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

AVAMERE REHABILITATION OF SHORELINE

SEATTLE, WA · 115 certified beds · Last Life Safety survey May 17, 2025

CMS Certification Number 505009 · first certified January 1967

Ownership

Operated by AVAMERE · For profit - Corporation

  • Ownership changed March 1, 2023 (change of ownership)from NORTHWEST CARE-SHORELINE, INC.
48
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
13
Tags cited more than once
Across separate surveys
19
Inspection & testing records
Of the citations on file

Position within WA

48 citations — more than 83% 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 13 citations; the earlier surveys in the window averaged 17.5. 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

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 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

13 of the 48 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)

8 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 48 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.

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 facility48WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility48
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
172022-12182024-03132025-05
Citations at each Life Safety survey
Survey dateCitations
December 22, 202217
March 19, 202418
May 17, 202513

Most-cited tags

Most-cited tags at this facility
K-03743E-00393K-09183K-03243K-09213K-05112K-09142K-07612
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.32025-05-17
E-0039Conduct testing and exercise requirements.32025-05-17
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-05-17
K-0324Provide properly protected cooking facilities.32025-05-17
K-0921Ensure that testing and maintenance of electrical equipment is performed.32025-05-17
K-0511Have properly installed electrical wiring and gas equipment.22025-05-17
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22025-05-17
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-05-17

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 15
  • Emergency Preparedness Deficiencies 13
  • Gas, Vacuum, and Electrical Systems Deficiencies 10
  • Miscellaneous Deficiencies 3
  • Other 7
Citations by CMS category
CategoryCitations
Smoke Deficiencies15
Emergency Preparedness Deficiencies13
Gas, Vacuum, and Electrical Systems Deficiencies10
Miscellaneous Deficiencies3
Egress Deficiencies3
Construction Deficiencies2
Services Deficiencies2

Every citation on file

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

May 17, 2025 — 13 citations

Citations issued on May 17, 2025
TagWhat the surveyor checksStatus
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (June 16, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 16, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 16, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 16, 2025)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (June 16, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 16, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 16, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 16, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 16, 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 (June 16, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 16, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 16, 2025)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (June 16, 2025)

March 19, 2024 — 18 citations

Citations issued on March 19, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 7, 2024)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (May 7, 2024)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (May 7, 2024)
E-0029Develop a communication plan.Deficient, Provider has date of correction (May 7, 2024)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (May 23, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (May 7, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 7, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (May 7, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 7, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 7, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 7, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 7, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 7, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 7, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 7, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 7, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 7, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (May 7, 2024)

December 22, 2022 — 17 citations

Citations issued on December 22, 2022
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (January 5, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (February 20, 2023)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (February 20, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 20, 2023)
K-0100Meet other general requirements.Deficient, Provider has date of correction (December 26, 2022)
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Waiver has been granted (February 10, 2023)
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 (March 17, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 8, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 17, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 2, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 12, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 20, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 24, 2023)
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 (March 17, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 20, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Waiver has been granted (March 17, 2023)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (January 24, 2023)

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