Inspection Reports for Orchard Park Assisted Living

844 W ORCHARD DRIVE, BELLINGHAM, WA, 98225

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 6.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

8% worse than Washington average
Washington average: 6.3 deficiencies/year

Deficiencies per year

12 9 6 3 0
2022
2023
2024
2025

Census

Latest occupancy rate 66 residents

Based on a May 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

50 60 70 80 90 Oct 2022 Apr 2023 Dec 2023 Feb 2024 May 2025
Inspection Report Follow-Up Census: 66 Deficiencies: 1 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.
Findings
The follow-up inspection on 05/15/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to fire and life safety inspections were corrected.
Complaint Details
The complaint investigation found that the Assisted Living Facility failed their third Fire and Life Safety Inspection, resulting in a citation for noncompliance with Washington Administrative Code 388-78A-2040 (2). The facility was out of compliance with the Washington State Fire Marshal and placed all 66 residents at risk of harm in the event of a fire.
Deficiencies (1)
Description
Failure to have the building approved by the Washington state fire marshal due to uncorrected fire and life safety violations from three annual inspections, including failure to provide documentation of hydrostatic testing of the Fire Department Connection.
Report Facts
Total residents: 66 Fire and Life Safety inspections failed: 3
Employees Mentioned
NameTitleContext
Helen FisherComplaint InvestigatorConducted the on-site verification and complaint investigation
Staff AExecutive DirectorProvided statement regarding plans to reroute piping to correct deficiency
Inspection Report Life Safety Deficiencies: 12 Apr 7, 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 most recent inspection on 04/07/2025 found that all violations noted during previous related inspections have been corrected. Prior inspections documented multiple fire safety deficiencies including failed hydrostatic testing of fire department connections, missing documentation for sprinkler system tests, blocked sprinkler heads, unsecured oxygen cylinders, and malfunctioning fire doors.
Deficiencies (12)
Description
Facility was unable to provide documentation that the Fire Department Connection has been hydrostatically tested in accordance with NFPA 25; hydrostatic test failed.
Facility unable to provide documentation for the 3 year dry system full flow trip test and annual forward flow test in accordance with NFPA 25.
Fire rated cross corridor doors near room 313 and dining room would not close and latch from the fully open position.
Storage blocking sprinkler head in storage room near 207.
Hydraulic calculation plate for wet system 1 and 2 is missing.
Smoke detector heads near rooms 316 and 333 installed within 36 inches of air supply diffuser or return air opening, preventing proper operation.
Several standalone smoke alarms in resident rooms are greater than 10 years old.
Facility unable to provide documentation for annual servicing of the emergency generator.
Oxygen cylinders in 3rd floor storage room #5 are not secured to prevent falling.
Open junction box in maintenance office.
Power strip plugged into another power strip in nurses station.
Extension cords utilized as permanent wiring in multiple locations including room 315, hallway near 317, 2nd floor activities room, maintenance office, and 1st floor nurses station.
Report Facts
Inspection dates: 5 Next inspection date: Mar 22, 2025
Employees Mentioned
NameTitleContext
Brandon G. BrownDeputy State Fire MarshalSigned inspection reports and conducted inspections
Ruth GollenAdminOwner or Owner's Representative signing inspection reports
Kyle MeadeMaintenance ManagerSigned inspection report on 12/24/2024
Inspection Report Life Safety Deficiencies: 1 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 issues with the fire department connection hydrostatic test, which failed and lacked documentation. Other fire safety and maintenance requirements were either corrected or noted with deficiencies in previous inspections.
Deficiencies (1)
Description
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.
Report Facts
Next inspection scheduled date: Mar 22, 2025
Employees Mentioned
NameTitleContext
Brandon G. BrownDeputy State Fire MarshalSigned the inspection report
Ruth GollenAdminAuthorized Facility Representative who signed the report
Inspection Report Follow-Up Deficiencies: 0 Apr 17, 2024
Visit Reason
