Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

GRAYS HARBOR HEALTH & REHABILITATION CENTER

ABERDEEN, WA · 105 certified beds · Last Life Safety survey May 7, 2026

CMS Certification Number 505016 · first certified January 1967

Ownership

Operated by AVALON HEALTH CARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within WA

15 citations — more than 11% of the 193 certified nursing homes in WA. Compared within WA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was May 2026. Facilities in WA are typically surveyed 12–15 months after the last one (median 13), measured over 320 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 15 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

How that compares

Citations on file over three years

Compared with the median facility in WA, and nationally. Surveyors differ markedly between states, so the WA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	15
Median facility in WA	31
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
February 23, 2024	10
March 19, 2025	3
May 7, 2026	2

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-03-19
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	1	2024-02-23
K-0161	Use approved construction type or materials.	1	2026-05-07
K-0753	Have restrictions on the use of highly flammable decorations.	1	2026-05-07
K-0363	Install corridor and hallway doors that block smoke.	1	2024-02-23
K-0511	Have properly installed electrical wiring and gas equipment.	1	2024-02-23
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	1	2024-02-23
K-0324	Provide properly protected cooking facilities.	1	2024-02-23

What the citations cover

Citations by CMS category

Smoke Deficiencies 5
Emergency Preparedness Deficiencies 4
Services Deficiencies 2
Miscellaneous Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	5
Emergency Preparedness Deficiencies	4
Services Deficiencies	2
Miscellaneous Deficiencies	2
Egress Deficiencies	1
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 7, 2026 — 2 citations

Citations issued on May 7, 2026
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (May 18, 2026)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (May 18, 2026)

March 19, 2025 — 3 citations

Citations issued on March 19, 2025
Tag	What the surveyor checks	Status
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (April 4, 2025)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 31, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 21, 2025)

February 23, 2024 — 10 citations

Citations issued on February 23, 2024
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (April 1, 2024)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (April 1, 2024)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (April 1, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 1, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (April 1, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 1, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 1, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (April 1, 2024)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (April 1, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (April 1, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.