disaster plan – 2017 resident relocation agreement · pdf filedisaster plan – 2017...

71
An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org Disaster Plan – 2017 Resident Relocation Agreement Last Update (Contacts only) October 2017 The following agreement is designed to assist participating organizations in the event of an area- wide disaster-initiated relocation. All decisions to admit any person to a facility shall remain the sole right of the administrator of that facility. In the event of a disaster-initiated relocation, the organization seeking placement ("sending member") may contact any organization listed herein. It shall remain the right of the organization to which admission is sought ("receiving member") to accept or to reject, without cause, any or all potential placements. In the event of a change of circumstances, this agreement may be renegotiated. Thank you for your participation. Deborah A. Murphy Chief Executive Officer

Upload: hoangdung

Post on 24-Mar-2018

219 views

Category:

Documents


1 download

TRANSCRIPT

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan – 2017Resident Relocation Agreement

Last Update (Contacts only) October 2017

The following agreement is designed to assist participating organizations in the event of an area-wide disaster-initiated relocation.

All decisions to admit any person to a facility shall remain the sole right of the administrator of that facility. In the event of a disaster-initiated relocation, the organization seeking placement ("sending member") may contact any organization listed herein. It shall remain the right of the organization to which admission is sought ("receiving member") to accept or to reject, without cause, any or all potential placements.

In the event of a change of circumstances, this agreement may be renegotiated.

Thank you for your participation.

Deborah A. MurphyChief Executive Officer

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

DISASTER PLAN – Resident Relocation Agreement

1. Purpose - The purpose of this agreement is to establish a plan for the handling of residents in the event of an area-wide disaster.

2. Limitations of This Agreement - This agreement is to be signed by participating organizations to assist each other in the event of a disaster-initiated relocation among the parties hereto. Nothing herein shall be construed as creating an enforceable right to relocate any resident. All decisions to admit any person to a community shall remain the sole right of the administrator of that community. In the event of a change of circumstances, this agreement may be renegotiated.

3. Responsibilities of Participating Organizations - In the event of a disaster-initiated relocation, the organization seeking placement ("sending member") may contact any organization listed below. It shall remain the right of the organization to which admission is sought ("receiving member") to accept or to reject, without cause, any or all potential placements. Responsibilities under this agreement shall be as follows:

a) Responsibilities of the Sending Member: i. To provide as much notice as possible. ii. To provide all staff necessary to meet the direct care needs of the relocated residents. iii. To provide all notices of relocation to appropriate regulatory agencies, physicians, family

members and other parties requiring notice. iv. To assume responsibility of the care provided to residents by the sending member including, but

not limited to, the providing of medications, treatments, care planning and physician supervision. v. To provide compensation to the receiving member for the care and services provided to the

sending member's residents at a rate agreed to by both the sending and receiving member. vi. To relocate any resident when requested by the receiving member. vii. To assume liability and overall responsibility for care given to residents during the transfer and

while in the receiving community.

b) Rights and Responsibilities of the Receiving Member: i. To provide temporary shelter, food, and services as agreed to prior to admission. ii. To require relocation of any and all residents when, in the opinion of the receiving member,

continued stay hinders their ability to meet the needs of the receiving member's residents. iii. To assume joint responsibility with the sending member for the care given to residents while in

the community of the receiving member.

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Community Name:

Campus:

Phone:

CEO, Administrator, Executive Director:

Person (Name/Title) to contact if implemented

Email:

Limitations on who can be admitted:

# of Relocated Persons theCampus Can Handle:

Resident Transportation Resources:

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Briarwood at Timber Ridge

Campus: Briarwood at Timber Ridge 100 Timber Ridge Way NW Issaquah, WA 98027

Phone: 425-427-5200

CEO, Administrator, Executive Director: Heather Turnerr

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No vents, no Medicaid certified

# of Relocated Persons theCampus Can Handle:

Depends on vacancy at the time.

Resident Transportation Resources:

(1) - 18 person facility bus, (1) - 14 person facility bus

Supply Transportation Resources

Comments:

No changes since: June 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Campus Towers Retirement

Campus: Campus Towers Retirement 1767 20th Avenue Longview, WA 98632

Phone: 360-423-6200

CEO, Administrator, Executive Director: Marchelle Knapp

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

Independent Seniors 62+

# of Relocated Persons theCampus Can Handle:

Depends of vacant units at the time disaster

Resident Transportation Resources:

None

Supply Transportation Resources

Comments:

No changes since: Sept 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Cannon House, The

Campus: Cannon House 113 - 23rd Ave. S Seattle, WA 98144

Phone: 206-709-1777

CEO, Administrator, Executive Director: Nicholas Shepherd

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No skilled care level patients: IV lines, ventilator; trachs; feeding tubes; bed ridden; etc. No persons requiring 2 people transfer assist and no psychotic/delusional schizophrenic, violent or verbally abusive behaviors.

