What’s Included
A complete picture of your survey readiness
Each engagement is customized to your provider type, regulatory history, and most pressing survey risks — covering both the clinical record and the physical environment.
Mock Survey & Regulatory Readiness
Pre-Survey Document Request & Intake Review
We request and review your current policies, recent survey history, deficiency records, and staffing documentation before arriving on site — so we walk in prepared.
On-Site Simulation Using Actual DSHS Protocols
A full mock survey conducted using the same tools, WAC references, and surveyor processes DSHS uses — tailored to your specific license type (AL, SNF, Memory Care, Home Health, etc.).
Staff Interviews at All Levels
We interview frontline staff, supervisors, and administrators — exactly as a real surveyor would — to assess the gap between written policy and daily practice.
Exit Conference with Prioritized Findings
A structured exit conference with your leadership team covers all identified risks, prioritized by severity, with immediate guidance on next steps.
Written Report with Citation Risks & Recommendations
A clear written findings report delivered within 5–10 business days, organized by citation risk level and aligned to specific WAC/CMS tags for your provider type.
Optional Plan of Correction (POC) Development & Support
For organizations that need additional support, we develop and monitor your Plan of Correction through implementation — including 30/60/90-day check-ins.
Fire & Life Safety Survey Preparedness
On-Site Fire & Life Safety Audit
Our consultant conducts a full on-site audit using CMS Life Safety Code requirements and Washington State survey protocols — walking every area of your facility with trained eyes.
Evacuation Procedure Review & Documentation Assessment
We review your evacuation procedures, drill records, staff training documentation, and post-drill evaluations against current CMS and WA state requirements.
Physical Plant Walk-Through with Risk Prioritization
Room-by-room and corridor-by-corridor assessment of physical plant life safety conditions — exit signage, fire door hardware, sprinkler systems, corridor clearance, and more.
Written Findings with Specific Remediation Steps
Life safety findings are included in your integrated survey preparedness report — prioritized by deficiency risk with clear, actionable remediation steps your team can execute.
Who It’s For
Washington State senior living providers across the continuum
Our consultants are credentialed across every provider type regulated by DSHS and CMS in Washington State — including rural and underserved communities served via hybrid delivery.
Assisted Living (WAC 388-78A) | Memory Care Communities | Skilled Nursing Facilities (WAC 388-97) | CCRCs / Life Plan Communities | Home Health Agencies (WAC 246-335) | Hospice Providers
Why LeadingCare
What makes us different
We’re not a national firm parachuting in with a generic approach. We are Washington State providers’ home-field consultants.
| Washington State Regulatory Depth Our consultants specialize in WA-specific regulations — WAC 388-78A, WAC 388-97, WAC 246-335 — not just federal CMS standards that national firms rely on. |
Clinical & Life Safety in One Engagement Rather than hiring separately for mock survey and life safety review, LeadingCare covers both areas in a single coordinated engagement — giving you a complete picture before your survey. |
Nonprofit Mission Alignment LeadingCare is a division of LeadingAge Washington. We understand the governance, culture, and financial realities of nonprofit operators across the state. |
Post-Survey Partnership We don’t hand you a report and leave. We remain engaged for POC implementation, staff training follow-through, and check-ins as needed — rural and urban providers alike. |
Your Consultant
Annie Zell, Principal Consultant
Annie works alongside Washington State senior living providers as a trusted advisor — practical, direct, and deeply familiar with the regulatory landscape providers face every day.
With expertise in Washington State regulations including WAC 388-78A, WAC 388-97, and WAC 246-335, Annie brings clinical and operational knowledge across the full senior living continuum — from assisted living and memory care to skilled nursing, home health, and hospice. She understands the governance, culture, and financial realities of nonprofit operators because she has worked alongside them.
Every LeadingCare engagement begins with listening. Annie’s approach is collaborative and practical — the goal is always to leave your organization stronger, more confident, and better prepared for what’s ahead.
Schedule a Free Consult with Annie
Get StartedSchedule your free 45-minute consultTell us where you are, what you’re facing, and what would make the most difference. We’ll take it from there.Schedule a Free Consult with Annie
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