Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
REGENCY CARE CENTER AT MONROE
MONROE, WA · 92 certified beds · Last Life Safety survey May 7, 2025
CMS Certification Number 505350 · first certified October 1989
Ownership
Operated by REGENCY PACIFIC MANAGEMENT · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within WA
16 citations — more than 14% 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
The latest survey found 2 citations; the earlier surveys in the window averaged 7. 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 (April 2026 to July 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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1 inspection-and-testing tag has 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
10 of the 16 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 16 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 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
Compared with the median facility in WA, and nationally. Surveyors differ markedly between states, so the WA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 16 |
| Median facility in WA | 31 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 4, 2022 | 4 |
| February 26, 2024 | 10 |
| May 7, 2025 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2024-02-26 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2024-02-26 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2024-02-26 |
| K-0915 | Have proper power supply for life support equipment. | 1 | 2022-10-04 |
| E-0029 | Develop a communication plan. | 1 | 2024-02-26 |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | 1 | 2024-02-26 |
| E-0030 | List the names and contact information of those in the facility. | 1 | 2024-02-26 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2024-02-26 |
What the citations cover
- Emergency Preparedness Deficiencies 10
- Smoke Deficiencies 3
- Miscellaneous Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 10 |
| Smoke Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 7, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (May 26, 2025) |
| K-0753 | Have restrictions on the use of highly flammable decorations. | Deficient, Provider has date of correction (May 26, 2025) |
February 26, 2024 — 10 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (March 20, 2024) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (March 20, 2024) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (March 20, 2024) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (March 20, 2024) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (March 20, 2024) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (March 20, 2024) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (March 20, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (March 20, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (March 20, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (April 28, 2024) |
October 4, 2022 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (October 21, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Waiver has been granted (October 14, 2022) |
| K-0751 | Have restrictions on the use of flammable curtains. | Deficient, Provider has date of correction (October 21, 2022) |
| K-0915 | Have proper power supply for life support equipment. | Waiver has been granted (October 14, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.