# of Relocated Persons theCampus Can Handle:

6

Resident Transportation Resources:

None

Supply Transportation Resources

Comments:

No changes since: Sept 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Canterbury Manor

Campus: Canterbury Manor 703 Callahan Drive Bremerton, WA 98310

Phone: 360-377-0113

CEO, Administrator, Executive Director: Cheryl Radebaugh

Person (Name/Title) to contact if implemented

Cheryl Radebaugh

Email: [email protected]

Limitations on who can be admitted:

Independent Residents Only

# of Relocated Persons theCampus Can Handle:

Approximately 10-20, depends on current census

Resident Transportation Resources:

(1) - 13 pass bus, (1) - 7 passenger van

Supply Transportation Resources

Comments:

No changes since: May 2013

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Caroline Kline Galland Home

Campus: Caroline Kline Galland Home 7500 Seward Park Ave. S Seattle, WA 98118

Phone: 206-725-8800

CEO, Administrator, Executive Director: Min An

Person (Name/Title) to contact if implemented

Min An

Email: [email protected]

Limitations on who can be admitted:

No respirators

# of Relocated Persons theCampus Can Handle:

15 to 20

Resident Transportation Resources:

(3) - buses

Supply Transportation Resources

Comments:

No changes since: July 2008

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Chateau at Bothell Landing

Campus: Chateau at Bothell Landing 17543 102nd Ave NE Bothell, WA 98011

Phone: 425-485-1155

CEO, Administrator, Executive Director: Jason Brooks

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No skilled nursing needs or unstable medical/behavioral needs.

# of Relocated Persons theCampus Can Handle:

Dependent on current vacancy/availability

Resident Transportation Resources:

(1) - 12 passenger bus, (1) - 16 passenger bus,(1) - 4 passenger mini van

Supply Transportation Resources

Comments:

No changes since: Sept 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Chateau at Pacific

Campus: Chateau at Pacific 3333 148th St. SW Lynnwood, WA 98087

Phone: 425-787-9693

CEO, Administrator, Executive Director: Darrin Haase

Person (Name/Title) to contact if implemented

Darrin Haase

Email: [email protected]

Limitations on who can be admitted:

No skilled nursing needs or unstable medical/behavioral needs.

# of Relocated Persons theCampus Can Handle:

Dependent on current availability

Resident Transportation Resources:

(1) - 12 passenger bus w/ wheelchair lift, town car

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Chateau at Valley Center

Campus: Chateau at Valley Center 4450 Davis Ave S Renton, WA 98055

Phone: 425-251-6677

CEO, Administrator, Executive Director: Suzanne McKenchnie

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No skilled nursing needs or unstable medical/behavioral needs.

# of Relocated Persons theCampus Can Handle:

Dependent on current vacancy/availability

Resident Transportation Resources:

(1) - 14 passenger bus w/ wheelchair life, (1) - 5 passenger town car

Supply Transportation Resources

Comments:

No changes since: June 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Cheney Care Center

Campus: Cheney Care Center 2219 N. 6th St. Cheney, WA 99004

Phone: 509-235-6196

CEO, Administrator, Executive Director: Keith Fauerso

Person (Name/Title) to contact if implemented

Keith Fauerso

Email: [email protected]

Limitations on who can be admitted:

No person with an active infection or communicable disease

# of Relocated Persons theCampus Can Handle:

6

Resident Transportation Resources:

(2) - w/c lift equipped 14 passenger vans, (1) - w/c ramp equipped mini van

Supply Transportation Resources 1 Pick up

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Christian Health Care Center

Campus: Christian Health Care Center 855 Aaron Drive Lynden, WA 98264

Phone: 360-354-4434

CEO, Administrator, Executive Director: Tonja Myers

Person (Name/Title) to contact if implemented

Tonja Myers

Email: [email protected]

Limitations on who can be admitted:

Not able to accept trechs, vents, dialysis or residents with drug abuse issues or violent residents

# of Relocated Persons theCampus Can Handle:

Depends on census at the time.

Resident Transportation Resources:

(1) - 12 passenger bus, (1) - 3 passenger van

Supply Transportation Resources bus & van

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Columbia Lutheran Home

Campus: Columbia Lutheran Home 4700 Phinney Ave. North Seattle, WA 98103

Phone: 206-632-7400

CEO, Administrator, Executive Director: David Heyer

Person (Name/Title) to contact if implemented

David Heyer

Email: [email protected]

Limitations on who can be admitted:

No residents on ventilators or smoking

# of Relocated Persons theCampus Can Handle:

4 to 8

Resident Transportation Resources:

(1) - Small wheelchair-equipped van

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Covenant Shores

Campus: Covenant Shores 9150 Fortuna Drive Mercer Island, WA 98040

Phone: 206-268-3000

CEO, Administrator, Executive Director: Victor Odiakosa

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No contagious diseases, ventilators, smoking, Can serve assisted living, memory support and skilled care.

# of Relocated Persons theCampus Can Handle:

Depends on occupancy. Census runs 94%

Resident Transportation Resources:

Bus

Supply Transportation Resources

Comments:

No changes since: Sept 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

CRISTA Senior Living

Campus: CRISTA Senior Living 19303 Fremont Ave. N Seattle, WA 98133

Phone: 206-546-7400 & 206-546-7500

CEO, Administrator, Executive Director:

Mike Shaw (Crista Rehab and Skilled Cere) Angela Wright-Geppert (Cristwood Park) Debra Hawkins (Cristwood Garden)Mark Longenecker (Vice President Crista Senior Living)

Person (Name/Title) to contact if implemented

Email: [email protected]; [email protected]; [email protected]; [email protected]

Limitations on who can be admitted:

No contagious diseases, ventilators, acute psychiatric, smoking. No Medicaid residents in AL

# of Relocated Persons theCampus Can Handle:

2-3 L.T.C., 2-3 Short Term Rehab, 5 AL

Resident Transportation Resources:

(2) - 17 passenger bus with w/c access for 2, (1) - 3 passenger vehicle, (1) - 5 passenger van with w/c access

Supply Transportation Resources

Comments:

No changes since: Sept 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

CRISTA Shores

Campus: CRISTA Shores 1600 NW Crista Shores Ln Silverdale, WA 98383

Phone: 360-698-0900

CEO, Administrator, Executive Director: Tim Graves

Person (Name/Title) to contact if implemented

Tim Graves

Email: [email protected]

