Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
MCKAY HEALTHCARE & REHAB CTR
SOAP LAKE, WA · 42 certified beds · Last Life Safety survey June 4, 2026
CMS Certification Number 505390 · first certified August 1991
Ownership
Independently operated (no chain recorded by CMS) · Government - Hospital district
No change of ownership on CMS record since January 1, 2016, when the records begin.
78
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
25
Tags cited more than once
Across separate surveys
28
Inspection & testing records
Of the citations on file
Position within WA
78 citations — more than 100% 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 CMS's current file.
The latest survey found 25 citations; the earlier surveys on file averaged 26.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens May 2027 — about 6 months from now. This facility’s last Life Safety survey was June 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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10 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
30 of the 78 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 78 Life Safety citations above. The Physical Environment Index
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 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.
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 | 78 |
| Median facility in WA | 31 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 9, 2024 | 33 |
| March 21, 2025 | 20 |
| June 4, 2026 | 25 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0920 | Ensure proper usage of power strips and extension cords. | 3 | 2026-06-04 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 3 | 2026-06-04 |
| K-0712 | Have simulated fire drills held at unexpected times. | 3 | 2026-06-04 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 3 | 2026-06-04 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 3 | 2026-06-04 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 3 | 2026-06-04 |
| E-0039 | Conduct testing and exercise requirements. | 3 | 2026-06-04 |
| E-0030 | List the names and contact information of those in the facility. | 3 | 2026-06-04 |
What the citations cover
- Emergency Preparedness Deficiencies 30
- Smoke Deficiencies 16
- Gas, Vacuum, and Electrical Systems Deficiencies 13
- Egress Deficiencies 7
- Other 12
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 30 |
| Smoke Deficiencies | 16 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 13 |
| Egress Deficiencies | 7 |
| Miscellaneous Deficiencies | 6 |
| Services Deficiencies | 4 |
| Construction Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 4, 2026 — 25 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (June 26, 2026) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (June 26, 2026) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (June 26, 2026) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (June 26, 2026) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (June 26, 2026) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (June 26, 2026) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (June 26, 2026) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (June 26, 2026) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (June 26, 2026) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (June 26, 2026) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (July 3, 2026) |
| 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 (July 3, 2026) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (July 3, 2026) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (July 3, 2026) |
March 21, 2025 — 20 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (April 11, 2025) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (April 14, 2025) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (April 14, 2025) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (April 14, 2025) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (April 14, 2025) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (April 14, 2025) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (April 14, 2025) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (April 14, 2025) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (April 14, 2025) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (April 14, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (April 14, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (April 17, 2025) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (April 14, 2025) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (April 14, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (April 14, 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 (April 14, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (April 14, 2025) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (April 14, 2025) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (April 14, 2025) |
| 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 14, 2025) |
February 9, 2024 — 33 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (March 12, 2024) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (March 12, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (March 12, 2024) |
| 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 (March 12, 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 (March 12, 2024) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 2, 2024) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (March 21, 2024) |
| K-0522 | Have an externally vented heating system. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (April 30, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (March 12, 2024) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (March 12, 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 (March 12, 2024) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.