Cogir at the Narrows.

This document was prepared by Residential Care Services for the Locator website. STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES AGING AND LONG-TERM SUPPORT ADMINISTRATION PO Box 99250, Lakewood, WA 98496 Statement of Deficiencies License #: 2654 Compliance Determination # 67570 Plan of Correction Cogir at The Narrows Completion Date Page 1 of 3 Licensee: Cogir Management USA Inc 11/03/2025 You are required to be in compliance at all times with all licensing laws and regulations to maintain your Assisted Living Facility license. The department completed data collection for the unannounced on-site full inspection and complaint investigation on 10/23/2025, 10/24/2025, 10/27/2025 and 10/31/2025 of: Cogir at The Narrows 802 N Laurel Ln Tacoma, WA 98406 This document references the following complaint numbers: 197708, 199563. The following sample was selected for review during the unannounced on-site visit: 10 of 93 current residents and 0 former residents. The department staff that inspected the Assisted Living Facility: Susan Carmichael, Nursing Consultant Institutional Kathy Heinz, Long Term Care Surveyor From: DSHS, Aging and Long-Term Support Administration Residential Care Services, Region 3 , Unit D PO Box 99250 Lakewood, WA 98496 This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #: 2654 Compliance Determination # 67570 Plan of Correction Cogir at The Narrows Completion Date Page 2 of 3 Licensee: Cogir Management USA Inc 11/03/2025 As a result of the on-site visit(s) the department found that you are not in compliance with the licensing laws and regulations as stated in the cited deficiencies in the enclosed report. Residential Care Services Date I understand that to maintain an Assisted Living Facility license, the facility must be in compliance with all the licensing laws and regulations at all times. Administrator (or Representative) Date WAC 388-78A-2466 Background checks Washington state name and date of birth background check Valid for two years National fingerprint background check Valid indefinitely. (1) A Washington state name and date of birth background check is valid for two years from the initial date it is conducted. The assisted living facility must ensure: (b) There is a valid Washington state name and date of birth background check for all administrators, caregivers, staff persons, volunteers and students. This requirement was not met as evidenced by: Based on interview and record review, the Assisted Living Facility (ALF) failed to ensure 1 of 2 sampled staff (Staff C) completed a valid Washington State name and date of birth background check (BGC) every two years as required. This failure placed all 93 residents at risk of harm by receiving care services from staff with an unknown background. Findings included... Review of the facility’s personnel records showed the facility hired Staff C (caregiver) on 08/17/2023. The records showed Staff B’s Washington State name and date of birth BGC expired on 08/02/2025. During an interview on 10/24/2025 at 3:00 PM, Staff B, Business Office Director stated that the facility did not complete Staff C’s Washington State name and date of birth BGC before it expired. An email from Staff A, Memory Care Director, dated 10/31/2025 at 5:02 PM, showed the This document was prepared by Residential Care Services for the Locator website. Statement of Deficiencies License #: 2654 Compliance Determination # 67570 Plan of Correction Cogir at The Narrows Completion Date Page 3 of 3 Licensee: Cogir Management USA Inc 11/03/2025 facility completed a new background check for Staff C on 10/31/2025, more than two months after the previous one expired. Plan/Attestation Statement I hereby certify that I have reviewed this report and have taken or will take active measures to correct this deficiency. By taking this action, Cogir at The Narrows is or will be in compliance with this law and / or regulation on (Date)________________ . In addition, I will implement a system to monitor and ensure continued compliance with this requirement. Administrator (or Representative) Date This document was prepared by Residential Care Services for the Locator website.

—: WA DSHS report: Inspections (01/2026)