Limitations on who can be admitted:

No skilled nursing available; no communicable diseases

# of Relocated Persons theCampus Can Handle:

Assisted Living: 3-5 depends on censusIndependent: 10-15, depends on census

Resident Transportation Resources:

(1) - 14 passenger bus, (1) - wheelchair accessible van

Supply Transportation Resources Pickup Truck

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Emerald Heights

Campus: Emerald Heights 10901- 176th Circle NE Redmond, WA 98052

Phone: 425-556-8100

CEO, Administrator, Executive Director: Ann Zell

Person (Name/Title) to contact if implemented

Ann Zell

Email: [email protected]

Limitations on who can be admitted:

Age 62+, no communicable diseases. Can serve independent, assisted living, memory support and skilled care dependent upon occupancy and our ability to safely provide services.

# of Relocated Persons theCampus Can Handle:

Dependent on occupancy

Resident Transportation Resources:

(2) - passenger buses, (3) - wheelchair accessible vans.

Supply Transportation Resources same as resources

Comments:

No changes since: May 2013

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Foss Home And Village

Campus: Foss Home And Village 13023 Greenwood Ave N Seattle, WA 98133

Phone: 206-364-1300

CEO, Administrator, Executive Director: Rick Henry and Rachael Gerdis

Person (Name/Title) to contact if implemented

Email: [email protected]; [email protected]

Limitations on who can be admitted:

No ventilators, behavior problems, dialysis or Trach

# of Relocated Persons theCampus Can Handle:

10 Maximum

Resident Transportation Resources:

(1) - 12 passenger bus, (1) - 6 passenger van

Supply Transportation Resources 1 Pick up

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Franke Tobey Jones

Campus: Franke Tobey Jones 5340 North Bristol Tacoma, WA 98407

Phone: (253) 752-6621

CEO, Administrator, Executive Director:

Mark Gustafson

Person (Name/Title) to contact if implemented

Mark Gustafson

Email: [email protected]

Limitations on who can be admitted:

No chemical dependency, no Medicare residents currently using Medicare time, patients on a ventilator, patients on TPN and patients with behavioral problems. And no dialysis or trach patients, no patients requiring isolation or private rooms.

# of Relocated Persons theCampus Can Handle:

10 - 30, depending on availability

Resident Transportation Resources:

(1) - 22 passenger coach, (1) - 15 passenger lift coach, (1) - 7 passenger van, (1) - MOA for alternate transportation needs with Around The Sound(253) 858-7088

Supply Transportation Resources

Comments:

No changes since: May 2013

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Fred Lind Manor

Campus: Fred Lind Manor 1802 17th Ave Seattle, WA 98122

Phone: 206-324-1632

CEO, Administrator, Executive Director: Dave Foltz

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

All physical assistance limited to standby assistance; can only visually assist with injections

# of Relocated Persons theCampus Can Handle:

4

Resident Transportation Resources:

Community Bus & Car

Supply Transportation Resources

Comments:

No changes since: July 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Garden Terrace / Garden Terrace West

Campus: Garden Terrace 500 N. Emerson Avenue Wenatchee, WA 98801

Phone: 509-663-2154

CEO, Administrator, Executive Director: Ken Neher

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

Independent Living, persons 62+ older

# of Relocated Persons theCampus Can Handle:

We are usually full, probably would not have any space

Resident Transportation Resources:

City Bus Service

Supply Transportation Resources

Comments:

No changes since: July 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Gardens at Juanita Bay, The

Campus: Gardens at Juanita Bay, The 11853-97th Ave. NE Kirkland, WA 98034

Phone: 425-823-0410

CEO, Administrator, Executive Director: John Frost

Person (Name/Title) to contact if implemented

John Frost

Email: [email protected]

Limitations on who can be admitted:

Must meet disclosure document unless providing staff

# of Relocated Persons theCampus Can Handle:

5

Resident Transportation Resources:

(1) - 12 person bus

Supply Transportation Resources 12 person bus

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Hearthstone, The

Campus: Hearthstone, The 6720 E. Green Lake Way N. Seattle, WA 98103

Phone: 206-525-9666

CEO, Administrator, Executive Director: Jim Mertz

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

Skilled and Assisted Living as space is available; no special care (NABO- TPN); can also take some independent residents if no family available. No communicable or contagious conditions

# of Relocated Persons theCampus Can Handle:

50-70 in the common areas.

Resident Transportation Resources:

(1) - 7 passenger van, (1) - 15 Passenger bus with wheelchair lift

Supply Transportation Resources

Comments:

No changes since: June 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Holman Gardens Retirement Community

Campus: Holman Gardens Retirement Community 12912 E. 12th Avenue Spokane Valley, WA 99216

Phone: 509-927-2300 or 509-953-6102

CEO, Administrator, Executive Director: Linda Hubble

Person (Name/Title) to contact if implemented

Linda Hubble

Email: [email protected]

Limitations on who can be admitted:

Independent Living - 62 years and older

# of Relocated Persons theCampus Can Handle:

10

Resident Transportation Resources:

(1) - 24 passenger bus, (1) - 15 passenger bus,(1) - 8 passenger mini-van

Supply Transportation Resources

Comments:

No changes since: November 2010

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Horizon House

Campus: Horizon House 900 University St. Seattle, WA 98101

Phone: 206-624-3700

CEO, Administrator, Executive Director: Sara McVey

Person (Name/Title) to contact if implemented

Sara McVey

Email: [email protected]

Limitations on who can be admitted:

No one on a respirator, with a communicable and contagious disease, trach, Ivs or TPN

