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

LEA HILL REHABILITATION AND CARE CENTER

AUBURN, WA · 36 certified beds · Last Life Safety survey September 19, 2025

CMS Certification Number 505528 · first certified October 2016

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

Ownership changed August 18, 2017 (change of ownership)from SEATTLE UNIVERSITY

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

44 citations — more than 76% 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

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

The latest survey found 23 citations; the earlier surveys in the window averaged 10.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to December 2026. This facility’s last Life Safety survey was September 2025. 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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4 inspection-and-testing tags have 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

13 of the 44 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)

4 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 44 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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	44
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
April 3, 2023	9
July 2, 2024	12
September 19, 2025	23

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0036	Establish emergency prep training and testing.	3	2025-09-19
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	3	2025-09-19
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	3	2025-09-19
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2025-09-19
E-0015	Address subsistence needs for staff and patients.	2	2025-09-19
K-0324	Provide properly protected cooking facilities.	2	2025-09-19
E-0039	Conduct testing and exercise requirements.	2	2025-09-19
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-09-19

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 13
Smoke Deficiencies 11
Gas, Vacuum, and Electrical Systems Deficiencies 9
Services Deficiencies 5
Other 6

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	13
Smoke Deficiencies	11
Gas, Vacuum, and Electrical Systems Deficiencies	9
Services Deficiencies	5
Miscellaneous Deficiencies	3
Egress Deficiencies	2
Construction Deficiencies	1

Every citation on file

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

September 19, 2025 — 23 citations

Citations issued on September 19, 2025
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (October 17, 2025)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 17, 2025)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (October 17, 2025)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (October 17, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 17, 2025)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (November 18, 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 (October 17, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 17, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 17, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 17, 2025)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (October 17, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 18, 2025)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (October 17, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (October 18, 2025)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (November 18, 2025)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (October 17, 2025)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (October 17, 2025)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (October 17, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 17, 2025)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (October 17, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 17, 2025)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (October 17, 2025)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (October 17, 2025)

July 2, 2024 — 12 citations

Citations issued on July 2, 2024
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (July 30, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (July 30, 2024)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (July 30, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (July 30, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (July 30, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 30, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 30, 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 (July 30, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (July 30, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (July 30, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (July 30, 2024)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (July 30, 2024)

April 3, 2023 — 9 citations

Citations issued on April 3, 2023
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (May 2, 2023)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (May 2, 2023)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (May 2, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (May 2, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 2, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (May 2, 2023)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (May 2, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (May 2, 2023)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (May 2, 2023)

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