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

Bellevue Post Acute

BELLEVUE, WA · 69 certified beds · Last Life Safety survey January 10, 2026

CMS Certification Number 505500 · first certified January 1997

Ownership

Operated by KALESTA HEALTHCARE GROUP · 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

76 citations — more than 99% 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 40 citations; the earlier surveys in the window averaged 18. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was January 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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9 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

24 of the 76 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)

6 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 76 Life Safety citations above. The Physical Environment Index

F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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	76
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
July 14, 2023	27
October 17, 2024	9
January 10, 2026	40

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-0712	Have simulated fire drills held at unexpected times.	3	2026-01-10
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2026-01-10
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	3	2026-01-10
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2026-01-10
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-01-10
E-0039	Conduct testing and exercise requirements.	2	2026-01-10
E-0035	Provide family notifications of emergency plan.	2	2026-01-10
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.	2	2026-01-10

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 24
Smoke Deficiencies 19
Gas, Vacuum, and Electrical Systems Deficiencies 13
Egress Deficiencies 8
Other 12

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	24
Smoke Deficiencies	19
Gas, Vacuum, and Electrical Systems Deficiencies	13
Egress Deficiencies	8
Miscellaneous Deficiencies	7
Services Deficiencies	4
Construction Deficiencies	1

Every citation on file

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

January 10, 2026 — 40 citations

Citations issued on January 10, 2026
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (March 31, 2026)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (February 18, 2026)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (February 18, 2026)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (February 18, 2026)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (February 18, 2026)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (February 18, 2026)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (February 18, 2026)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (February 18, 2026)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (February 18, 2026)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (February 18, 2026)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (February 18, 2026)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (March 31, 2026)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 31, 2026)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (March 31, 2026)
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 (February 18, 2026)
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	Deficient, Provider has date of correction (February 18, 2026)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (February 18, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (March 31, 2026)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (February 18, 2026)
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 (February 18, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 18, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 31, 2026)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (February 18, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 31, 2026)
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 (February 18, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 18, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 18, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 18, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (February 18, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 18, 2026)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (March 31, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 18, 2026)
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 (February 18, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 31, 2026)
K-0908	Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.	Deficient, Provider has date of correction (February 18, 2026)
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 (March 31, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 31, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 18, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (March 31, 2026)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (March 31, 2026)

October 17, 2024 — 9 citations

Citations issued on October 17, 2024
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (November 20, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (November 20, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (November 20, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (November 20, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 20, 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 (November 20, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 20, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 20, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (November 20, 2024)

July 14, 2023 — 27 citations

Citations issued on July 14, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (August 21, 2023)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (August 21, 2023)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (August 21, 2023)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (August 21, 2023)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (August 21, 2023)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (August 21, 2023)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (August 21, 2023)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (August 21, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (August 21, 2023)
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 (August 21, 2023)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (August 21, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (August 21, 2023)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (August 21, 2023)
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 (August 21, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 21, 2023)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (August 21, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 21, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 21, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (August 21, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Waiver has been granted (August 21, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (August 21, 2023)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (August 21, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (August 21, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 21, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Waiver has been granted (August 21, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (August 21, 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 (August 21, 2023)

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