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

COLUMBIA LUTHERAN HOME

SEATTLE, WA · 116 certified beds · Last Life Safety survey July 8, 2026

CMS Certification Number 505470 · first certified March 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.

25
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
4
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within WA

25 citations — more than 34% 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

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 9 citations; the earlier surveys on file averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 7 months from now. This facility’s last Life Safety survey was July 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 about three years in Virginia. 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 25 citations on file is 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)

6 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 25 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.
  • 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-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.

How that compares

Citations in CMS's current file

Compared with the median facility in WA, and nationally. Surveyors differ markedly between states, so the WA figure is the meaningful one.

This facility25WA median31National median11
Citations in CMS's current file, compared
MeasureCitations
This facility25
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
62024-02102025-0392026-07
Citations at each Life Safety survey
Survey dateCitations
February 28, 20246
March 20, 202510
July 8, 20269

Most-cited tags

Most-cited tags at this facility
K-02223K-03532K-03552K-05112K-02931K-09231E-00371K-02001
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
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.32026-07-08
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-07-08
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22026-07-08
K-0511Have properly installed electrical wiring and gas equipment.22026-07-08
K-0293Have properly located and lighted "Exit" signs.12024-02-28
K-0923Have proper medical gas storage and administration areas.12026-07-08
E-0037Establish staff and initial training requirements.12026-07-08
K-0200Meet other general requirements.12026-07-08

What the citations cover

Citations by CMS category
  • Egress Deficiencies 9
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Egress Deficiencies9
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies3
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

July 8, 2026 — 9 citations

Citations issued on July 8, 2026
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (August 5, 2026)
K-0200Meet other general requirements.Deficient, Provider has date of correction (August 5, 2026)
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 (August 5, 2026)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (August 5, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 5, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 5, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 5, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 5, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 5, 2026)

March 20, 2025 — 10 citations

Citations issued on March 20, 2025
TagWhat the surveyor checksStatus
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 (April 21, 2025)
K-0231Provide large enough exits.Deficient, Provider has date of correction (April 21, 2025)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (April 21, 2025)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (April 21, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 21, 2025)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (April 21, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 21, 2025)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (April 21, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 21, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 21, 2025)

February 28, 2024 — 6 citations

Citations issued on February 28, 2024
TagWhat the surveyor checksStatus
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 (April 8, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 8, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 8, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 8, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 8, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (April 8, 2024)

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