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

FIRCREST NURSING FACILITY

SEATTLE, WA · 110 certified beds · Last Life Safety survey November 7, 2025

CMS Certification Number 50A260 · first certified May 1994

Ownership

Independently operated (no chain recorded by CMS) · Government - State

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

52 citations — more than 86% 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 16 citations; the earlier surveys in the window averaged 18. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026 — about 1 month from now. This facility’s last Life Safety survey was November 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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4 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

16 of the 52 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)

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 52 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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	52
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 7, 2023	25
November 7, 2024	11
November 7, 2025	16

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	2025-11-07
K-0920	Ensure proper usage of power strips and extension cords.	3	2025-11-07
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-11-07
E-0039	Conduct testing and exercise requirements.	2	2025-11-07
E-0036	Establish emergency prep training and testing.	2	2025-11-07
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2025-11-07
K-0511	Have properly installed electrical wiring and gas equipment.	2	2024-11-07
K-0781	Have restrictions on the use of portable space heaters.	2	2025-11-07

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 16
Smoke Deficiencies 12
Gas, Vacuum, and Electrical Systems Deficiencies 11
Miscellaneous Deficiencies 5
Other 8

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	16
Smoke Deficiencies	12
Gas, Vacuum, and Electrical Systems Deficiencies	11
Miscellaneous Deficiencies	5
Egress Deficiencies	4
Services Deficiencies	2
Construction Deficiencies	2

Every citation on file

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

November 7, 2025 — 16 citations

Citations issued on November 7, 2025
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (November 30, 2025)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (November 30, 2025)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (November 30, 2025)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (November 30, 2025)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (November 30, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (November 30, 2025)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (December 8, 2025)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (November 30, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 8, 2025)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (November 30, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (December 8, 2025)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (December 8, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 30, 2025)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (November 30, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 8, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 30, 2025)

November 7, 2024 — 11 citations

Citations issued on November 7, 2024
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 5, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (December 5, 2024)
K-0223	Provide 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 (December 5, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (December 5, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 5, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (December 5, 2024)
K-0915	Have proper power supply for life support equipment.	Deficient, Provider has date of correction (December 5, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 5, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (December 5, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (December 5, 2024)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (December 5, 2024)

August 7, 2023 — 25 citations

Citations issued on August 7, 2023
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (September 7, 2023)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (September 7, 2023)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (October 6, 2023)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (September 7, 2023)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (September 7, 2023)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (September 7, 2023)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (September 7, 2023)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (September 7, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (September 7, 2023)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (September 7, 2023)
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-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (September 7, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (September 7, 2023)
K-0351	Install an approved automatic sprinkler system.	Waiver has been granted (September 7, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 7, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (September 7, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	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-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-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (September 7, 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 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)

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