Lynden Manor.
Lynden Manor is Ranked in the top 49% of Washington memory care with 17 DSHS citations on record; last inspected Feb 2026.
A large home, reviewed on public record.
Compared to 14 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.
among peers to rank.
Rankings based on 36-month DSHS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
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Lynden Manor has 17 citations on record. Know the moment anything changes.
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Citation history, plotted month by month.
17 deficiencies on record. Each bar is a month with a citation.
Finding distribution
17 total · 36 monthsScope × Severity (CMS A–L)
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A short pre-tour checklist tailored to Lynden Manor's record and state requirements.
DSHS records show 16 inspection reports with 17 deficiencies — can you walk us through the most common deficiency themes and provide copies of your corrective action plans addressing those findings?
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The most recent inspection on February 1, 2026 is on file — what deficiencies, if any, were cited in that visit, and can you show us the written plan of correction submitted to DSHS Residential Care Services?
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Fourteen complaints were filed with DSHS during the inspection period on file — were any of those complaints substantiated, and what steps did Lynden Manor take in response to substantiated findings?
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Every inspection visit, verbatim.
15 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-02-01Annual Compliance VisitType B · 2 findings
Plain-language summary
A follow-up inspection of Lynden Manor on December 5, 2025 found that the facility failed to keep hazardous medications and substances locked away from residents in its memory care unit, with inspectors discovering calcium carbonate, medicated creams, hydrogen peroxide, denture cleanser tablets, and other items with poison control warnings left accessible in unlocked bathroom cabinets and on counters in resident rooms. This deficiency was not corrected from a prior citation issued on October 10, 2025, and posed a risk of accidental ingestion to residents with dementia. The inspection also identified that the facility did not meet staff training requirements for caregivers.
“The assisted living facility failed to ensure hazardous items were inaccessible to residents in the Memory Care Unit. Medications and medical items with poison control warnings were found in unlocked bathroom cabinets and counters in multiple resident rooms, placing residents with dementia at risk of accidental ingestion.”
“The facility failed to ensure four caregivers (Staff B, F, G, and J) met required long-term care worker training requirements. Staff B had not completed basic training 198 days after hire; Staff F and J lacked required hands-on CPR/first aid training; and Staff G lacked current first aid training.”
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WAC 388-78A-2700: The assisted living facility failed to ensure hazardous items were inaccessible to residents in the Memory Care Unit. Medications and medical items with poison control warnings were found in unlocked bathroom cabinets and counters in multiple resident rooms, placing residents with dementia at risk of accidental ingestion. WAC 388-78A-2474: The facility failed to ensure four caregivers (Staff B, F, G, and J) met required long-term care worker training requirements. Staff B had not completed basic training 198 days after hire; Staff F and J lacked required hands-on CPR/first aid training; and Staff G lacked current first aid training.
2025-09-01Complaint InvestigationType B · 1 finding
Plain-language summary
A complaint investigation at Lynden Manor on July 2, 2025 found that the facility failed to maintain a clean and sanitary room for one resident, with observations showing scattered food debris, feces on the floor, dresser drawers, windowsill, window glass, and curtains, along with an unmade bed. Staff stated the room received weekly housekeeping and daily cleaning as needed, but a family representative reported ongoing cleanliness problems with feces on the floor over the prior four months. A deficiency was cited, and the facility was required to submit a plan of correction.
“The facility failed to maintain a safe, sanitary, and well-maintained environment for residents. Specifically, one resident's room was found to be unclean and unsanitary with scattered food and paper debris on the floor, feces smeared on dresser drawers, splattered feces on the windowsill and window glass, a feces mark on the curtain, and an unmade bed, despite the resident having a Negotiated Service Agreement requiring weekly housekeeping and daily bed making.”
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WAC 388-78A-3090: The facility failed to maintain a safe, sanitary, and well-maintained environment for residents. Specifically, one resident's room was found to be unclean and unsanitary with scattered food and paper debris on the floor, feces smeared on dresser drawers, splattered feces on the windowsill and window glass, a feces mark on the curtain, and an unmade bed, despite the resident having a Negotiated Service Agreement requiring weekly housekeeping and daily bed making.
