Inspection Reports for Village at the Harbor
543 Spring St, Friday Harbor, WA, 98250
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
11% worse than Washington average
Washington average: 6.3 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
26 residents
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 26
Deficiencies: 3
Date: Jul 15, 2025
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 licensing law deficiencies were corrected. The prior deficiencies involved background checks, tuberculosis testing, and staff training requirements.
Deficiencies (3)
Failed to ensure 3 of 6 staff completed a national fingerprint background check and 2 of 2 staff had a Washington state name and date of birth background check completed every two years.
Failed to ensure 3 of 3 staff were screened for tuberculosis within three days of employment.
Failed to ensure staff completed 70-hour Basic training within 120 days, CPR and first aid training within 30 days, 12 hours of annual continuing education, and obtained home-care aide certification as required.
Report Facts
Residents present: 26
Staff without required fingerprint background checks: 3
Staff without timely tuberculosis screening: 3
Staff without required training: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Executive Director | Named in background check and training deficiencies |
| Staff B | Caregiver | Named in background check and tuberculosis screening deficiencies |
| Staff C | Caregiver | Named in tuberculosis screening and training deficiencies |
| Staff D | Caregiver | Named in tuberculosis screening and training deficiencies |
| Staff E | Medication Technician | Named in background check and training deficiencies |
| Staff F | Medication Technician | Named in background check and training deficiencies |
| Staff G | Health Services Director | Named in tuberculosis screening deficiency |
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 1
Date: Mar 10, 2025
Visit Reason
The department conducted an unannounced on-site complaint investigation regarding an allegation that a staff member yelled at a resident, which was reported by the resident and investigated by the Assisted Living Facility.
Complaint Details
The complaint involved the Named Resident being yelled at by the Identified Staff. The investigation included interviews with the resident, staff, and executive director. The staff member was suspended pending investigation, then written up and allowed to return to work. The facility did not report the incident to the hotline but notified family, physician, nursing staff, case worker, and executive director.
Findings
The investigation found that the identified staff member raised their voice to the resident, was written up, and allowed to return to work. The facility failed to report the incident to the hotline but notified family and other relevant parties. A citation was issued for failed practice under WAC 388-78A-2371(1)(2)(3)(4).
Deficiencies (1)
Failed to investigate allegations of suspected abuse for 1 of 3 residents, resulting in a resident being yelled at by a staff member and placing all residents at risk of not having their allegations looked at.
Report Facts
Total residents: 34
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Pederson-Tuley | Nursing Consultant Institutional | Investigator who conducted the complaint investigation |
| Karen Glover | Nursing Consultant Institutional | Department staff who did the On Site verification |
| Cristina Gonzalez | Nursing Consultant Institutional | Department staff who did the On Site verification |
Inspection Report
Life Safety
Deficiencies: 10
Date: Jan 30, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Village at the Harbour facility to evaluate compliance with fire safety codes and regulations.
Findings
The facility was found to be non-compliant with multiple fire safety requirements, including lack of documentation for semi-annual hood cleaning, annual fire wall inspection, sprinkler system inspection, kitchen suppression system servicing, fire extinguisher maintenance, fire alarm system testing, carbon monoxide detector testing, emergency egress lighting, emergency lighting activation tests, and fire drills.
Deficiencies (10)
Facility is unable to provide documentation for the semi-annual hood cleaning.
Facility is unable to provide documentation that the annual fire wall inspection has been completed.
Facility is unable to provide documentation for the annual sprinkler system inspection.
Facility is unable to provide documentation for the semi-annual kitchen suppression system servicing.
Facility was unable to provide the required documentation for monthly fire extinguisher maintenance and annual maintenance for the fire extinguisher in the outside electrical room.
Facility is unable to provide documentation for the annual fire alarm system testing and monthly single station smoke alarm testing.
Facility is unable to provide documentation for the monthly carbon monoxide detector testing.
The emergency egress light in the main entry would not illuminate when the test button was pressed.
Facility is unable to provide documentation for the monthly 30 second activation test for the emergency lights.
Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months.
Report Facts
Number of required fire drills: 12
Next inspection scheduled on or after: Mar 1, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Signed the inspection report |
| Eva Purcell | Administrator | Facility representative signing the report |
Viewing
Loading inspection reports...
