$611,000 fine is proposed for nursing home with 40 coronavirus deaths

A worker at the Life Care Center
The Life Care Center of Kirkland, Wash.
(Ted S. Warren / Associated Press)

Federal authorities have proposed a $611,000 fine for a Seattle-area nursing home connected to at least 40 coronavirus deaths.

State regulators and the Centers for Medicare and Medicaid Services conducted an inspection of the Life Care Center of Kirkland on March 16, finding serious infractions that they said placed residents in immediate danger.

Authorities said Life Care had at least partially fixed the most serious problems by the time they conducted a follow-up inspection last weekend. In a letter to Life Care on Wednesday, CMS proposed a fine of $611,000, but said that could be adjusted up or down based on how Life Care continues to correct remaining problems.


For at least a week, coronavirus silently spread among the 120 residents, 180 staff and multitudes of visitors.

March 15, 2020

Life Care, which can appeal the fine, did not immediately return an email seeking comment.

The federal regulators said the most serious problems concerned a failure to rapidly identify and manage sick residents during an outbreak of respiratory illness that began by mid-February; a failure to notify the Washington Department of Health about the increasing rate of respiratory infections among residents; and a failure to have a backup plan in the absence of Life Care’s primary clinician, who fell ill.

The deadly outbreak among members of a choir has stunned health officials, who have concluded that the virus was almost certainly transmitted through the air from one or more people without symptoms.

March 29, 2020

CMS notified Life Care on March 18 that it had 23 days to remedy violations that placed residents at immediate jeopardy before it would be terminated as a Medicare provider. The agency on Wednesday extended that period, saying Life Care must fix all remaining issues by Sept. 16.

Among the remaining issues is whether Life Care has a medical director coordinating care at the facility and whether it is properly protecting patient records.


For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death.