Inspection Reports for The Inn at Belle Harbour Memory Care Community
2188 116th Ave NE, Bellevue, WA 98004, United States, WA, 98004
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Follow-Up
Census: 31
Deficiencies: 12
Jul 10, 2025
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies related to licensing laws and regulations for an Assisted Living Facility.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to tuberculosis testing and staff training were corrected.
Deficiencies (12)
| Description |
|---|
| Failed to complete one-step tuberculosis (TB) skin test within three days of hire for 3 of 21 sampled staff. |
| Failed to complete second-step TB test one to three weeks after the first test for 3 of 21 sampled staff. |
| Failed to ensure 1 of 3 sampled staff completed required training to perform duties and responsibilities. |
| Failed to ensure dietary manual was onsite and available to kitchen staff responsible for food preparation. |
| Failed to develop and implement policies and procedures to ensure resident safety for 2 open firepits. |
| Failed to ensure 1 pet received regular veterinary examinations and was current with vaccinations. |
| Failed to ensure 2 of 4 mechanical and janitor rooms were closed and locked when unattended. |
| Failed to ensure 1 sampled staff received a one-step TB test within three days of hire. |
| Failed to complete one-step TB skin test within three days of hire for 27 of 34 staff. |
| Failed to complete second-step TB test one to three weeks after the first test for 3 of 4 staff. |
| Failed to submit Washington state background inquiry within one business day after start date for 2 of 12 sampled staff. |
| Failed to ensure 5 of 6 staff completed required training including specialty dementia training, CPR, first aid, and facility orientation. |
Report Facts
Residents present: 31
Staff sampled for TB testing: 34
Staff failed one-step TB test: 27
Staff failed second-step TB test: 3
Staff sampled for background check compliance: 12
Staff failed background check submission: 2
Staff sampled for training compliance: 6
Staff failed training requirements: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff AA | Culinary Aide | Failed to complete one-step TB test within three days of hire. |
| Staff DD | Culinary Aide | Failed to complete one-step TB test within three days of hire. |
| Staff NN | Culinary Aide | Failed to complete one-step TB test within three days of hire. |
| Staff L | Resident Assistant | Failed to complete second-step TB test within required timeframe. |
| Staff P | Resident Assistant | Completed second-step TB test late, not within required one to three weeks. |
| Staff II | Resident Assistant | Failed to complete second-step TB test within required timeframe. |
| Staff T | Registered Nurse | Failed to complete required training including dementia specialty, CPR, and first aid; failed one-step TB test within three days of hire. |
| Staff O | Business Office Manager | Interviewed regarding TB testing and staff training deficiencies. |
| Staff D | Director of Resident Services | Interviewed regarding TB testing and staff training deficiencies. |
| Thomas Forkgen | ALF Licensor | Conducted on-site verification and inspections. |
| Michelle Yip | ALF Licensor | Conducted on-site verification and inspections. |
| Kathy Young | Licensor | Conducted on-site verification and inspections. |
Inspection Report
Follow-Up
Census: 31
Deficiencies: 2
May 23, 2025
Visit Reason
The Department of Social and Health Services conducted a follow-up visit to The Park at Belle Harbour to assess correction of previously cited deficiencies related to tuberculosis testing and staff training.
Findings
The facility failed to complete required tuberculosis two-step skin testing for three staff members and failed to ensure one staff member completed required training, placing all 31 residents at risk. These deficiencies were uncorrected from a prior citation dated April 2, 2025.
Deficiencies (2)
| Description |
|---|
| Failure to complete three staff’s one-step and second-step tuberculosis skin tests as required. |
| Failure to ensure one staff completed required training for duties and responsibilities. |
Report Facts
Civil fine amount: 600
Civil fine amount: 300
Total civil fines: 900
Resident count: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Laurie Anderson | Field Manager | Contact person for submission of Plan of Correction and inquiries. |
| Rathana Duong | Compliance Specialist | Author of the imposition of civil fines letter. |
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