Washington · Bainbridge Island

Madrona Assisted Living, LLC.

ALF · Memory Care50 bedsDementia-trained staff(206) 317-6000
Limited Inspection History · fewer than 4 records in 3 years
DSHS SDCP
Peer rank
Top 37% of Washington memory care
See full peer rank →
Facility · Bainbridge Island
A 50-bed ALF · Memory Care with 3 citations on file.
Licensed beds
50
Last inspection
Jun 2025
Last citation
Sep 2024
Operated by
Snapshot

A large home, reviewed on public record.

Peer Comparison

Compared to 38 Washington facilities with a similar number of beds.

ALF memory care · 36-month window. Higher percentile = better performance on inspection record. Source: Washington DSHS · Aging and Disability Services Administration.

Severity rank
27th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
62nd%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month DSHS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

FACILITY WATCH · FREE

Madrona Assisted Living, LLC has 3 citations on record. Know the moment anything changes.

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The Record

Citation history, plotted month by month.

3 deficiencies on record. Each bar is a month with a citation.

Peer median 1 · dashed
Last citation: SEP 2024. Compared against peer median (dashed).
peer median
SEP 2024
Aug 2024as of Jul 2026

Finding distribution

3 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G3
H
I
Sev 2
D
E
F
Sev 1
A
B
C
Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Madrona Assisted Living, LLC's record and state requirements.

01 /

DSHS records show 3 inspection reports on file with 3 total deficiencies — can you provide copies of the corrective action plans you submitted to DSHS for those deficiencies, and confirm which have been closed by the state?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

Two complaints were filed with DSHS during the inspection period on file — were any of those complaints substantiated, and what remediation steps did the facility document in response?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

The facility holds a DSHS Specialized Dementia Care contract — can you walk us through the written dementia care program you maintain under that contract, and explain how it differs from the general assisted living services you provide?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

Full Inspection Record

Every inspection visit, verbatim.

3 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

3
reports on file
3
total deficiencies
2025-06-01
Annual Compliance Visit
No findings
2024-09-01
Complaint Investigation
Type A · 2 findings

Plain-language summary

A complaint investigation found that a resident was injured during a transfer performed by one caregiver instead of the two caregivers required by the resident's service plan, and the resident required emergency room care; the facility conducted an internal investigation, determined the injury resulted from caregiver negligence, and issued a corrective action to the staff member, but failed to report the incident to the state as required by law. The facility's management believed the incident was an internal matter and did not need to be reported to the Department, which violated state reporting requirements for allegations of neglect. A deficiency was cited for failing to report the allegation of neglect to the state's Complaint Resolution Unit.

Type AWAC §WAC 388-78A-2630
Verbatim citation text · WAC §WAC 388-78A-2630

The facility failed to report an allegation of neglect to the Department's Aging and Disability Services Administration Complaint Resolution Unit hotline. A resident was injured during a transfer performed by one caregiver when the resident's service plan required a two-person assist, and the Director of Nursing confirmed the injury resulted from caregiver negligence, but management incorrectly treated the incident as internal and did not report it to the state.

Type AWAC §RCW 74.34.035
Verbatim citation text · WAC §RCW 74.34.035

The facility failed to comply with mandatory reporting requirements. When there was reasonable cause to believe neglect of a vulnerable adult had occurred (injury from improper transfer), mandated reporters did not immediately report to the Department as required by law.

Read raw inspector notes

WAC 388-78A-2630: The facility failed to report an allegation of neglect to the Department's Aging and Disability Services Administration Complaint Resolution Unit hotline. A resident was injured during a transfer performed by one caregiver when the resident's service plan required a two-person assist, and the Director of Nursing confirmed the injury resulted from caregiver negligence, but management incorrectly treated the incident as internal and did not report it to the state. RCW 74.34.035: The facility failed to comply with mandatory reporting requirements. When there was reasonable cause to believe neglect of a vulnerable adult had occurred (injury from improper transfer), mandated reporters did not immediately report to the Department as required by law.

2023-11-01
Complaint Investigation
Type A · 1 finding

Plain-language summary

I don't have enough information in the source text to write an accurate summary. The document shows a complaint investigation occurred, but the "Narrative" and "Conclusion / Action" sections are blank or unclear, so I cannot determine what was actually found or investigated. To provide families with a helpful summary, I would need the inspection narrative describing what the complaint alleged and what the investigator found.

Type AWAC §WAC 388-78A-2610(2)(c)
Verbatim citation text · WAC §WAC 388-78A-2610(2)(c)

The facility failed to provide staff with necessary supplies, equipment, and protective clothing for preventing and controlling the spread of infections. Staff who failed respirator fit tests were still assigned to provide care for COVID-19 positive residents due to staffing constraints, and at least one staff member reported having no properly fitting N95 mask available.

Read raw inspector notes

WAC 388-78A-2610(2)(c): The facility failed to provide staff with necessary supplies, equipment, and protective clothing for preventing and controlling the spread of infections. Staff who failed respirator fit tests were still assigned to provide care for COVID-19 positive residents due to staffing constraints, and at least one staff member reported having no properly fitting N95 mask available.

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