# of Relocated Persons theCampus Can Handle:

Depends on census

Resident Transportation Resources:

(1) - 25 pasenger Bus, (1) - 7 pasenger van,(1) - 12 pasenger shuttle van

Supply Transportation Resources Ford ranger pickup

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Josephine

Campus: Josephine 9901 272nd Place NW Stanwood, WA 98292

Phone: 360-510-2083

CEO, Administrator, Executive Director: Terry Roberston/Teri Lindgren

Person (Name/Title) to contact if implemented

Terry Robertson/Teri Lindgren

Email: [email protected]

Limitations on who can be admitted:

# of Relocated Persons theCampus Can Handle:

Dependent on census 10-50

Resident Transportation Resources:

(4) 12-14 passenger vans/mini buses, 2 w/lifts

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Judson Park Retirement Community

Campus: Judson Park Retirement Community 23600 Marine View Drive S. Des Moines, WA 98198

Phone: 206-824-4000

CEO, Administrator, Executive Director: Nikole Jay

Person (Name/Title) to contact if implemented

Nikole Jay

Email: [email protected]

Limitations on who can be admitted:

Any limitations based upon available staff and available beds

# of Relocated Persons theCampus Can Handle:

7 Skilled Nursing; 2 Assisted Living; 6 Independent (Depends on available staff & bed)

Resident Transportation Resources:

(1) - 25 passenger bus, (1) - 20 passenger bus,(1) - 12 passenger bus w/wheelchair lift,(1) - 7 passenger van

Supply Transportation Resources 1 van, 3 passenger cars

Comments:

No changes since: May 2013

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Kawabe Memorial House

Campus: Kawabe Memorial House 221 18th Ave. S Seattle, WA 98144

Phone: 206-322-4550

CEO, Administrator, Executive Director: Connie Devaney

Person (Name/Title) to contact if implemented

Connie Devaney

Email: [email protected]

Limitations on who can be admitted:

Must be 62 years of age & able to live independently

# of Relocated Persons theCampus Can Handle:

Varies depending upon vacancies

Resident Transportation Resources:

none

Supply Transportation Resources We can arrange transportation to doctors

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Keiro Northwest - Nikkei Manor Campus: Keiro Northwest - Nikkei Manor

700 Sixth Ave. South Seattle, WA 98104

Phone: 206-726-6460

CEO, Administrator, Executive Director:

Lisa Waisath

Person (Name/Title) to contact if implemented

Lisa Waisath

Email: [email protected]

Limitations on who can be admitted:

No mechanical lifts, must be able to bear weight and assist with transfers, no wounds>stage 2, no tube feeding, no active wandering behavior, no primary diagnosis of mental illness (as reason for ALF placement)

# of Relocated Persons theCampus Can Handle:

4-5

Resident Transportation Resources:

(1) - 7 passenger van, (1) - 10 passenger van (no lifts) -on site, (1) - 15 passenger bus/ w/ lift, (1) - 4 passenger bus (space for 1 wheelchair) - both shared with Seattle Keiro (located at SK)

Supply Transportation Resources Maintenance Van - shared with Seattle Keiro (located at SK)

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Keiro Northwest Rehabilitation and Care Center

Campus: Keiro Northwest Rehabilitation and Care Center

1601 East Yesler Way Seattle, WA 98122

Phone: 206-323-7100

CEO, Administrator, Executive Director: Denney Austin

Person (Name/Title) to contact if implemented

Jessica Giron

Email: [email protected]

Limitations on who can be admitted:

No bariatric, no trach care or ventilators, no TB, no smoking, no severe behaviors

# of Relocated Persons theCampus Can Handle:

20-25 using common areas/empty beds

Resident Transportation Resources:

(1) - 8 passenger Van, (1) - 14 passenger van,(no lifts)

Supply Transportation Resources 1 van

Comments:

No changes since: Sept 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Kin On Health Care Center

Campus: Kin On Health Care Center 4416 South Brandon Street Seattle, WA 98118

Phone: 206-721-3630

CEO, Administrator, Executive Director: Boliver Choi

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

Need to assess on a case by case basis

# of Relocated Persons theCampus Can Handle:

Depends on census at the time

Resident Transportation Resources:

(1) - van with 15 seats and 2 wheelchair space

Supply Transportation Resources

Comments:

No changes since: June 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Legacy House

Campus: Legacy House 803 S. Lane St. Seattle, WA 98104

Phone: 206-292-5184

CEO, Administrator, Executive Director: Emiko (Emi) Mizuki

Person (Name/Title) to contact if implemented

Emiko (Emi) Mizuki

Email: [email protected]

Limitations on who can be admitted:

None of the following: oxygen, tube feeding, residents on dialysis, smoker, urinary catheters (indwelling or in/out catheters). Need to asses on a case by case basis.

# of Relocated Persons theCampus Can Handle:

Call for room availability.