The Department completed a follow-up inspection of Orchard Park Assisted Living Facility on 04/17/2024 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. Previously cited deficiencies related to WAC 388-78A-2160 were corrected.
Complaint Details
The complaint investigation was conducted from 01/04/2024 through 02/12/2024 regarding allegations that a resident was found unresponsive without pulse or respiration, had complained of a headache, and concerns about medication management. The investigation found a failure to provide care as per the negotiated service agreement, resulting in a citation for noncompliance with WAC 388-78A-2160. The resident was not checked for 11 hours, placing residents at risk. No facility failed practice was identified related to medication management. The complaint was substantiated with citation.
Report Facts
Total residents: 63 Resident sample size: 4 Closed records sample size: 1 Hours resident not checked: 11
Employees Mentioned
NameTitleContext
Christine BantaALF LicensorDepartment staff who did the on-site verification during follow-up inspection
Helen FisherComplaint InvestigatorInvestigator for complaint investigation
Laurie AndersonField ManagerSigned follow-up inspection letter
Kim RipleyResidential Care ServicesSigned complaint investigation report
Staff AAdministratorInterviewed during complaint investigation regarding resident checks
Staff BDining StaffInterviewed during complaint investigation regarding resident observation
Staff CCaregiverInterviewed during complaint investigation regarding resident checks
Staff DNight Shift CaregiverInterviewed during complaint investigation regarding resident checks
Staff ECaregiverInterviewed during complaint investigation regarding resident complaint of headache
Inspection Report Complaint Investigation Census: 64 Deficiencies: 1 Feb 23, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding an outbreak of Covid-19 at the Assisted Living Facility.
Findings
The Assisted Living Facility failed to follow their respiratory protection program and ensure staff were fit tested for an N95 respirator, resulting in a citation for noncompliance with infection control regulations.
Complaint Details
An outbreak of Covid-19 occurred at the ALF. The investigation found failed provider practice with citation issued for noncompliance with WAC 388-78A(2610)(1) Infection control.
Deficiencies (1)
Description
Failure to ensure 3 of 3 staff were fit-tested for an N95 respirator during a Covid-19 outbreak.
Report Facts
Total residents: 64 Resident sample size: 2 Staff not fit-tested: 3 Residents testing positive: 18
Employees Mentioned
NameTitleContext
Cristina GonzalezALF LicensorInvestigator who conducted the complaint investigation
Kimberley RipleyField ManagerSigned the follow-up inspection letter and statement of deficiencies
Inspection Report Follow-Up Census: 57 Deficiencies: 2 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.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility met Assisted Living Facility licensing requirements. Previous deficiencies related to policies and procedures were corrected.
Complaint Details
Complaint investigation was conducted due to allegations that a named resident had bilateral leg wounds and that the facility was using a transfer device causing discomfort. The investigation found a citation for noncompliance with policies and procedures related to call response times and transfer assistance. The complaint was substantiated with a citation issued.
Deficiencies (2)
Description
Failure to implement policy to respond to residents' call lights within 15 minutes, resulting in extended wait times of up to two hours for assistance for 2 of 3 residents.
Use of a transfer device causing discomfort to a resident and failure to ensure timely assistance during transfers.
Report Facts
Total residents: 57 Resident sample size: 3 Wait time for call response: 137 Wait time for call response: 114 Wait time for call response: 116
Employees Mentioned
NameTitleContext
Helen FisherComplaint InvestigatorInvestigator who conducted complaint investigation
Allison NunnLong Term Care SurveyorDepartment staff who did the on-site verification during follow-up inspection
Kimberley RipleyField ManagerSigned follow-up inspection letter
Inspection Report Life Safety Deficiencies: 7 Nov 6, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at Orchard Park Assisted Living to assess compliance with fire safety regulations.
Findings
