Inspection Reports for
Orchard Park Assisted Living

844 W ORCHARD DRIVE, BELLINGHAM, WA, 98225

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12 Reports

2022–2025

Inspection Report — Oct 31, 2025

Follow-Up
Date: Oct 31, 2025

Visit Reason
The Department completed a follow-up inspection of Orchard Park Assisted Living to verify correction of previously cited deficiencies.

Findings
The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets Assisted Living Facility licensing requirements.

Deficiencies (8)
WAC 388-78A-2240 Nonavailability of medications. The facility failed to obtain physician prescribed medications in a timely manner for 2 of 7 residents, resulting in missed doses and risk of medical complications.
WAC 388-78A-2210 Medication services. The facility failed to ensure safe medication systems for 4 of 7 residents, resulting in missed medications and risk of harm.
WAC 388-78A-2410 Content of resident records. The facility failed to document medication administration properly for multiple residents, including missing staff initials and reasons for missed doses.
WAC 388-78A-2290 Family assistance with medications and treatments. The facility failed to have a written plan for family assistance with medications for 2 residents, risking medication omissions.
WAC 388-78A-24681 Background checks Employment Provisional hire. Two staff did not complete national fingerprint background checks within 120 days of hire, risking resident safety.
WAC 388-78A-2480 Tuberculosis Testing Required. One staff member did not complete tuberculosis screening within three days of employment, risking exposure to communicable disease.
WAC 388-78A-2474 Training and home care aide certification requirements. Five staff members did not meet long-term care worker training requirements, including expired or missing CPR, first aid, and continuing education certifications.
WAC 388-78A-24681 Background checks Employment Provisional hire Pending results of national fingerprint background check. Two staff hired did not complete fingerprint background checks within 120 days of hire.
Report Facts
Residents sampled: 7 Residents affected by medication nonavailability: 2 Staff with delayed fingerprint background checks: 2 Days delayed for TB screening: 43 Staff with expired CPR/First Aid: 3 Continuing education hours missing: 12

Inspection Report — Oct 7, 2025

Life Safety
Date: Oct 7, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at Orchard Park Assisted Living to evaluate compliance with fire protection codes and standards.

Findings
The inspection identified multiple fire safety violations including improper use of extension cords, malfunctioning fire doors, missing inspection documentation for fire and smoke dampers and sprinkler systems, grease buildup in the kitchen hood system, missing tamper seal on a fire extinguisher, and obstructed portable fire extinguishers. The facility was disapproved due to these deficiencies.

Deficiencies (8)
IFC 603.6 2021 Extension cords shall not be used as permanent wiring and must be listed and labeled. Extension cords were found used as permanent wiring in rooms 315 and 219.
IFC 705.2.4 2021 Swinging fire doors shall close and latch automatically from the full-open position. The fire rated cross corridor door near room 313 was dragging on the floor and would not close or latch.
IFC 706.1 2018 Dampers protecting ducts and air transfer openings must be inspected and maintained per NFPA 80 and 105. Facility could not provide documentation for the 4-year fire and smoke damper inspection.
IFC 903.5 2021 Sprinkler systems must be tested and maintained per NFPA 25. Facility could not provide documentation for the annual forward flow test.
IFC 904.13.5.2 2021 Automatic fire-extinguishing systems must be serviced at least every six months. The kitchen suppression system was not inspected every 6 months and had significant grease buildup with a non-operational hood exhaust system.
IFC 906.2 2021 Portable fire extinguishers must be maintained and inspected. The portable fire extinguisher in the equipment room for elevator #2 was missing the tamper seal.
IFC 906.6 2021 Portable fire extinguishers must not be obstructed or obscured from view. Extinguishers on the 3rd floor and near the staff lounge were obstructed by two med carts and several wheelchairs respectively.
IFC 906.9.1 2021 Portable fire extinguishers weighing 40 pounds or less must be mounted with tops not more than 5 feet above the floor. Extinguishers throughout the facility were mounted with tops over five feet above the finished floor.
Report Facts
Next inspection scheduled date: Nov 6, 2025

Inspection Report — May 15, 2025

Follow-Up
Date: May 15, 2025

Visit Reason
The Department completed a follow-up inspection of Orchard Park Assisted Living Facility to verify correction of previously cited deficiencies related to fire and life safety violations.