Residential Care Services Investigation Summary Report Provider/Facility: Cogir at The Narrows Provider Type: Assisted Living Facility License/Cert.#: 2654 Compliance Determination #: 48791 Intake ID: 156641 Investigator: Woodetta Maulana Region/Unit #: RCS Region 3 / Unit D Investigation Date(s): 10/15/2024 through 01/09/2025 Complainant Contact Date(s): Allegation(s): 1) Named resident did not receive their prescribed medication Investigation Methods: Sample: Total residents: 125 Resident sample size: 7 Closed records sample size: 0 Observations: staff to resident interaction resident general observation of the facility Interviews: staff residents Record Reviews: resident records Investigation Summary: 1) The Assisted Living failed to ensure that named residents received their medication as prescribed. Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A This document was prepared by Residential Care Services for the Locator website. Residential Care Services Investigation Summary Report Provider/Facility: Cogir at The Narrows Provider Type: Assisted Living Facility License/Cert.#: 2654 Compliance Determination #: 48791 Intake ID: 147854 Investigator: Woodetta Maulana Region/Unit #: RCS Region 3 / Unit D Investigation Date(s): 10/15/2024 through 01/09/2025 Complainant Contact Date(s): Allegation(s): 1) Staff often speak to residents unkindly 2) Staff would ignore clients when they had to use the restroom, staff would move clients aside in their wheelchair when they asked to use the restroom instead of assisting them to the restroom 3) Staff would lock clients out of their rooms during the day. Residents would have to find a staff member to get access to the bathroom in the room and for the clients in memory care that was not an option as they didn't understand to ask for help to get into their rooms to use their bathrooms. 4) Named resident would often have bruising on her wrists and arms 5) Named resident had multiple falls, including tripping over a scale that was left in the middle of the floor by a staff member 6) When named resident passed away they had a fractured rib Investigation Methods: Sample: Total residents: 125 Resident sample size: 7 Closed records sample size: 0 Observations: staff to resident interaction resident to resident interaction residents general observation of the facility Interviews: staff others not associated with the facility Record Reviews: resident records Investigation Summary: 1) Unable to substantiate failed facility practice 2) Unable to substantiate failed facility practice 3) The Assisted Living Facility failed to ensure residents always had access to their own rooms without staff assistance. 4) Unable to substantiate failed facility practice 5) The facility failed to determine a need for further action when named resident This document was prepared by Residential Care Services for the Locator website. had an accident that could adversely affect their well-being. 6) Named resident moved out of the facility and the broken rib was discover after named resident moved into a different facility. Unable to substantiate failed facility practice Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website.

STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES Aging and Long-Term Support Administration PO Box 45600, Olympia, WA 98504-5600 July 25, 2024 ELECTRONIC-FACSIMILE Administrator Cogir at The Narrows 802 N Laurel Ln Tacoma, WA 98406 Assisted Living Facility License # 2654 Licensee: Cogir Management USA Inc IMPOSITION OF CIVIL FINE Dear Administrator: On July 16, 2024, the Department of Social and Health Services (DSHS), Residential Care Services completed a follow-up visit at your facility. This letter constitutes formal notice of a civil fine on the license for your assisted living facility, also known as Cogir at The Narrows, located at 802 N Laurel Ln, Tacoma, by the State of Washington, Department of Social and Health Services. These actions are taken under the authority granted pursuant to Laws of 1998, Chapter 272 and RCW 18.20.190. The civil fine on the license is based on the following violation of the RCW and/or WAC as described in the attached Statement of Deficiencies (SOD) report dated July 16, 2024. Civil Fine WAC 388-78A-2610(1)(2)(a)(b)(c)(d)(e)(f) Infection control. $300.00 The licensee failed to ensure three staff were fit tested (a process that confirms the fit of a respirator on the user’s face before it is used) for an N95 respirator (a mask that filters at least 95% of small particles). This failure placed all residents, staff, and visitors at risk of potential harm if highly communicable pathogens were present. This is an uncorrected deficiency previously cited on May 2, 2024, for subsections (1) and (2)(a). NOTE: This is the violation, which resulted in the fine; see the attached Statement of Deficiencies for any additional violations. Administrator Cogir at The Narrows License # 2654 July 25, 2024 Page 2 Attestation (Plan of Correction): Return the enclosed SOD within 10 calendar days with the following: • The date you have or will have each deficiency corrected; • A signature and date attesting that you are taking actions to correct and maintain correction for each cited deficiency. Return the signed and dated SOD to: Manfay Chan, Field Manager Region 3, Unit D 9501 Lakewood Dr SW Suite E Lakewood, WA 98499 Phone: (253) 442-3013/ Fax: (253) 589-7240 rcsregion3email@dshs.wa.gov Appeal Rights: You have two appeal rights: Informal Dispute Resolution (IDR) and an Administrative Hearing. Each has a different request timeline. Informal Dispute Resolution [RCW 18.20.195] You have an opportunity to challenge the deficiencies and/or enforcement actions through the state's IDR process. All IDR requests must be in writing and include: • The deficiencies you are disputing; and • The method of review you prefer (face-to-face, telephone conference or documentation review). The written request must be received by the 10th working day from receipt of this letter. During the IDR process, you will have the opportunity to present written and/or oral evidence to dispute the deficiencies. Send your written request to: Informal Dispute Resolution Program Manager Residential Care Services PO Box 45600 Olympia, Washington 98504-5600 Administrator Cogir at The Narrows License # 2654 July 25, 2024 Page 3 Formal Administrative Hearing You may contest the civil fine by requesting a formal administrative hearing to challenge the deficiency, which resulted in the civil fine. All hearing requests must be in writing and include: • A copy of this letter; and • A copy of the Statement of Deficiencies. The written request must be received within twenty-eight (28) calendar days of receipt of this letter. Send your written request to: Office of Administrative Hearings PO Box 42489 Olympia, Washington 98504-2489 Payment: If you do not request a formal administrative hearing, the civil fine is due to the Office of Financial Recovery twenty-eight (28) calendar days after receipt of this letter. Mail a check for $300.00 payable to the ‘Department of Social and Health Services’, and if you have or have had a Medicaid resident(s), please include your ProviderOne ID Number # on the check, to: DSHS Office of Financial Recovery PO Box 9501 Olympia, WA 98507-9501 (360) 664-5919 / FAX: (360) 664-8401 OFRMMISVendor@dshs.wa.gov If the Office of Financial Recovery has not received your payment within twenty-eight (28) days after receipt of this letter, interest will begin to accrue immediately on the balance, at the rate of one percent per month. If you do not submit a hearing request or make payment within twenty-eight (28) days, the balance due will be recovered. Administrator Cogir at The Narrows License # 2654 July 25, 2024 Page 4 If you have any questions, please contact Manfay Chan, Field Manager, at (253) 442-3013. Sincerely, Matt Hauser Compliance Specialist Residential Care Services Enclosure cc: Field Manager, Region 3, Unit D RCS Regional Administrator, Region 3 HCS Regional Administrator, Region 3 DDA Regional Administrator, Region 3 WA LTC Ombuds Office of Financial Recovery, Vendor Program Unit HQ Central Files DRW HP