All violations noted during previous related inspections have been corrected as of the latest inspection on 11/06/2023. The prior inspection on 09/18/2023 identified multiple fire safety violations including improper use of multiplug adapters, power supply issues, inadequate cleaning documentation, malfunctioning fire doors, missing sprinkler inspection documentation, and a missing locking device on a fire alarm system power breaker.
Deficiencies (7)
Description
Multi-plug adapter without over current protection in hallway near room 317.
Power strip plugged into another power strip in the residence services office.
Facility unable to provide documentation for semi-annual hood cleaning.
Resident room #326 fire door would not close and latch from the fully open position.
Fire rated door from dining room to corridor would not close and latch from a fully open position.
Facility unable to provide documentation for quarterly sprinkler system inspections.
Power breaker #37 in panel EMM for the fire alarm system is missing locking device.
Report Facts
Next inspection scheduled: Oct 18, 2023
Employees Mentioned
NameTitleContext
Brandon G. BrownDeputy State Fire MarshalSigned as Deputy State Fire Marshal conducting the inspection
Johnathan HaasMDPrinted name and title of Owner or Authorized Representative
Inspection Report Complaint Investigation Census: 71 Deficiencies: 1 Apr 14, 2023
Visit Reason
The inspection was conducted as a 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.
Findings
The Assisted Living Facility failed to administer a prescribed dose of medication to one resident, resulting in a citation for medication services. No concerns were found regarding food services or meal preparation practices.
Complaint Details
The complaint was substantiated with a citation issued for failure to administer medication as prescribed. The named resident missed a dose of blood thinner medication, which placed them at increased risk for blood clots.
Deficiencies (1)
Description
Failed to administer a dose of medication for one resident, leading to increased risk for blood clots.
Report Facts
Total residents: 71 Resident sample size: 5
Employees Mentioned
NameTitleContext
Syng ToALF Complaint InvestigatorInvestigator who conducted the complaint investigation
Judith MellonRN, LicensorDepartment staff who did the on-site verification for follow-up inspection
Inspection Report Follow-Up Deficiencies: 0 Jan 10, 2023
Visit Reason
The Department completed a follow-up inspection of Orchard Park 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. Previously cited deficiencies were corrected.
Employees Mentioned
NameTitleContext
Cristina GonzalezALF LicensorOn-site verification staff for follow-up inspection
Judith MellonRN, LicensorOn-site verification staff for follow-up inspection
Inspection Report Complaint Investigation Census: 85 Deficiencies: 2 Oct 19, 2022
Visit Reason
The inspection was a complaint investigation conducted due to multiple allegations regarding medication delivery, resident care, food service, COVID-19 precautions, and housekeeping at Orchard Park Assisted Living.
Findings
The investigation found that the facility failed to provide alternate meal choices, maintain sanitary conditions in at least one resident's apartment, and ensure proper housekeeping and maintenance. Some allegations such as medication delivery and response to a resident fall were addressed and found compliant. The facility was found not in compliance with licensing requirements.
Complaint Details
The complaint investigation was based on allegations including late medication delivery, delayed response to a resident fall, improper food service, lack of special dietary accommodations, failure to implement COVID-19 precautions, poor housekeeping including feces found on bathroom floor, and lack of shower arrangements. The investigation substantiated failures in housekeeping and food service.
Deficiencies (2)
Description
Failed to ensure basic housekeeping and maintenance services were completed in 1 of 7 resident apartments, causing diminished quality of life due to unsanitary and unclean conditions.
Failed to provide a record of alternate entree choices on menus, limiting residents' ability to make food choices that met their nutritional needs.
Report Facts
Total residents: 85 Resident sample size: 7
Employees Mentioned
NameTitleContext
Helen FisherComplaint InvestigatorConducted the complaint investigation and on-site verification
Karen GloverComplaint InvestigatorAssisted in the complaint investigation
Jamie SingerField ManagerSigned enforcement and deficiency letters related to the complaint investigation
Jayne HillField ManagerSigned follow-up inspection letter confirming correction of deficiencies

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