Complaint Details
The complaint investigation (Compliance Determination #56276) found that the facility failed to correct fire and life safety violations during the third annual inspection. A citation was written for noncompliance with WAC 388-78A-2040 (2).
Findings
The follow-up inspection on 05/15/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited fire and life safety violations were corrected.

Deficiencies (1)
WAC 388-78A-2040-2 The assisted living facility must have its building approved by the Washington state fire marshal to be licensed. The facility failed to correct fire and life safety violations related to hydrostatic testing of the Fire Department Connection, placing all 66 residents at risk of harm in the event of a fire.
Report Facts
Total residents: 66 Fire and Life Safety annual inspections failed: 3

Employees mentioned
NameTitleContext
Staff AExecutive DirectorStated they were waiting for a quote to reroute piping behind the facility related to fire department connection repairs

Inspection Report — Apr 7, 2025

Life Safety
Date: Apr 7, 2025

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the Orchard Park Assisted Living facility on April 7, 2025.

Findings
All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

Inspection Report — Feb 20, 2025

Life Safety
Date: Feb 20, 2025

Visit Reason
The Office of the State Fire Marshal conducted a fire safety inspection at Orchard Park Assisted Living to assess compliance with fire protection and safety codes.

Findings
The inspection found that sprinkler systems were tested and maintained correctly, but the facility failed the hydrostatic test for the fire department connection piping. The facility is working with a vendor and the city to install a lining to correct this issue.

Deficiencies (1)
IFC 912.7 (2021) - Facility was unable to provide documentation that the Fire Department Connection has been hydrostatically tested in accordance with NFPA 25. The hydrostatic test has failed and corrective action is underway.

Inspection Report — Feb 23, 2024

Complaint Investigation
Date: Feb 23, 2024

Visit Reason
The inspection was conducted in response to a complaint investigation triggered by a Covid-19 outbreak at the Assisted Living Facility.

Complaint Details
The complaint investigation (Intake ID 117404) was triggered by a Covid-19 outbreak at the facility. The investigation found that staff were not fit tested for N95 respirators as required, resulting in a citation for noncompliance.
Findings
The facility failed to follow its respiratory protection program by not ensuring staff were fit tested for N95 respirators during a Covid-19 outbreak. A citation was issued for noncompliance with WAC 388-78A-2610(1) Infection control.

Deficiencies (1)
WAC 388-78A-2610 Infection control. The assisted living facility failed to ensure 3 of 3 staff were fit tested for N95 respirators during a Covid-19 outbreak, placing residents, staff, and visitors at higher risk of infection.
Report Facts
Total residents: 64 Resident sample size: 2

Inspection Report — Jan 4, 2024

Complaint Investigation
Date: Jan 4, 2024

Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation triggered by allegations regarding a resident found unresponsive, a complaint of headache, and uncertainty about medication changes.

Complaint Details
The complaint investigation involved three allegations: a resident found unresponsive without pulse or respiration, a resident complaint of headache, and uncertainty about medication changes. The first allegation was substantiated with a citation issued for failure to check the resident as required. The other allegations were not substantiated as no facility failed practice was identified regarding medication management.
Findings
The investigation found a failure to implement the negotiated service agreement for one resident who was not checked for 11 hours, resulting in a citation. No facility failed practice was identified regarding medication management. The facility was cited for noncompliance with WAC 388-78A-2160.

Deficiencies (1)
WAC 388-78A-2160 Implementation of negotiated service agreement. The assisted living facility failed to provide care as agreed in the negotiated service agreement when one resident was not checked for 11 hours, placing all residents at risk for unmet care needs and diminished quality of life.
Report Facts
Total residents: 63 Resident sample size: 4 Closed records sample size: 1

Inspection Report — Dec 28, 2023

Follow-Up
Date: Dec 28, 2023

Visit Reason
The Department completed a follow-up inspection of Orchard Park Assisted Living Facility to verify correction of previously cited deficiencies related to licensing laws and regulations.

Complaint Details
The complaint investigation from 08/28/2023 through 10/27/2023 involved allegations that a named resident had bilateral leg wounds and that the facility used a transfer device causing discomfort. The investigation found a failed provider practice related to delayed call light response times, resulting in citations. The facility stopped using the transfer device prior to the unannounced visit and provided two-person assistance for transfers. No failed practice was identified regarding transfers. The complaint was substantiated with citations issued.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies under WAC 388-78A-2600-1-a and WAC 388-78A-2600-1-b were corrected.

