Inspection Reports for Welcome Home (Oak Harbor Senior Memory Care)
235 SW 6TH AVE, OAK HARBOR, WA, 98277
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
8.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% worse than Washington average
Washington average: 6.3 deficiencies/year
Deficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
36 residents
Based on a August 2025 inspection.
Census over time
Inspection Report
Follow-Up
Census: 36
Deficiencies: 0
Date: Aug 1, 2025
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 08/01/2025 to verify correction of previously cited deficiencies related to licensing laws and regulations.
Complaint Details
The complaint investigation was initiated due to allegations that an identified resident was offering hallucinogenic mushrooms to others, asking another resident to make a meth pipe, and possessing a hatchet and large knife in their room. The investigation found no evidence of hallucinogenic mushrooms or failed practice, but a citation was issued for failure to complete a 14-day assessment for newly admitted residents. The resident with the weapons was discharged from the facility due to safety concerns.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to WAC 388-78A-2090 were corrected.
Report Facts
Total residents: 36
Resident sample size: 1
Closed records sample size: 1
Newly admitted residents without full assessment: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Phillips | Long Term Care Surveyor | Investigator and on-site verification staff |
| Jamie Singer | Field Manager | Signed follow-up inspection letter |
| Anthony Devito | Residential Care Services | Signed statement of deficiencies |
Inspection Report
Life Safety
Deficiencies: 15
Date: Sep 3, 2024
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the Welcome Home (Oak Harbor Senior Memory Care) facility to assess compliance with fire safety codes and regulations.
Findings
The inspection identified multiple deficiencies related to fire safety, including lack of documentation for annual fire door inspections, sprinkler system inspections, fire extinguisher maintenance, fire alarm testing, and fire drills. Several physical deficiencies were noted such as blocked fire doors, missing attic access door, and unsecured compressed gas cylinders.
Deficiencies (15)
Facility is unable to provide documentation that the annual fire door inspection has been completed.
Facility is unable to provide documentation for the annual sprinkler system inspection, annual forward flow test, and missing hydraulic calculation placard or pipe schedule system signage.
Facility is unable to provide documentation for the semi-annual kitchen suppression system servicing.
Facility is unable to provide documentation for the monthly single station smoke alarm testing.
Facility is unable to provide documentation for the monthly carbon monoxide detector testing.
Facility is unable to provide documentation for the monthly 30 second activation test for emergency lights.
The attic access door in the media room is not installed.
The attic access door in the fire riser room is not installed.
Resident room 27 fire door that opens to the corridor was blocked open by a cabinet, preventing it from closing and latching.
The back gate from the yard is locked from the outside with a padlock, preventing resident and staff from exiting to a safe area.
5 oxygen cylinders in oxygen storage room are not secured to prevent the cylinders from falling.
Facility cannot provide documentation for the completion of twelve planned and unannounced fire drills in the previous 12 months; several fire drills are missing.
There was a power strip plugged into another power strip at the reception desk.
There was an extension cord utilized as permanent wiring in room 27 and near the kitchen sprinkler piping.
The portable fire extinguisher near room 31 is missing the tamper seal; the portable fire extinguisher in laundry is missing the tamper seal.
Report Facts
Oxygen cylinders unsecured: 5
Fire drills missing: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pamela K Joselyn Kitchen | Supervisor | Named as Owner or Owner's Representative on page 1 |
| Brandon G. Brown | Deputy State Fire Marshal | Signed inspection documents |
| Charles McGuire | Executive Director | Signed inspection documents |
| Melissa Wold | LPN | Signed inspection documents |
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 1
Date: Mar 14, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding the Assisted Living Facility's failure to provide notification of a COVID-19 outbreak.
Complaint Details
The complaint alleged that the Assisted Living Facility did not provide notification of COVID-19. The investigation confirmed this failure and a citation was issued.
Findings
The facility failed to initiate and follow infection prevention and control guidelines during the COVID-19 outbreak and did not report the communicable disease to the Local Health Jurisdiction. A citation was issued for this failure.
Deficiencies (1)
Failure to report communicable diseases in accordance with requirements, specifically failure to notify the Local Health Jurisdiction of a COVID-19 outbreak.
Report Facts
Total residents: 28
Resident sample size: 6
Closed records sample size: 1
Residents testing positive: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Syng To | ALF Complaint Investigator | Investigator who conducted the complaint investigation |
| Cristina Gonzalez | ALF Licensor | Department staff who did the on-site verification during follow-up inspection |
| Kimberley Ripley | Field Manager | Signed follow-up inspection letter confirming no deficiencies found |
Inspection Report
Follow-Up
Census: 35
Deficiencies: 6
Date: Jan 3, 2024
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 the facility meets the Assisted Living Facility licensing requirements. Previous deficiencies related to training, certification, background checks, and maintenance were corrected.
Deficiencies (6)
Failure to ensure 2 of 6 staff had 12 hours of continuing education, placing residents at risk due to staff not having current education.
Failure to ensure 6 of 6 sampled staff completed First Aid/CPR training, placing residents at risk due to lack of certification.
Failure to ensure 2 of 6 staff were screened for tuberculosis within three days of hire, placing residents at risk of communicable disease exposure.
Failure to submit name and date of birth background checks within one business day for 2 of 6 staff, placing residents at risk of being cared for by an employee with a disqualifying background.
Failure to maintain documentation of dementia and mental health training for 1 of 6 staff, placing residents with mental health diagnoses at risk of not receiving proper care.
Failure to provide a safe, sanitary, well-maintained environment; observed loose toilet riser, unsecured oxygen tanks, worn non-skid strips, and dust-covered fan.
Report Facts
Residents present: 35
Staff sample size: 6
Deficiencies cited: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Condyles | ALF Licensor | Department staff who conducted the on-site verification |
| Kimberley Ripley | Field Manager | Signed follow-up inspection letter |
| Christine Banta | Community Complaint Investigator | Department staff who inspected the Assisted Living Facility |
| Staff A | Executive Director | Named in findings related to CPR training, background checks, and TB screening |
| Staff G | Medication Technician | Named in findings related to continuing education and CPR training |
| Staff H | Caregiver | Named in findings related to continuing education, dementia and mental health training, and background checks |
| Staff D | Caregiver | Named in findings related to CPR training and TB screening |
| Staff E | Caregiver | Named in findings related to CPR training and TB screening |
| Staff F | Caregiver | Named in findings related to CPR training and TB screening |
| Staff I | Cook | Interviewed regarding maintenance issues with kitchen fan |
Inspection Report
Life Safety
Deficiencies: 3
Date: Sep 12, 2023
Visit Reason
The Office of the State Fire Marshal conducted an inspection at the facility on 09/12/2023 to verify compliance with fire safety regulations and to confirm correction of previous violations.
Findings
All violations noted during previous related inspections have been corrected as of the 09/12/2023 inspection. The prior inspection on 08/07/2023 identified violations related to sprinkler system maintenance, fire-extinguishing system service, and kitchen suppression system installation.
Deficiencies (3)
Heat wrap and insulation hanging on the outside sprinkler piping near the south east exit.
Facility is unable to provide an inventory list for the monthly single station smoke alarm testing.
Kitchen suppression system was installed with four 450 degree fusible links with no evidence of a proper heat test in accordance with manufacturer instructions.
Report Facts
Fusible links: 4
Next inspection scheduled: Sep 6, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon G. Brown | Deputy State Fire Marshal | Conducted the inspection and signed the report |
| Sandra K Oldemeyer | LPN / DON | Owner or Owner's Representative who signed the report |
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