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

PACIFIC CARE AND REHABILITATION

HOQUIAM, WA · 72 certified beds · Last Life Safety survey May 23, 2025

CMS Certification Number 505081 · first certified May 1972

Ownership

Operated by THE ENSIGN GROUP · For profit - Corporation

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

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within WA

14 citations — more than 6% 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 3 citations; the earlier surveys in the window averaged 5.5. 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

2 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

1 of the 14 citations on file is 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)

1 physical-environment citation 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 14 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 facility14WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
82023-0532024-0432025-05
Citations at each Life Safety survey
Survey dateCitations
May 8, 20238
April 4, 20243
May 23, 20253

Most-cited tags

Most-cited tags at this facility
K-03532K-09182K-03451K-02111E-00391K-05211K-05111K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-23
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-04-04
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-05-08
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-05-08
E-0039Conduct testing and exercise requirements.12023-05-08
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-05-08
K-0511Have properly installed electrical wiring and gas equipment.12025-05-23
K-0324Provide properly protected cooking facilities.12025-05-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Services Deficiencies 2
  • Egress Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4
Services Deficiencies2
Egress Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

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

May 23, 2025 — 3 citations

Citations issued on May 23, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 18, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 18, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 18, 2025)

April 4, 2024 — 3 citations

Citations issued on April 4, 2024
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted (June 4, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 6, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 6, 2024)

May 8, 2023 — 8 citations

Citations issued on May 8, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 8, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 8, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 8, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 8, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 8, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 8, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 8, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 8, 2023)

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