Resident Transportation Resources:

No private vehicle/transportation

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Life Manor Assisted Living

Campus: Life Manor Assisted Living 1609 S. Union Tacoma, WA 98405

Phone: 253-779-3800

CEO, Administrator, Executive Director: Pat Walker

Person (Name/Title) to contact if implemented

Pat Walker

Email: [email protected]

Limitations on who can be admitted:

65 and older

# of Relocated Persons theCampus Can Handle:

2

Resident Transportation Resources:

City Bus

Supply Transportation Resources

Comments:

No changes since: May 2013

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Life Manor Retirement Community

Campus: Life Manor Retirement Community 1601 S. Union Tacoma, WA 98405

Phone: 253-383-3363

CEO, Administrator, Executive Director: Caroline Robinson

Person (Name/Title) to contact if implemented

Caroline Robinson

Email: [email protected]

Limitations on who can be admitted:

62+, or disabled, low income

# of Relocated Persons theCampus Can Handle:

5

Resident Transportation Resources:

City Bus

Supply Transportation Resources

Comments:

No changes since: August 2014

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Lilac Plaza

Campus: Lilac Plaza 7007 N. Wiscomb Street Spokane, WA 99208

Phone: 509-489-7612

CEO, Administrator, Executive Director: Scott Hamann

Person (Name/Title) to contact if implemented

Scott Hamann

Email: [email protected]

Limitations on who can be admitted:

Independent Living

# of Relocated Persons theCampus Can Handle:

Call for Availability

Resident Transportation Resources:

Small bus

Supply Transportation Resources

Comments:

No changes since: July 2008

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Living Care Retirement Community

Campus: Living Care Retirement Community 3801 Summitview Avenue Yakima, WA 98902

Phone: 509-965-5245 or 509-965-5256

CEO, Administrator, Executive Director: Dennis Malgesini

Person (Name/Title) to contact if implemented

Dennis Malgesini

Email: [email protected]

Limitations on who can be admitted:

We can accept independent living, assisted living and skilled nursing residents as long as there is staff from the sending facility to care for them

# of Relocated Persons theCampus Can Handle:

Depends on length of time. We have several large meeting rooms that could hold 30 - 40 residents in a dormitory style on a short-term emergency basis

Resident Transportation Resources:

(1) - 21 passenger bus, (1) - 16 passenger w/wheelchair lift

Supply Transportation Resources 1 pickup truck that could be used for transporting supplies/equipment

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Martha & Mary Health Services

Campus: Martha & Mary Health Services 19160 Front St. NE Poulsbo, WA 98370

Phone: 360-779-7500

CEO, Administrator, Executive Director: Lynette Ladenburg

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No ventilator, no physical behavioral residents

# of Relocated Persons theCampus Can Handle:

5-20 depending upon situation

Resident Transportation Resources:

(3) 1-2 passenger vans with wheelchair lift. (1) - large 12 passenger bus with a wheelchair lift.

Supply Transportation Resources

Comments:

No changes since: June 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Memory Haven Sumner

Campus: Memory Haven Sumner 5107 Parker Road East Sumner, WA 98390

Phone: 253-750-0552

CEO, Administrator, Executive Director: John B. Merz

Person (Name/Title) to contact if implemented

John B. Merz

Email: [email protected]

Limitations on who can be admitted:

No Medicaid contract; they are a secure dementia home

# of Relocated Persons theCampus Can Handle:

Dependent on current census

Resident Transportation Resources:

We have an agreement with a private school for access

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Mirabella Seattle

Campus: Mirabella Seattle 116 Fairview Ave. N. Seattle, WA 98109

Phone: 206-254-1400

CEO, Administrator, Executive Director: Steve Brudnick

Person (Name/Title) to contact if implemented

Steve Brudnick

Email: [email protected]

Limitations on who can be admitted:

only exception on who we can't admit; trech. Vents, NG tubes. Psych, substance abuse

# of Relocated Persons theCampus Can Handle:

2 plus our 22 residents for total; 24

Resident Transportation Resources:

(2) - buses, (1) - truck

Supply Transportation Resources truck

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Mt. Si Senior Center

Campus: Mt. Si Senior Center 401 Stow Avenue S North Bend, WA 98045

Phone: 425-888-3434 Admin, 425-888-2793 Site Manager

CEO, Administrator, Executive Director: Susan Kingsbury-Comeau

Person (Name/Title) to contact if implemented

Susan Kingsbury-Comeau

Email: [email protected]

Limitations on who can be admitted:

Independent Seniors 62+

# of Relocated Persons theCampus Can Handle:

Depends on vacancy at the time.

Resident Transportation Resources:

(1) - 14 Passenger lift-equipped bus

Supply Transportation Resources

Comments:

No changes since: August 2014

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Norse Home

Campus: Norse Home 5311 Phinney Ave. N Seattle, WA 98103

Phone: 206-781-7400

CEO, Administrator, Executive Director: Dennis Meegard

Person (Name/Title) to contact if implemented

Dennis Meegard

Email: [email protected]

Limitations on who can be admitted:

No longer have skilled nursing.

# of Relocated Persons theCampus Can Handle:

10 depending on occupancy

Resident Transportation Resources:

(1) - 14 passenger van, (1) - pickup, (1) - Rav 4

Supply Transportation Resources

Comments:

No changes since: June 2016

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Northaven Retirement and Assisted Living

Campus: Northaven Retirement/Assisted Living 11045 8th Ave. NE Seattle, WA 98125

Phone: 206-365-3020

CEO, Administrator, Executive Director: Darlene S. Storti

Person (Name/Title) to contact if implemented

Darlene Storti

Email: [email protected]

Limitations on who can be admitted:

elderly - no contagious diseases, no skilled nursing

# of Relocated Persons theCampus Can Handle:

100+ depending on emergency

Resident Transportation Resources:

(1) - 20 passenger bus w/lift, (1) - medical mini-van

Supply Transportation Resources

Comments:

No changes since: August 2014

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Odessa Memorial Healthcare Center

Campus: Odessa Memorial Healthcare Center 502 E. Amende Dr. Odessa, WA 99159

Phone: 509-982-2611

CEO, Administrator, Executive Director: Monica Sheldon

Person (Name/Title) to contact if implemented

Monica Sheldon

Email: [email protected]

Limitations on who can be admitted:

No bariatric capabilities with a max wieght of 300lbs. No psychiatric resident capabilities with limited resources for wandering residents.

