Inspection Reports for
AvilaCare Assisted Living of Bellingham
2315 Williams Street, Bellingham, WA 98225, Bellingham, WA, 98225
Back to Facility Profile7 Reports
Inspection Report — Sep 29, 2025
Enforcement
Date: Sep 29, 2025
Visit Reason
The Department of Social and Health Services conducted a complaint investigation at Cypress Assisted Living Inc on September 29, 2025, resulting in the imposition of a civil fine for regulatory violations.
Complaint Details
The visit was a complaint investigation conducted on September 29, 2025, which found a recurring deficiency in maintenance and housekeeping. The deficiency was substantiated as it resulted in a civil fine.
Findings
The facility was fined $300 for failing to maintain cleanliness in one resident room, which was unclean and unsanitary, placing residents at risk for diminished quality of life. The deficiency was recurring and had been previously cited in April and June 2025.
Deficiencies (1)
WAC 388-78A-3090 (1)(a) Maintenance and housekeeping. The licensee failed to maintain the cleanliness of one resident room, resulting in an unclean and unsanitary condition that placed residents at risk for diminished quality of life.
Report Facts
Civil fine amount: 300
Inspection Report — Sep 4, 2025
Follow-Up
Date: Sep 4, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited licensing law and regulation deficiencies were corrected.
Deficiencies (11)
WAC 388-78A-2240 Nonavailability of medications. The facility failed to obtain prescribed medications in a timely manner for 2 of 7 residents, resulting in missed doses and risk of medical complications.
WAC 388-78A-2230 Medication refusal. The facility failed to notify physicians when 2 of 7 residents refused medications, placing residents at risk for untreated health care needs.
WAC 388-78A-2210 Medication services. The facility failed to ensure 1 of 7 residents received medication as prescribed when the medical provider was not contacted for blood sugar and insulin coverage outside provider parameters.
WAC 388-78A-2474 Training and home care aide certification requirements. The facility failed to ensure required orientation, safety, basic, specialty, CPR, first aid, and continuing education training for multiple staff, placing residents at risk for compromised care.
WAC 388-78A-2484 Tuberculosis Two step skin testing. The facility failed to ensure 2 of 4 staff were screened for tuberculosis within three days of employment and 1 of 4 staff had a second step test within 1-3 weeks, placing residents at risk of exposure to communicable disease.
WAC 388-78A-2481 Tuberculosis Testing method Required. The facility failed to ensure 2 of 4 staff had a trained professional read their tuberculosis skin test results within 48 to 72 hours, placing residents at risk of exposure to communicable disease.
WAC 388-78A-2150 Signing negotiated service agreement. The facility failed to obtain resident or representative signatures on negotiated service agreements at least annually for 5 of 5 residents, placing residents at risk for receiving care not agreed to or supporting their needs.
WAC 388-78A-2410 Content of resident records. The facility failed to keep documentation of a preadmission assessment for 1 of 2 newly admitted residents, limiting staff access to important information for service planning.
WAC 388-78A-2300 Food and nutrition services. The facility failed to provide a written menu for the general diabetic diet for 4 of 4 weeks, placing residents requiring diabetic diets at risk for inadequate nutrition.
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to provide a safe, sanitary, and well-maintained environment in 3 halls and the laundry room, placing all residents at risk of decreased quality of life.
WAC 388-78A-2620 Pets. The facility failed to ensure that the one pet living on premises had regular examinations and vaccinations by a licensed veterinarian, placing residents at risk of exposure to communicable diseases.
Report Facts
Missed medication doses: 82
Medication refusal doses: 55
Incorrect insulin doses given: 260
Staff overdue training counts: 6
Staff overdue TB testing: 2
Residents without signed service agreements: 5
Weeks without diabetic menu: 4
Halls with unsafe environment: 3
Inspection Report — Aug 7, 2025
Life Safety
Date: Aug 7, 2025
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Cypress Assisted Living Inc facility to assess compliance with fire and life safety codes.
Findings
The inspection identified multiple fire safety violations including blocked fire doors, open electrical junction boxes, improper use of power taps, and missing documentation for emergency generator servicing. Most violations were corrected on site except for issues related to the emergency generator and fire extinguisher tamper seal.
Deficiencies (7)
IFC 603.2.2 (2021) Open junction boxes and open-wiring splices shall be prohibited. Approved covers shall be provided for all switch and electrical outlet boxes.
IFC 603.5.2 (2021) Relocatable power taps and current taps shall be directly connected to a permanently installed receptacle.
IFC 705.2 (2021) Fire doors and smoke and draft control doors shall not be blocked, obstructed, or otherwise made inoperable. The following resident room fire doors were blocked open preventing closing and latching: rooms 108, 106, and 101.
