The Park at Belle Harbour

The 3rd floor sky bridge south door would not latch from a fully open position.

Facility unable to provide documentation for quarterly sprinkler inspections, 5-year internal pipe testing, 3-year dry system full flow trip test, annual trip test, annual fire pump test, and 5-year FDC hydro testing.

Facility unable to provide documentation that annual and semi-annual kitchen suppression servicing had been performed in the last 12 months; only one service performed on 06/06/2025.

Fire extinguisher in main kitchen was blocked by linen basket.

Manual fire alarm pull station near main entrance was obstructed by carts.

Carbon Monoxide alarm and detector monthly testing and maintenance has not been performed.

30 second monthly exit and emergency lighting activation test has not been performed.

Log of weekly inspections was not being performed and monthly 30 min load test has not been performed.

Monthly testing and maintenance of carbon monoxide alarms and detectors has not been performed.

Weekly inspection logs were not being performed and monthly 30-minute load test has not been performed.

30-second monthly exit and emergency lighting activation test has not been performed.

Facility could not provide documentation that annual and semi-annual kitchen suppression servicing had been performed in the last 12 months.

Facility could not provide documentation for quarterly sprinkler inspections, 5-year internal pipe testing, 3-year dry system full flow trip test, annual trip test, annual fire pump testing, and 5-year FDC hydro testing.

Facility failed to ensure 1 of 1 pet received regular veterinary examinations and were current with vaccinations.

Facility failed to ensure 2 of 4 mechanical and janitor rooms were closed and locked when unattended, placing residents at risk of becoming trapped.

Facility failed to ensure 1 of 1 sampled staff received a one-step TB test within three days of hire.

Facility failed to complete 27 of 34 staff two-step skin testing and failed to perform 3 of 4 required second-step TB tests.

Facility failed to submit 2 of 12 sampled staff background inquiry forms within one business day after start date.

Facility failed to ensure 5 of 6 staff completed required training (dementia/mental health specialty, CPR, First Aid, and facility orientation).

Facility cameras were focused on two common areas where memory care residents gathered; facility disconnected these cameras during inspection.

First aid kits were not clearly marked, readily available, or appropriate for the facility; facility placed clearly marked kits throughout the facility.

Water temperatures in second-floor common bathrooms and the Rainier Room measured too low; facility adjusted temperatures to the required range.

Nine shift audit records were not signed by staff after controlled substance counts; facility provided in-service training to ensure completion of counts.

Medication bottles on carts were not labeled with residents' names; facility labeled bottles and implemented improved storage guidelines.

Staff were not tested annually with fitting respirators; facility scheduled initial and annual fit testing for all staff.

Licensee failed to complete three staff members' one-step TB skin test within three days of hire and failed to complete second step TB test one to three weeks after the first.

Licensee failed to ensure one staff member completed the required training to perform their duties and responsibilities.