# of Relocated Persons theCampus Can Handle:

We are a 25 bed Critical Access Hospital and our census would determine the amount we could accept.

Resident Transportation Resources:

(1) - 15 passenger bus

Supply Transportation Resources none

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Panorama

Campus: Panorama 1600 Sleater Kinney Rd SE Lacey, WA 98503

Phone: 360-438-5000

CEO, Administrator, Executive Director: Sharon Rinehart

Person (Name/Title) to contact if implemented

Sharon Rinehart

Email: [email protected]

Limitations on who can be admitted:

Skilled Nursing Patients, depending on patient mix at the time of disaster, zero wandering residents or resident behavioral issues

# of Relocated Persons theCampus Can Handle:

up to 10

Resident Transportation Resources:

(1) - Bus, (1) - van with wheelchair lift

Supply Transportation Resources 11-13 passenger van and truck

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Park Place Retirement and Assisted Living

Campus: Park Place Retirement and Assisted Living 6900 37th Ave. S Seattle, WA 98118

Phone: 206-722-7275

CEO, Administrator, Executive Director: Carol Foltz

Person (Name/Title) to contact if implemented

Carol Foltz

Email: [email protected]

Limitations on who can be admitted:

Min-mod assist with ADL's

# of Relocated Persons theCampus Can Handle:

Depends on availability

Resident Transportation Resources:

(1) - 12 Passenger Van w/lift

Supply Transportation Resources none

Comments:

No changes since: May 2012

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Park Shore

Campus: Park Shore 1630 43rd Ave. E Seattle, WA 98112

Phone: 206-329-0770

CEO, Administrator, Executive Director: Mike Schwartz

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

Limitation would be individuals who are an elopement risk, as we don’t have a secured resident living area (unit)

# of Relocated Persons theCampus Can Handle:

28 depending on current census at the time of need of another community

Resident Transportation Resources:

(1) - 14 passenger van, (1) - 31 passenger bus

Supply Transportation Resources

Comments:

No changes since: August 2016

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Providence St. Joseph's Hospital

Campus: Providence St. Joseph's Hospital 500 E. Webster Chewelah, WA 99109

Phone: 509-935-5200

CEO, Administrator, Executive Director: Ron Rehn

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No locked unit for dementia, no violent behaviors, only 2 private rooms

# of Relocated Persons theCampus Can Handle:

Depends on census at the time - total capacity - 40

Resident Transportation Resources:

(1) - 12 Passenger van, (1) - pickup truck

Supply Transportation Resources Pick up trucks

Comments:

No changes since: December 2016

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Quail Park of Lynnwood

Campus: Quail Park of Lynnwood 4015 164th St. SW Lynnwood, WA 98037

Phone: 425-640-8529

CEO, Administrator, Executive Director: Michelle Longwill

Person (Name/Title) to contact if implemented

Michelle Longwill

Email: [email protected]

Limitations on who can be admitted:

Aggressive Behavior, bariatric, those requiring skilled nursing

# of Relocated Persons theCampus Can Handle:

20

Resident Transportation Resources:

(1) - 13 passenger bus, (1) - 7 passenger van

Supply Transportation Resources bus and van

Comments: After Hours - Michelle Longwill Cell Number 425-409-1971

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Riverview Retirement Community

Campus: Riverview Retirement Community 1801 East Upriver Drive Spokane, WA 99207

Phone: 509-483-6483

CEO, Administrator, Executive Director: Charles Tirrell

Person (Name/Title) to contact if implemented

Charles Tirrell

Email: [email protected]

Limitations on who can be admitted:

Active TB, Ventilators, TPN

# of Relocated Persons theCampus Can Handle:

15

Resident Transportation Resources:

(2) - 8 passenger vans, (1) - 15 passenger bus

Supply Transportation Resources 3 full size pickup trucks

Comments:

No changes since: August 2014

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Rockwood Hawthorne

Campus: Rockwood Hawthorne 101 East Hawthorne Road Spokane, WA 99208

Phone: (509) 466-0411

CEO, Administrator, Executive Director: Rick Milsow

Person (Name/Title) to contact if implemented

Rick Milsow

Email: [email protected]

Limitations on who can be admitted:

No ventilation or blood transfusion patients

# of Relocated Persons theCampus Can Handle:

6 to 9 residents using combination of health center beds and apartments

Resident Transportation Resources:

(1) - 20 passenger bus w/wheelchair lift,(1) - 12 passenger bus w/lift

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Rockwood South Hill

Campus: Rockwood South Hill 2903 E. 25th Ave. Spokane, WA 99223

Phone: 509-536-6650

CEO, Administrator, Executive Director: Dan DeBoise

Person (Name/Title) to contact if implemented

Dan DeBoise

Email: [email protected]

Limitations on who can be admitted:

No ventilator, blood transfusion or dialysis patients.

# of Relocated Persons theCampus Can Handle:

Call to determine availability. (Will need to have staff familiar with residents to accompany and manage care.)

Resident Transportation Resources:

(1) - van w/wheelchair lift, (1) - 28 passenger Buss, (1) - 13 passenger bus

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Sea Mar Community Care Center

Campus: Sea Mar Community Care Center 1040 S. Henderson St. Seattle, WA 98108

Phone: 206-788-3200

CEO, Administrator, Executive Director: Sandra Miles

Person (Name/Title) to contact if implemented

Sandra Miles

Email: [email protected]

Limitations on who can be admitted:

No MRSA or anyone requiring isolation in private room

# of Relocated Persons theCampus Can Handle:

Depending on census numbers could be increased. We are able to flex 10% over capacity in the event of a disaster; 10 beds.

