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

Olympic View Post Acute

PORT ANGELES, WA · 101 certified beds · Last Life Safety survey May 13, 2025

CMS Certification Number 505185 · first certified July 1968

Ownership

Operated by KALESTA HEALTHCARE GROUP · For profit - Corporation

  • New ownershipOwnership changed June 1, 2025 (change of ownership)from CRESTWOOD CONVALESCENT - PORT ANGELES, LLC
34
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within WA

34 citations — more than 57% 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 9 citations; the earlier surveys in the window averaged 12.5. 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 (April 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

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

8 of the 34 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)

9 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 34 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • 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-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-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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 facility34WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility34
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
172023-0882024-0792025-05
Citations at each Life Safety survey
Survey dateCitations
August 25, 202317
July 26, 20248
May 13, 20259

Most-cited tags

Most-cited tags at this facility
K-09213K-03452K-05112K-03552E-00392K-03532K-09141K-05211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0921Ensure that testing and maintenance of electrical equipment is performed.32025-05-13
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-05-13
K-0511Have properly installed electrical wiring and gas equipment.22025-05-13
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22024-07-26
E-0039Conduct testing and exercise requirements.22025-05-13
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-13
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12025-05-13
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-08-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Emergency Preparedness Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Services Deficiencies 4
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Emergency Preparedness Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies5
Services Deficiencies4
Miscellaneous Deficiencies4
Egress Deficiencies1

Every citation on file

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

May 13, 2025 — 9 citations

Citations issued on May 13, 2025
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (May 27, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 21, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 27, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 21, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 27, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 21, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 27, 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 (May 27, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (May 27, 2025)

July 26, 2024 — 8 citations

Citations issued on July 26, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 27, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 27, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 27, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 27, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 27, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 27, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 27, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 27, 2024)

August 25, 2023 — 17 citations

Citations issued on August 25, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (September 22, 2023)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (September 22, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (September 22, 2023)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (September 22, 2023)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (September 22, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 22, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (September 25, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 25, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 22, 2023)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (September 26, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 22, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 22, 2023)
K-0522Have an externally vented heating system.Deficient, Provider has date of correction (September 22, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (September 22, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 25, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (September 22, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (September 25, 2023)

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