Starfile / Washington

BELMONT TERRACE

560 LEBO BOULEVARD, BREMERTON, WA 98310 · CCN 505290

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$9,750

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (94)1 actual harm

1. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-11-18 · Health · corrected 2025-12-17

   Potential for more than minimal harm

2. DF0660Plan the resident's discharge to meet the resident's goals and needs.2025-04-01 · Health · corrected 2025-04-25

   Potential for more than minimal harm

3. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-01 · Health · corrected 2025-04-25

   Potential for more than minimal harm

4. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-04-01 · Health · corrected 2025-04-25

   Potential for more than minimal harm

5. DF0881Implement a program that monitors antibiotic use.2025-04-01 · Health · corrected 2025-04-25

   Potential for more than minimal harm

6. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-01 · Health · corrected 2025-04-25

   Potential for more than minimal harm

7. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-04-01 · Health · corrected 2025-04-25

   Potential for more than minimal harm

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-14 · Health · corrected 2024-12-17

   Potential for more than minimal harm

9. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-11-14 · Health · corrected 2024-12-17

   Potential for more than minimal harm

10. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

11. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

12. EF0584Honor 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.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

13. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

14. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

15. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

16. EF0641Ensure each resident receives an accurate assessment.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

17. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

18. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

19. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

20. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

21. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

22. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

23. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

24. EF0692Provide enough food/fluids to maintain a resident's health.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

25. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

26. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

27. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

28. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

29. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

30. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

31. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

32. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

33. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

34. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

35. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

36. EF0880Provide and implement an infection prevention and control program.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

37. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

38. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

39. EF0908Keep all essential equipment working safely.2024-11-14 · Health · corrected 2024-12-17

    Potential for more than minimal harm

40. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-10-31 · Health · corrected 2024-12-17

    Potential for more than minimal harm

41. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-10-31 · Health · corrected 2024-12-17

    Potential for more than minimal harm

42. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-31 · Health · corrected 2024-12-17

    Potential for more than minimal harm

43. DF0687Provide appropriate foot care.2024-10-31 · Health · corrected 2024-12-17

    Potential for more than minimal harm

44. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-05 · Health · corrected 2024-02-27

    Potential for more than minimal harm

45. FF0880Provide and implement an infection prevention and control program.2024-01-05 · Health · corrected 2024-02-27

    Potential for more than minimal harm

46. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-05 · Health · corrected 2024-02-27

    Potential for more than minimal harm

47. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-01-05 · Health · corrected 2024-02-27

    Potential for more than minimal harm

48. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

49. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

50. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

51. DF0641Ensure each resident receives an accurate assessment.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

52. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

53. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

54. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

55. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

56. EF0679Provide activities to meet all resident's needs.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

57. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

58. DF0692Provide enough food/fluids to maintain a resident's health.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

59. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

60. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

61. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-13 · Health · corrected 2023-11-27

    Potential for more than minimal harm

62. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-08-25 · Health · corrected 2023-09-22

    Potential for more than minimal harm

63. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-09 · Health · corrected 2023-06-10

    Actual harm

64. DF0610Respond appropriately to all alleged violations.2023-04-10 · Health · corrected 2023-04-26

    Potential for more than minimal harm

65. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

66. DF0560Protect a residents' right to refuse some types of non-requested transfers within the nursing home.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

67. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

68. DF0567Honor the resident's right to manage his or her financial affairs.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

69. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

70. EF0610Respond appropriately to all alleged violations.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

71. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

72. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

73. EF0641Ensure each resident receives an accurate assessment.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

74. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

75. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

76. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

77. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

78. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

79. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

80. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

81. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

82. EF0692Provide enough food/fluids to maintain a resident's health.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

83. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

84. DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

85. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

86. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

87. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

88. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

89. EF0791Provide or obtain dental services for each resident.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

90. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

91. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

92. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

93. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

94. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2022-11-29 · Health · corrected 2023-01-06

    Potential for more than minimal harm

Ownership

Other facilities in BREMERTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.