Resident Transportation Resources:

(1) - van for ambulatory only, (1) - pick-up truck

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Skyline

Campus: Skyline 715 9th Ave. Seattle, WA 98104

Phone: 206-682-3200

CEO, Administrator, Executive Director: Jim Bennett

Person (Name/Title) to contact if implemented

Jim Bennett

Email: [email protected]

Limitations on who can be admitted:

no communicable diseases, ETOH, or Chemical dependence

# of Relocated Persons theCampus Can Handle:

25 using common areas

Resident Transportation Resources:

(1) - 12 person van + 2 wheelchairs

Supply Transportation Resources (2) passenger vans

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Springs at Pacific Regent

Campus: Springs at Pacific Regent 919 109th Ave. NE Bellevue, WA 98004

Phone: 425-646-9808

CEO, Administrator, Executive Director: Bob Wright

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No ventilators, behavior problems, tuberculosis, NG tubes, No smoking, No Medicaid contract

# of Relocated Persons theCampus Can Handle:

In SNF- up to 5, Independent - up to 25, no assisted living

Resident Transportation Resources:

(2) - vehicles, neither with a wheelchair lift

Supply Transportation Resources Van & Bus that can be loaded with supplies for transporting.

Comments:

No changes since: Aug 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

St. Andrew's Place

Campus: St. Andrew's Place 520 E. Park Ave. Port Angeles, WA 98362

Phone: 360-417-3418

CEO, Administrator, Executive Director: Laura Dodd

Person (Name/Title) to contact if implemented

Laura Dodd

Email: [email protected]

Limitations on who can be admitted:

Non-wandering Alzheimer early stage. 1 person transfers maximum;

# of Relocated Persons theCampus Can Handle:

1 or 2 depending upon current occupancy

Resident Transportation Resources:

(1) - Small bus - 8 passenger with accommodations for 2 more in wheelchairs

Supply Transportation Resources

Comments:

No changes since: May 2013

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated 2017

Community Name:

Campus:

Phone:

CEO, Administrator, Executive Director:

Person (Name/Title) to contact ifmplemented

Email:

Limitations on who can beadmitted:

# of Relocated Persons theCampus Can Handle:

Resident Transportation Resources:

Supply Transportation Resources Comments:

No changes since:

Stafford Healthcare at

WA

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Stafford Healthcare at Ridgemont

Campus: Stafford Healthcare at Ridgemont 2051 Pottery Avenue Port Orchard, WA 98366

Phone: 360-876-4461

CEO, Administrator, Executive Director: Angela Cerna

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

Unable to admit wonderers or aggressive behaviors

# of Relocated Persons theCampus Can Handle:

20

Resident Transportation Resources:

(1) - 6 Passenger van, (1) - 16 passenger bus

Supply Transportation Resources

Comments:

No changes since: Sept 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Stafford Healthcare in SeaTac

Campus: Stafford Healthcare in SeaTac 2800 - 224th Street S Des Moines, WA 98198

Phone: 206-824-0600

CEO, Administrator, Executive Director: Kondi Kulisewa

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

No wanderers, people w/ behavior problems.

# of Relocated Persons theCampus Can Handle:

20

Resident Transportation Resources:

Shared transportation option, no facility vehicles

Supply Transportation Resources none

Comments:

No changes since: December 2016

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Stafford Suites of Kent

Campus: Stafford Suites of Kent 112 Kennebeck Avenue N. Kent, WA 98030

Phone: 253-850-0333

CEO, Administrator, Executive Director: Sandy Nelson

Person (Name/Title) to contact if implemented

Sandy Nelson

Email: [email protected]

Limitations on who can be admitted:

Low end assisted living

# of Relocated Persons theCampus Can Handle:

10, depends on availability

Resident Transportation Resources:

(1) - 17 Passenger bus w/lift

Supply Transportation Resources

Comments:

No changes since: June 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Stafford Suites of Port Orchard

Campus: Stafford Suites of Port Orchard 1761 Pottery Avenue Port Orchard, WA 98366

Phone: 360-874-1212

CEO, Administrator, Executive Director: Denise Hoyt

Person (Name/Title) to contact if implemented

Denise Hoyt

Email: [email protected]

Limitations on who can be admitted:

Persons who are within the guidelines of our Disclosure of Services Policy

# of Relocated Persons theCampus Can Handle:

5-10, depending upon availability

Resident Transportation Resources:

(1) - 20 Passenger bus with lift

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Stafford Suites of Sumner

Campus: Stafford Suites of Sumner 15519 - 62nd Street Ct. E Sumner, WA 98390

Phone: 253-862-1818

CEO, Administrator, Executive Director: Tina Pries

Person (Name/Title) to contact if implemented

Tina Pries

Email: [email protected]

Limitations on who can be admitted:

Persons who are within the guidelines of our Disclosure of Services Policy

# of Relocated Persons theCampus Can Handle:

5-10, Depends on availability

Resident Transportation Resources:

(1) - 13 Passenger bus w/lift

Supply Transportation Resources

Comments:

No changes since: November 2010

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Sun Tower

Campus: Sun Tower 6 N. 6th Street Yakima, WA 98901

Phone: 509-248-3191

CEO, Administrator, Executive Director: Julie Adams

Person (Name/Title) to contact if implemented

Julie Adams

Email: [email protected]

Limitations on who can be admitted:

Independent and AL residents that fit our disclosure qualifications.

