Peacehealth
Bellingham, Washington · CCN 501537
2800 Douglas Ave
13 federal deficiencies across 4 surveys, January 25, 2022 to November 17, 2023.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Standard-level13100.0%
- A requirement within a Condition of Participation. The Condition itself was not cited.
These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.
Who conducted the surveys
TJC, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- K0355Portable Fire Extinguishers2
- K0363Corridor - Doors2
- K0511Utilities - Gas and Electric2
- L0531Content of Comprehensive Assessment1
- L0545Content of Plan of Care1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Nov 17, 2023 | Initial | 5 | — |
| Mar 16, 2022 | Recertification | 3 | — |
| Jan 27, 2022 | Recertification | 2 | — |
| Jan 25, 2022 | Recertification | 3 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 10 findings in full →
CMS publishes written findings for 10 of the 13 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from January 25, 2022 to November 17, 2023. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
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