The Bellingham at Orchard

Facility failed to document appropriate behavioral interventions in the Negotiated Service Agreements (NSA) for 4 residents assessed to have behaviors.

Facility failed to ensure staff completed required facility orientation, safety training, basic training, dementia specialty training, CPR/first aid, and continuing education. Staff F was not HCA certified within required timeframes.

Facility failed to ensure 5 of 6 staff were screened for tuberculosis within three days of hire.

Facility failed to obtain physician-prescribed medications in a timely manner for Resident 4, resulting in 51 missed doses over a three-month period.

Facility failed to ensure 5 of 6 sampled staff completed CPR and first aid training.

Kitchen and serving areas were not kept clean and sanitary, evidenced by sticky floors, food particles, trash/buildup on equipment, missing plaster/exposed wire, fruit fly infestations, expired food, and staff handling food with bare hands.

Failed to keep 2 of 2 living areas, 10 of 61 resident rooms, and 1 of 1 kitchen safe and sanitary. Issues included excessive dust on ceiling vents, missing window screens, improper storage of wet mops, and food debris left in dining areas.

Failed to maintain hot water temperatures in resident bathrooms and dining room sinks between 105 F and 120 F, with temperatures as low as 96.9 F.

Failed to ensure 1 of 1 pets residing at the facility had current vaccinations; the pet's rabies vaccination had expired.

Facility failed to ensure Negotiated Service Agreements were signed annually for 4 of 5 sampled residents.

Five staff members failed to complete CPR and first aid training, placing residents at risk.

The fire alarm system is producing false alarms and is currently in test mode to prevent being a nuisance.

The licensee failed to ensure three staff members completed Cardiopulmonary resuscitation (CPR) and first aid training.

The licensee failed to ensure two staff members initiated tuberculosis (TB) screening within three days of employment.

Unable to provide documentation for monthly activation tests.

Unable to provide documentation for annual 90-minute power test.

Fire rated cross corridor door near the Bistro would not close and latch.

Missing documentation for required fire drills (1st shift, quarters 1 and 2).

Unable to provide documentation of annual fire-resistance rated construction material inspection.

Unable to provide documentation for semi-annual hood cleaning.

Extension cord used as permanent wiring in the main entry.

Gas appliances on casters in kitchen lack a restraining device.

Missing inspection/maintenance documentation, expired/missing extinguishers in various rooms.

Electrical outlet without a faceplate in the Baker housekeeping closet.

Unable to provide documentation for annual generator service or weekly/monthly load testing.

Multiple deficiencies: missing inspection docs (annual/quarterly/trip test), missing escutcheon plate, improper installation, mixed sprinkler types, loaded heads.

Missing testing documentation and potential need to replace smoke alarms > 10 years old.

Unable to provide documentation of annual fire door inspection.

Exit sign near S13 did not illuminate.

Multi-plug adapter without over current protection in use in room B2.

Unable to provide documentation for monthly CO detector testing.