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 July 21, 2025

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.

40
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
11
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within WA

40 citations — more than 71% 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 16 citations; the earlier surveys in the window averaged 12. 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

4 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

18 of the 40 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 40 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.
  • 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.

This facility40WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility40
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
152023-1092024-08162025-07
Citations at each Life Safety survey
Survey dateCitations
October 16, 202315
August 7, 20249
July 21, 202516

Most-cited tags

Most-cited tags at this facility
K-09203E-00373K-09213E-00393E-00152K-03532E-00182K-03242
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32025-07-21
E-0037Establish staff and initial training requirements.32025-07-21
K-0921Ensure that testing and maintenance of electrical equipment is performed.32025-07-21
E-0039Conduct testing and exercise requirements.32025-07-21
E-0015Address subsistence needs for staff and patients.22025-07-21
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-07-21
E-0018Establish procedures for tracking staff and patients during an emergency.22025-07-21
K-0324Provide properly protected cooking facilities.22025-07-21

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 18
  • Gas, Vacuum, and Electrical Systems Deficiencies 9
  • Smoke Deficiencies 8
  • Miscellaneous Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies18
Gas, Vacuum, and Electrical Systems Deficiencies9
Smoke Deficiencies8
Miscellaneous Deficiencies2
Services Deficiencies2
Egress Deficiencies1

Every citation on file

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

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)

October 16, 2023 — 15 citations

Citations issued on October 16, 2023
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (November 24, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (November 24, 2023)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (November 24, 2023)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (November 24, 2023)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (November 24, 2023)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (November 24, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (November 24, 2023)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (November 24, 2023)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (November 24, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (November 24, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 24, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 24, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 24, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 24, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 24, 2023)

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