care facility, including incomplete emergency drill records, gas appliance connection issues, compromised fire-rated penetrations, fire extinguisher deficiencies, missing carbon monoxide detection, emergency lighting testing gaps, and lack of generator inspection logs. The facility corrected six of seven violations by the reinspection date, with only the generator inspection log deficiency remaining uncorrected, demonstrating a generally responsive approach to compliance. The violations represent procedural and maintenance deficiencies rather than immediate life-safety threats, though the carbon monoxide detection and fire protection equipment issues required prompt attention. The facility's partial but substantial compliance by reinspection reflects adequate corrective action, though the generator log deficiency requires follow-up within 30 days.

The facility had multiple serious violations including medication administration failures (insulin given when contraindicated, omitted doses without physician notification), pattern of unreported medication refusals by multiple residents, missing fingerprint background checks (recurring deficiency), incomplete TB screenings for staff, unsecured toxic chemicals accessible to cognitively impaired residents, and failure to maintain food temperature logs. These systemic failures created actual risks for resident harm, including one resident with hip fracture who subsequently refused critical blood clot prevention medication without physician notification. The facility acknowledged deficiencies and submitted correction plans with target dates, but the recurring nature of background check violations and breadth of medication safety failures indicate inadequate oversight systems rather than isolated incidents.

The facility failed to complete required national fingerprint background checks for two staff within 120 days of hire and failed to conduct tuberculosis screenings for two staff within three days of hire, placing 67 residents at risk. These are recurring violations (background checks cited in 2023 and 2025) and uncorrected deficiencies from a February 2025 inspection, demonstrating a pattern of non-compliance with basic safety protocols. The facility's response has been inadequate, as evidenced by the persistence of these violations across multiple inspection cycles, resulting in $600 in civil fines. While these are administrative compliance issues rather than immediate care failures, the recurring nature and lack of sustained correction indicate systematic deficiencies in the facility's compliance management systems.

The facility failed its second fire and life safety inspection with two uncorrected violations from a prior May 2023 inspection, resulting in a State Fire Marshal's Letter of Non-Compliance. The Maintenance Director acknowledged the violations and provided a timeline for completion (August 7, 2023), demonstrating some accountability but indicating a slow response given the violations remained unresolved for over two months. This represents a moderate compliance issue affecting life safety systems, with an adequate but delayed corrective action plan that had not yet been implemented at the time of investigation.

The facility had serious and persistent fire safety violations across two inspections (5/31/2023 and 7/5/2023), including blocked egress routes, compromised fire-rated doors, missing safety equipment inspections, and improper fire drill procedures. These violations created significant fire safety risks for residents in this assisted living facility. The facility's response was inadequate, as many violations remained uncorrected between inspections, including the critically modified fire door and missing annual fire door inspections, though some issues like extension cords and door operation were corrected. The pattern of repeat violations and incomplete corrective actions demonstrates systemic maintenance and compliance failures that required multiple follow-up inspections.