2025-08-01Complaint Investigation1 finding
Plain-language summary
A complaint investigation at Lynden Manor from May through July 2025 found that staff improperly handed medications, including insulin injections, to non-delegated staff members to administer to residents, and a citation was written for noncompliance with nursing delegation rules. The investigation did not substantiate other allegations regarding medication storage, placement of medications on hold, medication availability, staff termination practices, or med techs administering medications without orders.
“The Director of Nursing handed medications, including insulin injections, to non-delegated staff to administer to residents, which violates the intermittent nursing services system requirements.”
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WAC 388-78A-2320: The Director of Nursing handed medications, including insulin injections, to non-delegated staff to administer to residents, which violates the intermittent nursing services system requirements. WAC 388-78A-2320: Medications including insulin injections were handed over by the facility's nurse to non-delegated staff to administer to residents, violating delegation requirements under the intermittent nursing services system.
2025-07-01Complaint InvestigationNo findings
2025-06-01Complaint InvestigationType A · 1 finding
Plain-language summary
A complaint investigation at Lynden Manor on March 24, 2025, found that the facility failed to prevent a memory care resident with a history of exit-seeking behavior from leaving the secured unit unsupervised on February 26, 2025; the resident removed a window latch and exited through the window, walking 1.1 miles away before being found near a middle school. This was the resident's third unauthorized departure from the facility, and the investigation found that preventive measures documented in the resident's care plan—checking and monitoring the window latch—were not effective in stopping the incident. A deficiency was cited for the facility's failure to institute appropriate measures to prevent similar future situations after the previous elopement incidents.
“The assisted living facility failed to institute and document appropriate measures to prevent a resident with exit-seeking behavior from leaving the secured memory care unit unsupervised. The resident left the building through a bedroom window undetected and was found 1.1 miles away, placing all memory care residents at risk. This was the resident's third elopement incident (previous incidents on 12/15/2023 and 04/29/2024), indicating prior preventative measures were ineffective.”
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WAC 388-78A-2371: The assisted living facility failed to institute and document appropriate measures to prevent a resident with exit-seeking behavior from leaving the secured memory care unit unsupervised. The resident left the building through a bedroom window undetected and was found 1.1 miles away, placing all memory care residents at risk. This was the resident's third elopement incident (previous incidents on 12/15/2023 and 04/29/2024), indicating prior preventative measures were ineffective.
2025-05-01Complaint Investigation1 finding
Plain-language summary
A complaint investigation at Lynden Manor conducted from January through February 2025 found that two residents with dementia were left in soiled conditions for extended periods—one resident in feces for approximately six hours and another covered in feces for approximately five hours—resulting in citations for violations of resident rights under Washington Administrative Code 388-78A-2660. The facility's investigation identified failed practices related to incontinence care, the staff provided additional training, and care plans were updated to include more frequent toileting supervision and monitoring. Other allegations regarding a resident wandering into another resident's room, a resident accessing an exit door, and delayed meal service or ignored care plan requests were either addressed through care plan updates or found to have no violation.
“Resident left in feces for approximately five hours while lying in bed. Staff were aware of bowel incontinence but failed to attend to resident in a timely manner, leaving feces on resident, bedroom floor, and toilet.”
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WAC 388-78A-2660: Resident left in feces for approximately five hours while lying in bed. Staff were aware of bowel incontinence but failed to attend to resident in a timely manner, leaving feces on resident, bedroom floor, and toilet. WAC 388-78A-2660: Resident missed breakfast because staff did not assist with cleaning up after bowel incontinence episode when resident initially refused. Staff were aware of incontinence but failed to provide adequate care support. WAC 388-78A-2660: Resident with cognitive impairment and bowel incontinence left in feces for approximately six hours while lying in bed. Staff were aware of incontinence and requested another staff member's assistance but were ignored. WAC 388-78A-2660: Resident left sitting on and standing in own urine for extended periods despite staff offering two-hour toileting schedule. Duration of time left in wet brief was not clearly documented. WAC 388-78A-2660: Resident left completely soaked in urine for hours despite offering two-hour toileting schedule. Duration unclear when resident occasionally refused toileting. WAC 388-78A-2660: Resident with incontinence and cognitive impairment left covered in feces for approximately five hours. Staff aware of bowel incontinence requested assistance from another staff member who ignored the request.
