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

Avamere Rehabilitation of Burien

BURIEN, WA · 140 certified beds · Last Life Safety survey May 19, 2025

CMS Certification Number 505252 · first certified February 1983

Ownership

Operated by AVAMERE · For profit - Limited Liability company

  • Ownership changed March 1, 2023 (change of ownership)from BURIEN POST-ACUTE SERVICES INC
48
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
12
Tags cited more than once
Across separate surveys
19
Inspection & testing records
Of the citations on file

Position within WA

48 citations — more than 83% 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 17 citations; the earlier surveys in the window averaged 15.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to August 2026), and past the point by which nine in ten WA facilities have been surveyed. This facility’s last Life Safety survey was May 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

8 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

12 of the 48 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)

7 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 48 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

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 facility48WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility48
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
72022-11242024-02172025-05
Citations at each Life Safety survey
Survey dateCitations
November 17, 20227
February 28, 202424
May 19, 202517

Most-cited tags

Most-cited tags at this facility
K-09213K-09203K-02912E-00202K-03532K-03452K-03242K-09182
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0921Ensure that testing and maintenance of electrical equipment is performed.32025-05-19
K-0920Ensure proper usage of power strips and extension cords.32025-05-19
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-05-19
E-0020Establish policies and procedures including evacuation.22025-05-19
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-19
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-05-19
K-0324Provide properly protected cooking facilities.22025-05-19
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-05-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 13
  • Emergency Preparedness Deficiencies 12
  • Gas, Vacuum, and Electrical Systems Deficiencies 9
  • Miscellaneous Deficiencies 6
  • Other 8
Citations by CMS category
CategoryCitations
Smoke Deficiencies13
Emergency Preparedness Deficiencies12
Gas, Vacuum, and Electrical Systems Deficiencies9
Miscellaneous Deficiencies6
Egress Deficiencies4
Services Deficiencies3
Construction Deficiencies1

Every citation on file

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

May 19, 2025 — 17 citations

Citations issued on May 19, 2025
TagWhat the surveyor checksStatus
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (June 16, 2025)
K-0100Meet other general requirements.Deficient, Provider has date of correction (June 17, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 17, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 17, 2025)
K-0321Ensure 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 (June 17, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 4, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 17, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 4, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 7, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 17, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 17, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 17, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 17, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 17, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 17, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 17, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 17, 2025)

February 28, 2024 — 24 citations

Citations issued on February 28, 2024
TagWhat the surveyor checksStatus
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (March 27, 2024)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (March 27, 2024)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (March 27, 2024)
E-0029Develop a communication plan.Deficient, Provider has date of correction (March 27, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (March 27, 2024)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (March 27, 2024)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (March 27, 2024)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (March 27, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (March 27, 2024)
K-0222Add 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 27, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 27, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 9, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 9, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 27, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (March 27, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 27, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (March 27, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (March 27, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 27, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (March 27, 2024)
K-0914Ensure 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 27, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 27, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 27, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 27, 2024)

November 17, 2022 — 7 citations

Citations issued on November 17, 2022
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (December 15, 2022)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (December 15, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 15, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 15, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (December 15, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 15, 2022)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (December 15, 2022)

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