Deficiencies (1)
WAC 388-78A-2600 Policies and procedures. The Assisted Living Facility failed to implement policies to respond to residents' call light requests within 15 minutes for 2 of 3 residents, resulting in extended wait times up to two hours before receiving care.
Report Facts
Total residents: 57 Resident sample size: 3 Wait time for call light response: 137 Wait time for call light response: 96 Wait time for call light response: 114

Inspection Report — Nov 6, 2023

Life Safety
Date: Nov 6, 2023

Visit Reason
The Office of the State Fire Marshal conducted a scheduled fire safety inspection at the facility on 11/06/2023.

Findings
All violations noted during previous related inspections have been corrected and the facility was approved.

Inspection Report — Apr 14, 2023

Complaint Investigation
Date: Apr 14, 2023

Visit Reason
The inspection was conducted as an unannounced complaint investigation based on allegations that a named resident did not receive a dose of medication and was given food containing caffeine despite an allergy.

Complaint Details
The complaint investigation (Intake ID 77262) involved two allegations: a missed medication dose and a food allergy concern. The medication allegation was substantiated with a citation issued, while the food allergy allegation was unsubstantiated with no findings.
Findings
The investigation found that the facility failed to administer a prescribed medication dose to a resident, resulting in a citation for WAC 388-78A-2210 Medication Services. No findings were concluded regarding food services.

Deficiencies (1)
WAC 388-78A-2210 Medication services. The Assisted Living Facility failed to administer a prescribed dose of medication to a resident, placing the resident at increased risk for blood clots.
Report Facts
Total residents: 71 Resident sample size: 5

Inspection Report — Jan 10, 2023

Follow-Up
Date: Jan 10, 2023

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 deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.

Deficiencies (3)
WAC 246-215-04600 and WAC 388-78A-2305 Food sanitation. The Assisted Living Facility failed to maintain a clean kitchen environment, including dirty floors, uncovered food, and presence of fruit flies, placing residents at risk for food-borne illness.
WAC 246-215-06525 and WAC 388-78A-2305 Food sanitation. The Assisted Living Facility failed to store mop heads in a sanitary manner, with a wet mop head lying on the floor, risking bacterial and mold exposure.
WAC 388-78A-2320 Intermittent nursing services systems. The Assisted Living Facility failed to ensure 5 of 6 sampled residents had required 90-day nurse delegation return visits, placing residents at risk of receiving care without updated nursing information.
Report Facts
Total residents: 74 Resident sample size: 9 Number of residents overdue for nurse delegation return visit: 5 Days overdue for nurse delegation return visit: 15 Days overdue for nurse delegation return visit: 20 Days overdue for nurse delegation return visit: 150 Days overdue for nurse delegation return visit: 510 Days overdue for nurse delegation return visit: 750

Inspection Report — Oct 19, 2022

Complaint Investigation
Date: Oct 19, 2022

Visit Reason
The inspection was conducted as a complaint investigation triggered by multiple allegations regarding medication delivery, resident care, food service, COVID-19 precautions, and housekeeping at Orchard Park Assisted Living.

Complaint Details
The complaint investigation addressed seven allegations including late medication delivery, delayed response to a resident fall, improper food service, unmet special dietary needs, lack of COVID-19 precautions, poor housekeeping, and lack of shower arrangements. The investigation substantiated deficiencies related to housekeeping and food service.
Findings
The investigation found multiple deficiencies including failure to maintain safe and sanitary resident quarters, failure to provide alternate meal choices, and other care issues. Citations were written for these deficiencies. The facility did not meet licensing requirements at the time of inspection.

Deficiencies (2)
WAC 388-78A-3090 Maintenance and housekeeping. The facility failed to ensure basic housekeeping and maintenance services were completed in 1 of 7 resident apartments, resulting in unsanitary conditions including stained carpet, food debris, and a soiled incontinent pad on the floor.
WAC 388-78A-2300 Food and nutrition services. The facility failed to provide alternate entree choices in writing for residents when they disliked the food served, lacking records of alternate choices and limiting residents' ability to make nutritional food choices.
Report Facts
Total residents: 85 Resident sample size: 7

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