Independent Living and Assisted Living and Memory Care and Continuing Care
Horizon House
900 University St, Seattle, WA 98101 · Map
Licensed for 90 residents
Horizon House is a state-licensed independent living, assisted living, memory care, continuing care community in Seattle, Washington. It is licensed for 90 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Care and services
From the community’s website
What Horizon House says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Latest inspection report: 2025-04. See the record
License
Active, 90 residents
Assisted Living Facility 212.
Nearest emergency room
0.1 miles
Virginia Mason Medical Center, rated 5 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Horizon House this community | 90 | Not published | Active | 2 investigation reports, 0 enforcement letters | |
| The Summit at First Hill | 0.2 mi | 70 | Not published | Active | 0 investigation reports, 0 enforcement letters |
| Union Grand, A Vineyard Park Community | 0.2 mi | 75 | Not published | Active | 0 investigation reports, 0 enforcement letters |
| The Terraces at Skyline (Independent Living and Assisted Living and Memory Care and Continuing Care) | 0.3 mi | 86 | Not published | Active | 1 investigation report, 0 enforcement letters |
| Murano Senior Living | 0.4 mi | 130 | Not published | Active | 2 investigation reports, 1 enforcement letter |
State inspection record2 investigation reports, 0 enforcement letters
- Latest inspection report
- April 2025
- Inspection reports posted
- 2
- Investigation reports posted
- 2
- Enforcement letters
- 0
- Fire inspection reports (State Fire Marshal)
- 1
Investigation reports
Inspection reports
See every report on the state’s site →
What these terms mean
DSHS: Inspections are “conducted at least every 18 months to review facility compliance with applicable rules and regulations and resident safety.”
Investigations: “In response to reported concerns, the department checks to ensure the facility is in compliance with applicable rules and regulations.”
Enforcement actions: “Letters summarizing action taken by the Department to compel a return to compliance.”
Fire inspections (assisted living): “Conducted by the State Fire Marshal upon initial licensing, complaint or on an annual basis.”
Limitations (adult family homes): “A determination, typically for the duration of the license, that limits the type of residents who can be housed in a specific area of the home.”
Informal Dispute Resolution (IDR): “The provider’s right to request an opportunity to present information that might allow the department to change a finding that the facility did not meet a rule or requirement.”
Civil fines: “Monetary penalties for instances of noncompliance with state law.”
Conditions: “Requirements placed on the license that limit or prevent or direct specific facility actions until deficiencies are corrected.”
Stop placement: “An order that temporarily prevents the facility from admitting any additional resident(s) until deficiencies identified are corrected.”
Revocation: “The legal action of taking away the facility’s license.”
Summary suspension: “The legal action that immediately suspends the provider’s license.”
Complaint investigation report: “the written report for complaint investigations that result in a citation.”
For adult family homes, state law (RCW 70.128.280) has DSHS post three years of inspection letters, statements of deficiencies, notices of return to compliance and enforcement notices, and remove a violation or enforcement remedy that is deleted or rescinded on appeal. DSHS: “The length of time for completion and posting of final documents, including amended documents, will vary.” DSHS: “To protect residents’ privacy, information in these reports may be blocked out if it is confidential or could identify a resident.” Dates are the month DSHS lists beside each report, or the date printed on an enforcement letter. This community is licensed for 90 residents; larger communities are inspected and investigated more often, so read counts with size in mind. Source: Washington State Department of Social and Health Services, Residential Care Services, report pages read October 15, 2026. Always visit in person and ask the community about anything listed here.
Kitchen inspections6 inspections by Public Health - Seattle & King County since 2024; latest Complete, score 0, grade Excellent (July 2026)
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Public Health - Seattle & King County: Horizon House
- Jul 7, 2026 (educational inspection): Complete, score 0, grade Excellent. No violations listed.
- Feb 26, 2026 (routine inspection/field review): Satisfactory, score 0, grade Excellent. No violations listed.
- Oct 9, 2025 (routine inspection/field review): Satisfactory, score 0, grade Excellent. No violations listed.
