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

REGENCY COUPEVILLE REHAB AND NURSING CENTER

COUPEVILLE, WA · 112 certified beds · Last Life Safety survey July 30, 2025

CMS Certification Number 505309 · first certified January 1987

Ownership

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

  • Ownership changed October 13, 2020 (change of ownership)to REGENCY COUPEVILLE REHABILITATION AND NURSING CENTER from RON HAYES & ASSOCIATES INC
37
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
10
Tags cited more than once
Across separate surveys
19
Inspection & testing records
Of the citations on file

Position within WA

37 citations — more than 66% 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 8 citations; the earlier surveys in the window averaged 14.5. 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: July 2026 to 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

7 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

8 of the 37 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)

5 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 37 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.

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 facility37WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility37
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
182023-11112024-1082025-07
Citations at each Life Safety survey
Survey dateCitations
November 22, 202318
October 29, 202411
July 30, 20258

Most-cited tags

Most-cited tags at this facility
K-03453K-03533E-00183K-09142K-03242K-03742K-09182K-07122
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32025-07-30
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-07-30
E-0018Establish procedures for tracking staff and patients during an emergency.32025-07-30
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22024-10-29
K-0324Provide properly protected cooking facilities.22025-07-30
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22024-10-29
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-10-29
K-0712Have simulated fire drills held at unexpected times.22024-10-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 15
  • Emergency Preparedness Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Miscellaneous Deficiencies 5
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies15
Emergency Preparedness Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies7
Miscellaneous Deficiencies5
Egress Deficiencies1
Services Deficiencies1

Every citation on file

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

July 30, 2025 — 8 citations

Citations issued on July 30, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 28, 2025)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (August 28, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 28, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 29, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 17, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 28, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 28, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 28, 2025)

October 29, 2024 — 11 citations

Citations issued on October 29, 2024
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (November 21, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (November 21, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 24, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 21, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 11, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 21, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Waiver has been granted (November 1, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 21, 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 (November 21, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 21, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 21, 2024)

November 22, 2023 — 18 citations

Citations issued on November 22, 2023
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (December 12, 2023)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (December 12, 2023)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (December 12, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 12, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 12, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 12, 2023)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (December 12, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 12, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (December 12, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 12, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 12, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 12, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 12, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 12, 2023)
K-0751Have restrictions on the use of flammable curtains.Deficient, Provider has date of correction (December 12, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 1, 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 (December 12, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 12, 2023)

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