2025-02-01Complaint InvestigationType B · 1 finding
Plain-language summary
A complaint investigation at Lynden Manor between November and December 2024 found two violations of health care coordination rules: a urine sample ordered for the resident was not collected until seven days after the order, and the resident's prescribed diabetic diet was not being followed (the resident received a regular diet instead). The facility's management of the resident's heel pressure injuries was found to be appropriate, with nursing staff applying treatment as ordered by the doctor and family members assisting with rewrapping on weekends when the resident removed the dressings.
“The assisted living facility failed to coordinate health care services by not collecting and sending a resident's urine sample to the laboratory in a timely manner. The sample was not collected and sent until 7 days after it was ordered by the physician.”
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WAC 388-78A-2350: The assisted living facility failed to coordinate health care services by not collecting and sending a resident's urine sample to the laboratory in a timely manner. The sample was not collected and sent until 7 days after it was ordered by the physician. WAC 388-78A-2350: The assisted living facility failed to coordinate health care services by not collecting a resident's urine sample in a timely manner. The sample was collected on 09/30/2024, which was 7 days after it was ordered to be collected by the physician. WAC 388-78A-2350: The assisted living facility failed to coordinate health care services by not following the physician's prescribed diabetic diet order. The resident was served a regular diet instead of the ordered diabetic diet, and the negotiated service agreement did not reflect the correct diet order.
2024-12-01Complaint InvestigationNo findings
2024-11-01Complaint Investigation1 finding
Plain-language summary
A complaint investigation at Lynden Manor from July through September 2024 found that a resident left the secured memory care unit undetected and was located by police five miles away at midnight; staff did not know the resident had left until police arrived at the door. Staff intervened appropriately when the resident had an altercation with another resident earlier that evening, but a deficiency was cited for failure to investigate how the resident exited the memory care unit, in violation of Washington Administrative Code 288-78A.
“The Named Resident with a history of elopement left the secured memory care unit undetected through an ineffectively monitored door. Staff were unaware the resident was outside until found by another staff member at the front entrance, approximately 10 minutes after an alarm was triggered. The facility's preventative measures were ineffective.”
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WAC 288-78A-2371: The Named Resident with a history of elopement left the secured memory care unit undetected through an ineffectively monitored door. Staff were unaware the resident was outside until found by another staff member at the front entrance, approximately 10 minutes after an alarm was triggered. The facility's preventative measures were ineffective. WAC 288-78A-2371: The Named Resident left the secured memory care unit undetected and was found by police 5 miles away from the facility at midnight. Staff did not know the resident had left until police arrived, and the facility failed to make a proper determination of how the resident exited, relying instead on assumptions about the resident following someone out through an alarmed door.
2024-08-01Complaint InvestigationType B · 2 findings
Plain-language summary
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“Medication services failed to ensure supervised administration. Morning medications were left unsupervised on residents' countertops for them to take later, and medication cups with medications were found unattended in resident apartments.”
“Multiple discrepancies found in electronic medication administration records showing the resident's diuretic and supplement were given outside of established weight parameters (second dose threshold was 158 lbs). The facility failed to follow medication management protocols.”
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WAC 388-78A-2210(1)(b): Medication services failed to ensure supervised administration. Morning medications were left unsupervised on residents' countertops for them to take later, and medication cups with medications were found unattended in resident apartments. WAC 388-78A-2210(2): Multiple discrepancies found in electronic medication administration records showing the resident's diuretic and supplement were given outside of established weight parameters (second dose threshold was 158 lbs). The facility failed to follow medication management protocols.
2024-06-01Complaint InvestigationType A · 1 finding
Plain-language summary
A complaint investigation at Lynden Manor on March 28, 2024, found that one resident received the wrong dosage of anti-anxiety medication (0.25 mg instead of 0.50 mg) for 26 days between January and February 2024, placed the resident at risk for medical complications, and a collateral contact reported the resident's condition had been declining. Three medication technicians were involved in the errors; one received counseling and two were no longer employed at the facility. The facility was cited for failing to ensure medications were administered as prescribed.
