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

MT BAKER CARE CENTER

BELLINGHAM, WA · 70 certified beds · Last Life Safety survey July 2, 2025

CMS Certification Number 505376 · first certified April 1991

Ownership

Operated by REGENCY PACIFIC MANAGEMENT · For profit - Limited Liability company

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

23
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within WA

23 citations — more than 29% 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 5 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (June 2026 to September 2026). Most WA facilities have been surveyed by October 2026. This facility’s last Life Safety survey was July 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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Which alerts

3 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

6 of the 23 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 23 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

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.

This facility23WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility23
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
122023-0162024-0452025-07
Citations at each Life Safety survey
Survey dateCitations
January 7, 202312
April 12, 20246
July 2, 20255

Most-cited tags

Most-cited tags at this facility
K-03412K-03452K-05112K-09202K-09182E-00321K-03511K-03741
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0341Install a fire alarm system that can be heard throughout the facility.22024-04-12
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-07-02
K-0511Have properly installed electrical wiring and gas equipment.22024-04-12
K-0920Ensure proper usage of power strips and extension cords.22024-04-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-07-02
E-0032Provide primary/alternate means for communication.12023-01-07
K-0351Install an approved automatic sprinkler system.12024-04-12
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-07-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Emergency Preparedness Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Services Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Emergency Preparedness Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies5
Services Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

July 2, 2025 — 5 citations

Citations issued on July 2, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 31, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 31, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 31, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 31, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 31, 2025)

April 12, 2024 — 6 citations

Citations issued on April 12, 2024
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (May 8, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 8, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 8, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 8, 2024)
K-0751Have restrictions on the use of flammable curtains.Deficient, Provider has date of correction (May 8, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 8, 2024)

January 7, 2023 — 12 citations

Citations issued on January 7, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (February 1, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (February 1, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (February 1, 2023)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (February 1, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (February 1, 2023)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (February 1, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (February 3, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 3, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 3, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 3, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 3, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 3, 2023)

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