Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
SHORELINE HEALTH AND REHABILITATION
SEATTLE, WA · 114 certified beds · Last Life Safety survey March 24, 2026
CMS Certification Number 505262 · first certified April 1982
Ownership
Operated by THE ENSIGN GROUP · For profit - Corporation
- Ownership changed June 1, 2021 (change of ownership)from NORTH LAKE 5-O LLC
70
Citations on file
Rolling three-year window
5
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
70 citations — more than 98% 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 39 citations; the earlier surveys in the window averaged 7.8. With 5 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 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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6 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
29 of the 70 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)
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 70 Life Safety citations above. The Physical Environment Index
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 | 70 |
| Median facility in WA | 31 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 2, 2023 | 22 |
| December 19, 2024 | 6 |
| October 23, 2025 | 2 |
| December 19, 2025 | 1 |
| March 24, 2026 | 39 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0511 | Have properly installed electrical wiring and gas equipment. | 4 | 2026-03-24 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 3 | 2026-03-24 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 3 | 2026-03-24 |
| K-0324 | Provide properly protected cooking facilities. | 2 | 2026-03-24 |
| E-0034 | Provide a means of sharing information on occupancy/needs. | 2 | 2026-03-24 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 2 | 2026-03-24 |
| E-0025 | Create arrangements with other facilities to receive patients. | 2 | 2026-03-24 |
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2026-03-24 |
What the citations cover
- Emergency Preparedness Deficiencies 29
- Smoke Deficiencies 14
- Gas, Vacuum, and Electrical Systems Deficiencies 8
- Egress Deficiencies 6
- Other 13
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 29 |
| Smoke Deficiencies | 14 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 8 |
| Egress Deficiencies | 6 |
| Services Deficiencies | 6 |
| Miscellaneous Deficiencies | 5 |
| Construction Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 24, 2026 — 39 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (April 22, 2026) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (April 22, 2026) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0281 | Install proper backup exit lighting. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (April 22, 2026) |
| 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 (April 22, 2026) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0753 | Have restrictions on the use of highly flammable decorations. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (April 22, 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 (April 22, 2026) |
December 19, 2025 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (December 24, 2025) |
October 23, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (October 27, 2025) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (October 27, 2025) |
December 19, 2024 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (January 14, 2025) |
| 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 (January 14, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (January 21, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (January 21, 2025) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (January 14, 2025) |
| K-0915 | Have proper power supply for life support equipment. | Deficient, Provider has date of correction (January 14, 2025) |
October 2, 2023 — 22 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (November 14, 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 (November 14, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (December 5, 2023) |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (November 14, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.