IFC 705.2.4 (2021) Swinging fire doors shall close from the full-open position and latch automatically.
IFC 903.5 (2021) Sprinkler systems shall be tested and maintained in accordance with Section 901.
IFC 906.2 (2021) Portable fire extinguishers shall be selected, installed and maintained in accordance with this section and NFPA 10.
IFC 1203.4 (2021) Emergency and standby power systems shall be maintained in accordance with NFPA 110 and NFPA 111 such that the system is capable of supplying service within the time specified for the type and duration required. Facility is unable to provide documentation for the annual servicing of the emergency generator.
Inspection Report — Mar 12, 2025
Complaint Investigation
Date: Mar 12, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on multiple allegations including unsafe vinyl flooring creating a tripping hazard, roof leaks, billing and payroll issues, lack of an executive director, and concerns about staff behavior and background checks.
Complaint Details
The complaint investigation addressed six allegations including unsafe vinyl flooring, roof leaks, billing and payroll delays, lack of an executive director, and staff misconduct. Only the vinyl flooring hazard and background check deficiencies were substantiated with citations. Other allegations were found unsubstantiated or outside department jurisdiction.
Findings
The investigation identified a failed provider practice related to unsafe vinyl flooring that caused tripping incidents and incomplete background checks for two staff members. Other allegations such as roof leaks, billing, payroll, executive director vacancy, and behavioral health outsourcing were found not to be failed practices. Citations were written for maintenance and housekeeping and background check violations.
Deficiencies (2)
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to maintain a safe environment when vinyl flooring planks were lifting off the floor in multiple areas, causing tripping hazards for residents and staff.
WAC 388-78A-2466 Background checks. The facility failed to ensure timely background checks and character, competence, and suitability reviews for two staff members, placing residents at risk of supervision by disqualified personnel.
Report Facts
Total residents: 38
Resident sample size: 5
Number of vinyl planks lifting at front entrance: 5
Number of vinyl planks lifting at kitchen hallway: 4
Number of vinyl planks lifting at dining room: 3
Inspection Report — Jul 12, 2023
Life Safety
Date: Jul 12, 2023
Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 07/12/2023.
Findings
All violations noted during previous related inspections have been corrected and the facility was approved.
Inspection Report — Nov 15, 2022
Complaint Investigation
Date: Nov 15, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation based on allegations that a named resident did not receive medication as scheduled, experienced bullying, was subject to unprofessional staff conduct, and was being discharged from the facility.
Complaint Details
The complaint investigation (Complaint #56750) addressed four allegations: missed medication dose, unprofessional staff conduct, resident bullying, and discharge process. None of the allegations were substantiated except for the background check deficiency. The facility was found noncompliant due to the missing background check for one staff member.
Findings
The investigation found no failed practices regarding medication administration, staff conduct, bullying, or discharge procedures. However, a deficiency was cited for failure to submit a required background check for one staff member, placing residents at risk.
Deficiencies (1)
WAC 388-78A-2466 - The facility failed to submit a background check for one staff member every two years, placing residents at risk. Review showed the last background check was completed on 08/19/2019 and was overdue as of 08/19/2021.
Report Facts
Total residents: 41
Resident sample size: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Syng To | ALF Complaint Investigator | Conducted the complaint investigation and on-site verification |
| Jayne Hill | Field Manager | Signed the follow-up letter and deficiency report |
| Staff B | Executive Director | Interviewed regarding background check deficiency |
Inspection Report — Sep 29, 2022
Complaint Investigation
Date: Sep 29, 2022
Visit Reason
The Department conducted an unannounced complaint investigation at Cypress Assisted Living Inc due to multiple allegations including resident care concerns, infection control issues, and medication administration.
Complaint Details
The complaint investigation involved multiple allegations including poor resident hygiene, pressure sores, injury during transfer, lack of caregiver training, and infection control failures. The investigation substantiated violations related to infection control and record retention. Citations were issued accordingly.
Findings
The investigation found multiple deficiencies including failure to ensure proper infection control practices, inadequate training for staff on the Hoyer lift, and failure to maintain resident records. Citations were written for these violations. The facility has begun retraining staff and submitted plans of correction.
Deficiencies (2)
WAC 388-78A-2610 Infection control. The assisted living facility failed to implement required infection control measures to prevent COVID-19, including lack of PPE use, failure to report positive COVID cases to local health jurisdiction, and inadequate cleaning and disinfecting training for housekeeping staff.
WAC 388-78A-2420 Record retention. The assisted living facility failed to ensure resident records for one sampled resident were kept on premises for six months after the resident passed away, resulting in inability to investigate and ensure care per regulations.
Report Facts
Total residents: 41
Resident sample size: 3
Closed records sample size: 0
Compliance Determination: 10375
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