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

QUEEN ANNE HEALTHCARE

SEATTLE, WA · 120 certified beds · Last Life Safety survey May 5, 2026

CMS Certification Number 505204 · first certified March 1976

Ownership

Operated by AVAMERE · For profit - Limited Liability company

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

20
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within WA

20 citations — more than 24% 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 the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was May 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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Which alerts

2 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.

Physical environment (health survey)

5 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 20 Life Safety citations above. The Physical Environment Index

  • 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-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.

This facility20WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-1072025-02102026-05
Citations at each Life Safety survey
Survey dateCitations
October 20, 20233
February 3, 20257
May 5, 202610

Most-cited tags

Most-cited tags at this facility
K-03533K-09202K-03452K-03551K-03111K-05311K-02931K-03741
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-05-05
K-0920Ensure proper usage of power strips and extension cords.22026-05-05
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-05-05
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12025-02-03
K-0311Have an enclosure around a vertical opening shaft.12026-05-05
K-0531Have elevators that firefighters can control in the event of a fire.12023-10-20
K-0293Have properly located and lighted "Exit" signs.12026-05-05
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12026-05-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies2
Miscellaneous Deficiencies2
Services Deficiencies2
Construction Deficiencies1

Every citation on file

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

May 5, 2026 — 10 citations

Citations issued on May 5, 2026
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (June 2, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 2, 2026)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 2, 2026)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (June 2, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 2, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 2, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 2, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 2, 2026)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (June 2, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 2, 2026)

February 3, 2025 — 7 citations

Citations issued on February 3, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 1, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 1, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 3, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 1, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 1, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 1, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 1, 2025)

October 20, 2023 — 3 citations

Citations issued on October 20, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 27, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (November 20, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 20, 2023)

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