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

WOODLAND CONVALESCENT CENTER

WOODLAND, WA · 62 certified beds · Last Life Safety survey June 20, 2025

CMS Certification Number 505232 · first certified January 1975

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

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

56
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
13
Tags cited more than once
Across separate surveys
17
Inspection & testing records
Of the citations on file

Position within WA

56 citations — more than 91% 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 13 citations; the earlier surveys in the window averaged 21.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (June 2026 to September 2026). Most WA facilities have been surveyed by October 2026. This facility’s last Life Safety survey was June 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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Which alerts

5 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

22 of the 56 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 56 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • 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.

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 facility56WA median31National median11
Citations on file over three years, compared
MeasureCitations
This facility56
Median facility in WA31
Median facility nationally11

Survey history

Citations at each Life Safety survey
312023-04122024-05132025-06
Citations at each Life Safety survey
Survey dateCitations
April 20, 202331
May 3, 202412
June 20, 202513

Most-cited tags

Most-cited tags at this facility
K-07613K-09203K-03533K-03213K-03412K-09182K-09142K-09212
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.32025-06-20
K-0920Ensure proper usage of power strips and extension cords.32025-06-20
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-06-20
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32025-06-20
K-0341Install a fire alarm system that can be heard throughout the facility.22025-06-20
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-06-20
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22024-05-03
K-0921Ensure that testing and maintenance of electrical equipment is performed.22025-06-20

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 22
  • Smoke Deficiencies 16
  • Gas, Vacuum, and Electrical Systems Deficiencies 10
  • Miscellaneous Deficiencies 5
  • Other 3
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies22
Smoke Deficiencies16
Gas, Vacuum, and Electrical Systems Deficiencies10
Miscellaneous Deficiencies5
Services Deficiencies2
Construction Deficiencies1

Every citation on file

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

June 20, 2025 — 13 citations

Citations issued on June 20, 2025
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (June 23, 2025)
K-0321Ensure 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 (June 23, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 23, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (October 3, 2025)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (October 3, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 1, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 23, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 23, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 23, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 13, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 19, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 23, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (September 18, 2025)

May 3, 2024 — 12 citations

Citations issued on May 3, 2024
TagWhat the surveyor checksStatus
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (June 4, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 25, 2024)
K-0321Ensure 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 (May 24, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 24, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 25, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 24, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 24, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 25, 2024)
K-0914Ensure 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 (June 4, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 24, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 25, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 24, 2024)

April 20, 2023 — 31 citations

Citations issued on April 20, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 17, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (May 17, 2023)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (May 17, 2023)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (May 17, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (May 17, 2023)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (May 17, 2023)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (May 17, 2023)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (May 17, 2023)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (May 17, 2023)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (May 17, 2023)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (May 17, 2023)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (May 17, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (May 17, 2023)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (May 17, 2023)
E-0033Establish methods for sharing information.Deficient, Provider has date of correction (May 17, 2023)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (May 17, 2023)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (May 17, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (May 17, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (May 17, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 17, 2023)
K-0321Ensure 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 (May 17, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (May 17, 2023)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (May 8, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 15, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (May 8, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 8, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 8, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 8, 2023)
K-0914Ensure 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 (May 17, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 8, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 8, 2023)

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