Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
SALMON CREEK POST ACUTE & REHABILITATION
VANCOUVER, WA · 120 certified beds · Last Life Safety survey January 9, 2026
CMS Certification Number 505522 · first certified October 2011
Ownership
Operated by HILL VALLEY HEALTHCARE · For profit - Corporation
- Ownership changed April 1, 2023 (change of ownership)from MANOR CARE OF SALMON CREEK WA, ASSOCIATION
Position within WA
44 citations — more than 76% 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
The latest survey found 5 citations; the earlier surveys in the window averaged 19.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was January 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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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.
Emergency preparedness
26 of the 44 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)
4 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 44 Life Safety citations above. The Physical Environment Index
- 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-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
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 | 44 |
| Median facility in WA | 31 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 8, 2023 | 28 |
| October 25, 2024 | 11 |
| January 9, 2026 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | 2 | 2024-10-25 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 2 | 2024-10-25 |
| K-0324 | Provide properly protected cooking facilities. | 2 | 2024-10-25 |
| E-0030 | List the names and contact information of those in the facility. | 2 | 2024-10-25 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 2 | 2026-01-09 |
| K-0363 | Install corridor and hallway doors that block smoke. | 2 | 2026-01-09 |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | 1 | 2023-12-08 |
| E-0009 | Include a process for Emergency Preparedness collaboration. | 1 | 2023-12-08 |
What the citations cover
- Emergency Preparedness Deficiencies 26
- Smoke Deficiencies 8
- Gas, Vacuum, and Electrical Systems Deficiencies 5
- Miscellaneous Deficiencies 2
- Other 3
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 26 |
| Smoke Deficiencies | 8 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 5 |
| Miscellaneous Deficiencies | 2 |
| Construction Deficiencies | 1 |
| Services Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 9, 2026 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (February 8, 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 (February 8, 2026) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (February 8, 2026) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (February 8, 2026) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (February 8, 2026) |
October 25, 2024 — 11 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (November 20, 2024) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (November 20, 2024) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (November 20, 2024) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (November 20, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (November 20, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (November 20, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 20, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (November 20, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (November 20, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 20, 2024) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (November 20, 2024) |
December 8, 2023 — 28 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (February 9, 2024) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (February 9, 2024) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (January 9, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (February 9, 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 (January 9, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (January 9, 2024) |
| K-0751 | Have restrictions on the use of flammable curtains. | Deficient, Provider has date of correction (January 9, 2024) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (January 9, 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 (January 9, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.