This document was prepared by Residential Care Services for the Locator website. Residential Care Services Investigation Summary Report Provider/Facility: Cogir at The Narrows Provider Type: Assisted Living Facility License/Cert.#: 2654 Compliance Determination #: 24050 Intake ID: 51979 Investigator: Woodetta Maulana Region/Unit #: RCS Region 3 / Unit D Investigation Date(s): 09/28/2022 through 05/18/2023 Complainant Contact Date(s): Allegation(s): 1) First responders unable to open door to facility causing a 10 minute delay. 2) Named resident was not provided services according to care plan. 3) Staff sleeping when first responders arrived and did not assist to help resident. Investigation Methods: Sample: Total residents: 37 Resident sample size: 4 Closed records sample size: 3 Observations: staff to resident interaction residents general observation of the facility Interviews: staff residents others not associated with the facility Record Reviews: resident records Investigation Summary: 1) Based on observation and interview, the assisted living facility failed to have the door key readily available when first responders arrived at the facility. 2) Based on interview and record review the facility failed to provide care and services as agreed upon in the negotiated service agreement for resident 1. 3) Interviewed caregiver who stated they were on break and put their head down but was not sleeping. Stated they saw first responders enter the facility and first responders went directly to the resident’s room. Interviewed Executive director who stated caregiver is not allowed back into facility. Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A This document was prepared by Residential Care Services for the Locator website. Residential Care Services Investigation Summary Report Provider/Facility: Cogir at The Narrows Provider Type: Assisted Living Facility License/Cert.#: 2654 Compliance Determination #: 24050 Intake ID: 60412 Investigator: Woodetta Maulana Region/Unit #: RCS Region 3 / Unit D Investigation Date(s): 09/28/2022 through 05/18/2023 Complainant Contact Date(s): Allegation(s): 1)Facility failed to provide care and services as agreed upon in the negotiated service agreement for named resident . 2) When first responders arrived to the facility the doors were locked and staff did not have a key to open the door. Investigation Methods: Sample: Total residents: 37 Resident sample size: 4 Closed records sample size: 3 Observations: staff to resident interaction residents general observation of the facility Interviews: staff residents others not associated with the facility Record Reviews: resident records Investigation Summary: 1) Based on interview and record review the facility failed to provide care and services as agreed upon in the negotiated service agreement for named resident 2) Based on observation and interview, the assisted living facility failed to have the door key readily available when first responders arrived at the facility. Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A This document was prepared by Residential Care Services for the Locator website. Residential Care Services Investigation Summary Report Provider/Facility: Cogir at The Narrows Provider Type: Assisted Living Facility License/Cert.#: 2654 Compliance Determination #: 24050 Intake ID: 50841 Investigator: Woodetta Maulana Region/Unit #: RCS Region 3 / Unit D Investigation Date(s): 09/28/2022 through 05/18/2023 Complainant Contact Date(s): Allegation(s): 1) Named resident had a fall due to facility's neglect. Investigation Methods: Sample: Total residents: 37 Resident sample size: 4 Closed records sample size: 3 Observations: staff to resident interaction residents general observation of the facility Interviews: staff others not associated with the facility Record Reviews: n/a Investigation Summary: 1) Based on interview and record review, as the most recent licensee, the assisted living facility failed to ensure records of former named resident was available for review by the department. Conclusion / Action: Failed Provider Practice Identified / Citation(s) Written Failed Provider Practice Not Identified / No Citation Written N/A This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website. This document was prepared by Residential Care Services for the Locator website.