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 (last 1 years)
Deficiencies (over 1 years)
14 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
122% worse than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
31 residents
Based on a July 2025 inspection.
Occupancy over time
Inspection Report
Follow-Up
Census: 31
Deficiencies: 12
Date: 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)
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
Date: 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)
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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