- Feb 10, 2025 (routine inspection/field review): Unsatisfactory, score 25, grade Excellent.
4 violations
- Proper cold holding temperatures; greater than 45 degrees Fahrenheit (F) (7 degrees Celsius (C)) (Red)
- Food and nonfood surfaces properly used and constructed; cleanable (Blue)
- Insects, rodents, animals not present; entrance controlled (Blue)
- Food-contact surfaces maintained, cleaned, sanitized (Blue)
- Oct 23, 2024 (routine inspection/field review): Satisfactory, score 10, grade Excellent.
2 violations
- Food and nonfood surfaces properly used and constructed; cleanable (Blue)
- Wiping cloths properly used, stored; sanitizer concentration (Blue)
- Jun 4, 2024 (routine inspection/field review): Satisfactory, score 3, grade Excellent.
1 violation
- Employee cleanliness and hygiene (Blue)
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Red violation: The county's high-risk (red) violation, most likely to cause foodborne illness. Blue violation: The county's lower-risk (blue) maintenance and sanitation violation. Score: Total violation points at the inspection; 0 is a perfect inspection, higher means more violations. Rating: The county's food safety rating (Excellent, Good, Okay, Needs to Improve), based on the last four routine inspections.
License and ownershipActive license
- License type
- Assisted Living Facility
- License number
- 212
- License status
- Active
- Licensed capacity
- 90
- County
- King County
- Contact
- Lauri D. Warfield-Larson
Source: Washington state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Contact name from the Washington licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Washington, and other programs
How Medicaid pays for care in Washington
- Assisted living Medicaid service packages: Adult Residential Care, Enhanced Adult Residential Care, Enhanced Adult Residential Care - Specialized Dementia Care Services, Assisted Living. Yes. Assisted living facilities that serve Medicaid residents offer one or more service packages, which set the level of care and support the facility provides. Use the state search to find facilities that accept Medicaid. (state page)
Ask the community whether it accepts Medicaid.
Staff pay and workplace safety1 federal wage case, no violations found
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Jul 15, 2012.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby careNearest hospital 0.1 mi, nursing home 0.3 mi, pharmacy 0.2 mi
- Nearest hospital with an emergency room
- Virginia Mason Medical Center, Seattle. 0.1 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- The Terraces at Skyline, Seattle. 0.3 miles away, straight line.
- Nearest home health agency office
- Kaiser Permanente Home Health And Hospice, Seattle. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 98101 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Nkc Yesler Terrace Kidney Center, Seattle, 0.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Olympic View Dialysis Center, Seattle, 1.0 mile away, straight line (CMS rating 4 of 5 stars)
Seattle Childrens Hospital Dialysis, Seattle, 4.3 miles away, straight line - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 98101.
Kaiser Permanente Washington Hospice, office in Seattle, 1.0 mile away, straight line (CMS family survey rating 3 of 5 stars)
Kline Galland Hospice Services, office in Seattle, 4.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Providence At Home With Compassus Hospice Care, Puget Sound, office in Tukwila, 7.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Rejuvenation Medical PLLC, Seattle. 0.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk very high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: inland flooding very high, tornado very low, heat wave relatively low, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in May 2025. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
What we checked14 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Washington State Department of Social and Health Services, Residential Care Services inspection records | Oct 15, 2026 | See above |
| Washington Medicaid provider list | Sep 9, 2026 | Not on the state list we checked. These lists are often incomplete. |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Public Health - Seattle & King County kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Horizon House provide?
Horizon House is licensed by the state of Washington for independent living, assisted living, memory care, continuing care in Seattle, Washington. Its licensed capacity is 90 residents.
Does Lilisity rate Horizon House?
No. We publish state licensing details for Horizon House but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Horizon House cost?
Assisted Living in King County typically starts at $3,750 to $4,550 a month. Based on 54 communities that publish prices. These are area figures, not this community's price. Horizon House does not publish its prices.
How do I contact Horizon House?
Use Horizon House's website, horizonhouse.org/west-tower, or visit at 900 University St, Seattle, WA 98101.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid