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

MADISON POST ACUTE

EVERETT, WA · 59 certified beds · Last Life Safety survey June 26, 2026

CMS Certification Number 505463 · first certified January 1992

Ownership

Operated by THE MANDELBAUM FAMILY · For profit - Partnership

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

37
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
10
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within WA

37 citations — more than 67% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in CMS's current file.

The latest survey found 12 citations; the earlier surveys on file averaged 12.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 7 months from now. This facility’s last Life Safety survey was June 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 about three years in Virginia. How the window is measured

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Which alerts

6 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

10 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)

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 37 Life Safety citations above. The Physical Environment Index

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

How that compares

Citations in CMS's current file

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 in CMS's current file, compared
MeasureCitations
This facility37
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
92024-08162025-07122026-06
Citations at each Life Safety survey
Survey dateCitations
August 7, 20249
July 21, 202516
June 26, 202612

Most-cited tags

Most-cited tags at this facility
K-09203K-03533K-09213E-00372E-00392K-03242K-09182K-03552
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32026-06-26
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-06-26
K-0921Ensure that testing and maintenance of electrical equipment is performed.32026-06-26
E-0037Establish staff and initial training requirements.22025-07-21
E-0039Conduct testing and exercise requirements.22025-07-21
K-0324Provide properly protected cooking facilities.22025-07-21
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-07-21
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22026-06-26

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 10
  • Emergency Preparedness Deficiencies 10
  • Smoke Deficiencies 9
  • Miscellaneous Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies10
Emergency Preparedness Deficiencies10
Smoke Deficiencies9
Miscellaneous Deficiencies3
Egress Deficiencies3
Services Deficiencies2

Every citation on file

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

June 26, 2026 — 12 citations

Citations issued on June 26, 2026
TagWhat the surveyor checksStatus
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (July 29, 2026)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (July 29, 2026)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (July 29, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 28, 2026)
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 (July 28, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 6, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 28, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 28, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 29, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 28, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 4, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 29, 2026)

July 21, 2025 — 16 citations

Citations issued on July 21, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 20, 2025)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (August 20, 2025)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (August 20, 2025)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (August 20, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 20, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 20, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 20, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 20, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 20, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 20, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 20, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 20, 2025)
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 (August 20, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 20, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 20, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 20, 2025)

August 7, 2024 — 9 citations

Citations issued on August 7, 2024
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (August 28, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 28, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 28, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 28, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 28, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 28, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 28, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 28, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 28, 2024)

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