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

CAROLINE KLINE GALLAND HOME

SEATTLE, WA · 205 certified beds · Last Life Safety survey March 4, 2026

CMS Certification Number 505442 · first certified January 1992

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

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

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within WA

31 citations — more than 50% 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 8 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was March 2026. 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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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

2 of the 31 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 31 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.

Citations on file over three years, compared
Measure	Citations
This facility	31
Median facility in WA	31
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
August 4, 2023	18
November 21, 2024	5
March 4, 2026	8

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-03-04
K-0222	Add 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.	2	2024-11-21
K-0712	Have simulated fire drills held at unexpected times.	2	2026-03-04
K-0351	Install an approved automatic sprinkler system.	2	2026-03-04
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-03-04
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	2	2026-03-04
K-0511	Have properly installed electrical wiring and gas equipment.	2	2024-11-21
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	1	2023-08-04

What the citations cover

Citations by CMS category

Smoke Deficiencies 11
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 4
Egress Deficiencies 4
Other 6

Citations by CMS category
Category	Citations
Smoke Deficiencies	11
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	4
Egress Deficiencies	4
Services Deficiencies	3
Emergency Preparedness Deficiencies	2
Construction Deficiencies	1

Every citation on file

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

March 4, 2026 — 8 citations

Citations issued on March 4, 2026
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 27, 2026)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (March 27, 2026)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (March 27, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 27, 2026)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 27, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 27, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 27, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 27, 2026)

November 21, 2024 — 5 citations

Citations issued on November 21, 2024
Tag	What the surveyor checks	Status
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (December 10, 2024)
K-0222	Add 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 (December 10, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 10, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (December 10, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (December 10, 2024)

August 4, 2023 — 18 citations

Citations issued on August 4, 2023
Tag	What the surveyor checks	Status
K-0222	Add 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 (September 7, 2023)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (September 7, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (September 7, 2023)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Waiver has been granted (September 7, 2023)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (September 7, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 7, 2023)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Waiver has been granted (September 7, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 7, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (September 7, 2023)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (September 7, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (September 7, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 7, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Waiver has been granted (September 7, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 7, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (September 7, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (September 7, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (September 7, 2023)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (September 7, 2023)

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