# of Relocated Persons theCampus Can Handle:

10-15 Senior Housing; 2-5 Assisted Living, depending on census

Resident Transportation Resources:

Public Transportation

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Tacoma Lutheran Retirement Community

Campus: Tacoma Lutheran Retirement 1301 North Highlands Tacoma, WA 98406

Phone: 253-752-7112

CEO, Administrator, Executive Director: R. Kevin McFeely

Person (Name/Title) to contact if implemented

R. Kevin McFeely

Email: [email protected]

Limitations on who can be admitted:

No TPNs, no contagious disease, no ventilators, no alcohol or chemical dependency or mental health behavior problems

# of Relocated Persons theCampus Can Handle:

Depends on availability

Resident Transportation Resources:

(2) buses, (1) van and (3) cars

Supply Transportation Resources (2) buses, (1) van and (3) cars

Comments:

No changes since: Oct 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

The Kenney

Campus: Kenney, The 7125 Fauntleroy Way S.W. Seattle, WA 98136

Phone: 206-937-2800

CEO, Administrator, Executive Director: Rene’ Dumas

Person (Name/Title) to contact if implemented

Rene’ Dumas

Email: [email protected]

Limitations on who can be admitted:

No mental health issues, no ventilators, no tracheotomies, no infectious disease

# of Relocated Persons theCampus Can Handle:

6-10 people

Resident Transportation Resources:

(1) - 14 passenger bus, (1) - 7 passenger minivan

Supply Transportation Resources

Comments:

No changes since: June 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

The Summit At First Hill Campus: Summit at First Hill, The

1200 University Street Seattle, WA 98101

Phone: 206-652-4444

CEO, Administrator, Executive Director:

Leta Medina

Person (Name/Title) to contact if implemented

Leta Medina

Email: [email protected]

Limitations on who can be admitted:

Will accept individuals who are ambulatory with or without assistive device, but do not require stand-by or other assistance or monitoring. We do not provide dementia care. No skilled nursing needs. The Summit at First Hill communicates with other First Hill Long Term Care Disaster Coalition facilities regarding disaster preparedness and reciprocal support in the event of an emergency.

# of Relocated Persons theCampus Can Handle:

20 individuals

Resident Transportation Resources:

(1) - 22 seat bus, (1) - 12 seat bus, (1) - 8 seat bus, staff cars as available

Supply Transportation Resources

Comments:

No changes since: June 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Vashon Community Care

Campus: Vashon Community Care 15333 Vashon Highway SW Vashon, WA 98070

Phone: 206-567-4421

CEO, Administrator, Executive Director: Holly Shepherd

Person (Name/Title) to contact if implemented

Holly Shepherd

Email: [email protected]

Limitations on who can be admitted:

No IV or Trach care provided at VCCC

# of Relocated Persons theCampus Can Handle:

Depending on census. 30 skilled beds, 40 AL apartments total, with current occupancy of 95%

Resident Transportation Resources:

(1) - access van, seats 9 including 2 wheelchairs. No stretcher/bed accommodation in van

Supply Transportation Resources Limited

Comments: 6-8 Adult Day members on Tuesday, Wednesday and Thursday.

No changes since: December 2016

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Warm Beach Senior Community

Campus: Warm Beach Senior Community 20420 Marine Dr. Stanwood, WA

Phone: 360-652-7585

CEO, Administrator, Executive Director: John Hovey

Person (Name/Title) to contact if implemented

Email: [email protected]

Limitations on who can be admitted:

General geriatric care and services

# of Relocated Persons theCampus Can Handle:

5 people

Resident Transportation Resources:

(1) - 17 pasenger Mini-bus. Must be ambulatory. (1) - wheelchair van

Supply Transportation Resources

Comments:

No changes since: Sept 2017

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Washington Odd Fellows Home

Campus: Washington Odd Fellows Home 534 Boyer Ave. Walla Walla, WA 99362

Phone: 509-525-6463

CEO, Administrator, Executive Director: John Brigham

Person (Name/Title) to contact if implemented

John Brigham

Email: [email protected]

Limitations on who can be admitted:

No ventilator, no severe behavioral problems, short term emergency accommodations only.

# of Relocated Persons theCampus Can Handle:

50- ward style (auditorium)

Resident Transportation Resources:

(3) - ADA Busses

Supply Transportation Resources

Comments:

No changes since: December 2015

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Wesley Homes

Campus: Wesley Homes Des Moines 1122 South 216th Street Des Moines, WA 98198

Phone: 206-824-5000

CEO, Administrator, Executive Director: Kevin Anderson

Person (Name/Title) to contact if implemented

Kevin Anderson

Email: [email protected]

Limitations on who can be admitted:

Only residents whose needs can be met by available staff

# of Relocated Persons theCampus Can Handle:

Depends on census at the time

Resident Transportation Resources:

Supply Transportation Resources

Comments:

No changes since: May 2013

An Association of Not-For-Profit and Mission Focused Senior Living & Care Providers 1102 Broadway, STE 201 | Tacoma, WA 98402 | 253-964-8870 | 253-964-8876 Fax | www.LeadingAgeWA.org

Disaster Plan - Resident Relocation Agreement Updated October 2017

Wesley Homes

Campus: Wesley Homes Lea Hill 32049 - 109th Place SE Auburn, WA 98092

Phone: 253-876-6000

CEO, Administrator, Executive Director: Greg Byrge

Person (Name/Title) to contact if implemented

Greg Byrge

Email: [email protected]

Limitations on who can be admitted:

No Skilled Nursing Services

# of Relocated Persons theCampus Can Handle:

5

Resident Transportation Resources:

(1) - 12 Passenger Bus

Supply Transportation Resources

Comments:

No changes since: July 2017