Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
CASCADES OF ST ANNE
SEATTLE, WA · 47 certified beds · Last Life Safety survey January 21, 2026
CMS Certification Number 505417 · first certified January 1992
Ownership
Operated by CASCADES HEALTHCARE · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
65
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
16
Tags cited more than once
Across separate surveys
21
Inspection & testing records
Of the citations on file
Position within WA
65 citations — more than 95% 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 20 citations; the earlier surveys in the window averaged 22.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was January 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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5 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
24 of the 65 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)
12 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 65 Life Safety citations above. The Physical Environment Index
- 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-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.
- F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 | 65 |
| Median facility in WA | 31 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 28, 2023 | 32 |
| November 4, 2024 | 13 |
| January 21, 2026 | 20 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | 3 | 2026-01-21 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 3 | 2026-01-21 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 3 | 2026-01-21 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 3 | 2026-01-21 |
| E-0037 | Establish staff and initial training requirements. | 3 | 2026-01-21 |
| E-0039 | Conduct testing and exercise requirements. | 3 | 2026-01-21 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 3 | 2026-01-21 |
| E-0015 | Address subsistence needs for staff and patients. | 3 | 2026-01-21 |
What the citations cover
- Emergency Preparedness Deficiencies 24
- Smoke Deficiencies 15
- Gas, Vacuum, and Electrical Systems Deficiencies 13
- Egress Deficiencies 7
- Other 6
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 24 |
| Smoke Deficiencies | 15 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 13 |
| Egress Deficiencies | 7 |
| Services Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 21, 2026 — 20 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (March 5, 2026) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (March 5, 2026) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (March 5, 2026) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (March 5, 2026) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (March 5, 2026) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (March 5, 2026) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (March 5, 2026) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (March 5, 2026) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (March 5, 2026) |
| K-0200 | Meet other general requirements. | Deficient, Provider has date of correction (March 5, 2026) |
| K-0281 | Install proper backup exit lighting. | Deficient, Provider has date of correction (March 31, 2026) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (March 31, 2026) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (March 31, 2026) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (March 5, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (March 31, 2026) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (March 5, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (March 31, 2026) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (March 5, 2026) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (March 31, 2026) |
| K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Deficient, Provider has date of correction (March 5, 2026) |
November 4, 2024 — 13 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (January 8, 2025) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (December 3, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (December 26, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (December 26, 2024) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (December 3, 2024) |
| K-0281 | Install proper backup exit lighting. | Deficient, Provider has date of correction (December 3, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (December 22, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (December 26, 2024) |
| K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Deficient, Provider has date of correction (January 6, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (January 8, 2025) |
| K-0914 | Ensure 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 (December 26, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (December 30, 2024) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (December 3, 2024) |
July 28, 2023 — 32 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (September 5, 2023) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (September 5, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Waiver has been granted (September 5, 2023) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Waiver has been granted (September 5, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Waiver has been granted (September 5, 2023) |
| K-0351 | Install an approved automatic sprinkler system. | Waiver has been granted (September 5, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Waiver has been granted (September 5, 2023) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Waiver has been granted (September 5, 2023) |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | Waiver has been granted (September 5, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Waiver has been granted (September 5, 2023) |
| K-0914 | Ensure 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 (September 5, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (September 5, 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 5, 2023) |
| K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Deficient, Provider has date of correction (September 5, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.