Inspection Reports for AvilaCare Assisted Living of Bellingham
2315 Williams Street, Bellingham, WA, 98225, WA, 98225
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Deficiencies: 1
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, due to concerns about maintenance and housekeeping.
Findings
The investigation found that the licensee failed to maintain the cleanliness of one resident room, resulting in an unclean and unsanitary condition that placed the resident at risk for a diminished quality of life. This deficiency was recurring and had been previously cited on April 9, 2025, and June 24, 2025.
Complaint Details
Complaint investigation conducted on September 29, 2025; deficiency was recurring and previously cited on April 9, 2025, and June 24, 2025.
Deficiencies (1)
| Description |
|---|
| Failure to maintain the cleanliness of one resident room, resulting in unclean and unsanitary conditions. |
Report Facts
Civil fine amount: 300
Days to return Statement of Deficiencies: 10
Days to request formal administrative hearing: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Hauser | Compliance Specialist | Signed the imposition of civil fine letter |
| Jamie Singer | Field Manager | Contact person for the facility regarding the Statement of Deficiencies and appeals |
Inspection Report
Life Safety
Deficiencies: 8
Aug 7, 2025
Visit Reason
The Office of the State Fire Marshal conducted an inspection at Cypress Assisted Living Inc to assess compliance with fire safety codes and regulations.
Findings
Multiple fire safety violations were identified including blocked fire doors, open electrical junction boxes, improper use of power taps, wiring attached to sprinkler piping, missing tamper seal on a fire extinguisher, and lack of documentation for emergency generator servicing. Some violations were corrected while others resulted in disapproval of the facility.
Deficiencies (8)
| Description |
|---|
| Open junction boxes and open-wiring splices were found and are prohibited. |
| Relocatable power taps and current taps were improperly connected. |
| Resident room fire doors that open to the corridor were blocked open, preventing closing and latching (rooms 101, 106, 108, 305, 309). |
| Swinging fire doors near room 111 and ice room would not close and latch automatically. |
| Wiring attached to sprinkler piping in the activities director office and hallway near room 309. |
| Fire extinguisher near room 101 is missing the tamper seal. |
| Facility unable to provide documentation for annual servicing of the emergency generator; the generator powering the north part of the building is non-operational. |
| Power adapter plugged into another power strip in the activities director's office. |
Report Facts
Number of fire doors blocked open: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Signed the inspection report |
| Matt Lucero | Administrator | Signed as Owner or Authorized Representative |
Inspection Report
Follow-Up
Census: 38
Deficiencies: 2
Jun 2, 2025
Visit Reason
The Department completed a follow-up inspection of Cypress Assisted Living Facility to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to maintenance, housekeeping, and background checks were corrected.
Complaint Details
The complaint investigation included allegations of unsafe flooring, roof leaks, billing and payroll issues, lack of executive director, and outsourcing behavioral health and billing insurance. The vinyl flooring issue was substantiated with a citation issued. Other allegations such as roof leaks, billing, payroll, and behavioral health outsourcing were not substantiated. Background check deficiencies were also substantiated with citations.
Deficiencies (2)
| Description |
|---|
| Vinyl flooring at the front door, hallway, and dining room was lifting off the floor causing tripping hazards; two staff and one resident tripped on the loose vinyl planks. |
| Background checks and character, competence, and suitability reviews were not completed timely for two staff members. |
Report Facts
Total residents: 38
Resident sample size: 5
Number of vinyl planks lifting at front entrance: 5
Number of vinyl planks lifting at hallway: 4
Number of vinyl planks lifting at dining room: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Helen Fisher | Complaint Investigator | Conducted complaint investigation |
| Teresa Pederson-Tuley | Nursing Consultant Institutional | Conducted follow-up inspection verification |
| Kimberley Ripley | Field Manager | Signed follow-up inspection letter |
| Staff A | Cook | Named in background check deficiency and vinyl flooring tripping incident |
| Staff B | Executive Director | Interviewed regarding flooring and background check deficiencies |
| Staff C | Housekeeping Staff | Named in vinyl flooring tripping incident |
| Staff D | Dietary Manager | Named in background check deficiency |
Inspection Report
Life Safety
Deficiencies: 4
Jun 8, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at Cypress Assisted Living Inc to evaluate compliance with fire safety regulations.
Findings
Multiple violations were observed including improper use of extension cords as permanent wiring, lack of documentation for sprinkler system maintenance, and unsecured oxygen cylinders in storage and resident rooms.
Deficiencies (4)
| Description |
|---|
| Extension cords utilized as permanent wiring in the Executive Director's office and room #304. |
| Facility unable to provide documentation for the 5 year internal piping inspection of the sprinkler system. |
| Ten oxygen cylinders in the oxygen storeroom are not secured to prevent falling. |
| One oxygen cylinder in room #304 is not secured to prevent falling. |
Report Facts
Oxygen cylinders unsecured: 11
Inspection date: Jul 8, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Akspoe | Admin | Owner or Authorized Representative signing the inspection documents |
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and signed the report |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 1
Jan 9, 2023
Visit Reason
The inspection was conducted as an unannounced on-site complaint investigation based on allegations that a named resident did not receive medication as scheduled, facility staff intended to initiate personal and sexual conduct towards the resident, the resident experienced bullying, and the resident was being discharged.
Findings
The investigation found no failed practices related to medication administration, staff conduct, bullying, or discharge procedures. The resident was enrolled in a specialized behavioral care plan. However, a deficiency was identified related to failure to submit a required background check for one staff member.
Complaint Details
The complaint involved four allegations: missed medication dose, inappropriate staff conduct, resident bullying, and discharge process. The investigation found no substantiated failed practices for these allegations.
Deficiencies (1)
| Description |
|---|
| Failure to submit a background check for one staff member every two years, placing residents at risk. |
Report Facts
Total residents: 41
Resident sample size: 7
Closed records sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Syng To | ALF Complaint Investigator | Investigator who conducted the complaint investigation |
| Jayne Hill | Field Manager | Signed correspondence related to inspection |
| Staff B | Executive Director | Interviewed regarding background check deficiency |
| Christina Abscoe | Administrator | Signed Plan of Correction for background check deficiency |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 2
Sep 29, 2022
Visit Reason
The inspection was conducted as a complaint investigation based on multiple allegations regarding resident care, facility conditions, and infection control practices at Cypress Assisted Living Inc.
Findings
The investigation found multiple deficiencies including poor resident hygiene, inadequate staff training on bedbound care and Hoyer lift use, failure to properly report and manage COVID-19 cases, and failure to maintain resident records. Citations were issued for infection control and record retention violations.
Complaint Details
The complaint investigation was substantiated with citations issued. Allegations included poor resident hygiene, unclean rooms, lack of hot water in one wing, inadequate staff training, improper use of Hoyer lift, and failure to report and manage COVID-19 cases properly.
Deficiencies (2)
| Description |
|---|
| Failure 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 training for housekeeping staff. |
| Failure to ensure resident records were maintained for the required time period, including shredding of temporary service plans and failure to keep records for a deceased resident. |
Report Facts
Total residents: 41
Resident sample size: 3
Closed records sample size: 0
Compliance Determination Completion Date: Completion date 09/29/2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen Glover | Complaint Investigator | Investigator conducting the complaint investigation |
| Jayne Hill | Field Manager | Field Manager who signed enforcement and follow-up letters |
| Christine Alspector | Administrator (or Representative) | Signed Plan/Attestation Statements for correction of deficiencies |
Report
File
R_Cypress_Assisted_Living_Inc_60888_64429-ew.pdf
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