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

BAILEY-BOUSHAY HOUSE

SEATTLE, WA · 35 certified beds · Last Life Safety survey May 5, 2025

CMS Certification Number 505476 · first certified June 1992

Ownership

Operated by COMMONSPIRIT HEALTH · Non profit - Corporation

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

36
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
8
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within WA

36 citations — more than 64% 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 5 citations; the earlier surveys in the window averaged 15.5. 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 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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Which alerts

3 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

15 of the 36 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)

4 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 36 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-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 facility36WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility36
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
192023-03122024-0552025-05
Citations at each Life Safety survey
Survey dateCitations
March 1, 202319
May 20, 202412
May 5, 20255

Most-cited tags

Most-cited tags at this facility
K-09182E-00072K-09262E-00392K-09212K-03532E-00042K-03452
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-05-05
E-0007Address patient/client population and determine types of services needed.22024-05-20
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.22025-05-05
E-0039Conduct testing and exercise requirements.22024-05-20
K-0921Ensure that testing and maintenance of electrical equipment is performed.22025-05-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-05
E-0004Develop and maintain an Emergency Preparedness Program (EP).22024-05-20
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-05-20

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 15
  • Gas, Vacuum, and Electrical Systems Deficiencies 9
  • Smoke Deficiencies 7
  • Miscellaneous Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies15
Gas, Vacuum, and Electrical Systems Deficiencies9
Smoke Deficiencies7
Miscellaneous Deficiencies3
Services Deficiencies1
Egress Deficiencies1

Every citation on file

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

May 5, 2025 — 5 citations

Citations issued on May 5, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 10, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 4, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 4, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 4, 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 4, 2025)

May 20, 2024 — 12 citations

Citations issued on May 20, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 11, 2024)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (July 11, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (July 11, 2024)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (July 11, 2024)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (July 11, 2024)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (July 11, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 11, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 11, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (July 11, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (July 11, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 11, 2024)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (July 11, 2024)

March 1, 2023 — 19 citations

Citations issued on March 1, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 25, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (April 25, 2023)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (March 28, 2023)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (March 28, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (May 16, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (April 25, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 28, 2023)
E-0042Meet the requirements of an integrated health system.Deficient, Provider has date of correction (March 28, 2023)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (March 28, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 28, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (May 16, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 28, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (May 16, 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 (March 28, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Waiver has been granted (May 16, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Waiver has been granted (May 16, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Waiver has been granted (May 16, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Waiver has been granted (May 16, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 28, 2023)

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