“The facility failed to ensure one resident received medications as prescribed. The resident received wrong dosages of anti-anxiety medication (0.25 mg instead of 0.50 mg Lorazepam) for 26 days in January and February 2024, placing the resident at risk for medical complications.”
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WAC 388-78A-2210: The facility failed to ensure one resident received medications as prescribed. The resident received wrong dosages of anti-anxiety medication (0.25 mg instead of 0.50 mg Lorazepam) for 26 days in January and February 2024, placing the resident at risk for medical complications.
2024-02-01Complaint Investigation1 finding
Plain-language summary
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“Bathroom products were not safely stored in memory care unit bathrooms. Three of three residents' bathrooms had multiple bathroom products sitting on the counter by the sink with no covered storage or locked cabinet.”
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WAC 388-78A-3100: Bathroom products were not safely stored in memory care unit bathrooms. Three of three residents' bathrooms had multiple bathroom products sitting on the counter by the sink with no covered storage or locked cabinet.
2023-12-01Annual Compliance VisitType B · 2 findings
Plain-language summary
During a routine inspection, the facility received citations for two violations: failing to maintain a written policy on accepting Medicaid as a payment source, and medication administration inconsistencies with resident medication orders. The inspection found no violations in other areas reviewed, including resident hygiene, clothing, supervision, staffing levels, and bathroom conditions.
“The facility changed a resident from a single room to a shared room without proper notice and policy regarding resident rights.”
“The facility had medication inconsistencies with medication orders, including delays in refilling medications and not administering anxiety medication timely.”
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WAC 388-78A-2665: The facility changed a resident from a single room to a shared room without proper notice and policy regarding resident rights. WAC 388-78A-2210: The facility had medication inconsistencies with medication orders, including delays in refilling medications and not administering anxiety medication timely.
2023-11-01Complaint Investigation2 findings
Plain-language summary
A complaint investigation at Lynden Manor found that a resident was discovered on the floor with blood and fecal matter, and although the resident had pulled the emergency pull cord in the bathroom, the facility's emergency alert system did not record or respond to that pull cord activation. The facility was cited for noncompliance with communication system requirements under Washington Administrative Code 388-78A-2930. A deficiency was identified and a citation was written.
“Facility staff failed to implement negotiated services agreement. A resident requiring safety checks, meal escorts, and maximum assistance with toileting 1-2 times per shift was not checked from 6:00 AM onwards on 05/28/2023, and was later found unresponsive on the floor. No specific time or log for staff monitoring was maintained.”
“The facility's communication system (emergency pull cord) failed to function properly. When a resident pulled the emergency cord in the bathroom, no report was generated in the alert response system, leaving the resident unable to summon help.”
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WAC 388-78A-2160: Facility staff failed to implement negotiated services agreement. A resident requiring safety checks, meal escorts, and maximum assistance with toileting 1-2 times per shift was not checked from 6:00 AM onwards on 05/28/2023, and was later found unresponsive on the floor. No specific time or log for staff monitoring was maintained. WAC 388-78A-2930: The facility's communication system (emergency pull cord) failed to function properly. When a resident pulled the emergency cord in the bathroom, no report was generated in the alert response system, leaving the resident unable to summon help.
2023-10-01Complaint InvestigationType B · 1 finding
Plain-language summary
A complaint investigation at Lynden Manor in May 2023 found that staff failed to respect one resident's right to refuse removal of compression stockings at night, with one caregiver insisting on removal despite the resident's repeated objections and another staff member later acknowledging they would respect such refusals. The investigation documented that the resident's care plan lacked guidance for staff on how to handle the resident's refusal, and the facility's director of nursing noted the caregiver involved had a "no-nonsense" approach that may have contributed to the conflict. A deficiency was cited and the facility was required to submit a plan of correction.
“The facility failed to protect a resident's right to refuse removal of compression stockings at night. Staff ignored the resident's explicit requests to leave their stockings on, preventing the resident from exercising their right to determine their own dress and personal effects.”
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WAC 388-78A-2660: The facility failed to protect a resident's right to refuse removal of compression stockings at night. Staff ignored the resident's explicit requests to leave their stockings on, preventing the resident from exercising their right to determine their own dress and personal effects.
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