Starfile / Washington

BREMERTON TRAILS POST ACUTE

2701 CLARE AVENUE, BREMERTON, WA 98310 · CCN 505123

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

$65,908

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

KALESTA HEALTHCARE GROUP

Facilities in chain

13

Chain avg overall

2.30 / 5

Inspection citations (107)2 immediate jeopardy2 actual harm

1. 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.2025-11-18 · Health · corrected 2026-01-07

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-18 · Health · corrected 2026-01-07

   Potential for more than minimal harm

3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-18 · Health · corrected 2026-01-07

   Potential for more than minimal harm

4. EF0825Provide or get specialized rehabilitative services as required for a resident.2025-11-18 · Health · corrected 2026-01-07

   Potential for more than minimal harm

5. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-18 · Health · corrected 2026-01-07

   Potential for more than minimal harm

6. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-09-05 · Health · corrected 2025-10-01

   Potential for more than minimal harm

7. EF0760Ensure that residents are free from significant medication errors.2025-05-01 · Health · corrected 2025-05-27

   Potential for more than minimal harm

8. DF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-05-27

   Potential for more than minimal harm

9. DF0660Plan the resident's discharge to meet the resident's goals and needs.2025-03-07 · Health · corrected 2025-04-01

   Potential for more than minimal harm

10. DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-20 · Health · corrected 2025-03-10

    Potential for more than minimal harm

11. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-19 · Health · corrected 2024-12-17

    Potential for more than minimal harm

12. DF0880Provide and implement an infection prevention and control program.2024-11-19 · Health · corrected 2024-12-17

    Potential for more than minimal harm

13. EF0880Provide and implement an infection prevention and control program.2024-10-01 · Health · corrected 2024-10-16

    Potential for more than minimal harm

14. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-06 · Health · corrected 2024-09-23

    Actual harm

15. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-09-06 · Health · corrected 2024-09-23

    Potential for more than minimal harm

16. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-08-20 · Health · corrected 2024-09-11

    Potential for more than minimal harm

17. 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.2024-07-17 · Health · corrected 2024-08-15

    Potential for more than minimal harm

18. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

19. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

20. DF0585Honor 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.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

21. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

22. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

23. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

25. EF0660Plan the resident's discharge to meet the resident's goals and needs.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

26. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

27. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

28. DF0687Provide appropriate foot care.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

29. DF0692Provide enough food/fluids to maintain a resident's health.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

30. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

31. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

32. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

33. 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.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

34. 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.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

35. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

36. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

37. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-07-13 · Health · corrected 2024-08-15

    Potential for more than minimal harm

38. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-01 · Health · corrected 2024-08-15

    Potential for more than minimal harm

39. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-01 · Health · corrected 2024-08-15

    Potential for more than minimal harm

40. DF0880Provide and implement an infection prevention and control program.2024-07-01 · Health · corrected 2024-08-15

    Potential for more than minimal harm

41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-07 · Health · corrected 2024-05-23

    Potential for more than minimal harm

42. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-07 · Health · corrected 2024-05-23

    Potential for more than minimal harm

43. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-07 · Health · corrected 2024-03-26

    Potential for more than minimal harm

44. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-07 · Health · corrected 2024-03-26

    Potential for more than minimal harm

45. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2024-03-07 · Health · corrected 2024-03-26

    Potential for more than minimal harm

46. EF0880Provide and implement an infection prevention and control program.2024-01-25 · Health · corrected 2024-02-28

    Potential for more than minimal harm

47. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-01-04 · Health · corrected 2024-01-05

    Immediate jeopardy

48. GF0692Provide enough food/fluids to maintain a resident's health.2023-12-14 · Health · corrected 2024-01-02

    Actual harm

49. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-06 · Health · corrected 2024-01-02

    Potential for more than minimal harm

50. LF0880Provide and implement an infection prevention and control program.2023-12-06 · Health · corrected 2024-01-02

    Immediate jeopardy

51. FF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-12-06 · Health · corrected 2024-01-02

    Potential for more than minimal harm

52. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-11-17 · Health · corrected 2023-12-11

    Potential for more than minimal harm

53. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-17 · Health · corrected 2023-12-11

    Potential for more than minimal harm

54. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-17 · Health · corrected 2023-12-11

    Potential for more than minimal harm

55. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-27 · Health · corrected 2023-10-11

    Potential for more than minimal harm

56. EF0570Assure the security of all personal funds of residents deposited with the facility.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

57. 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.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

58. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

59. 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.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

60. 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.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

61. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

62. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

63. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

64. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

65. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

66. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

67. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

68. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

69. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

70. DF0880Provide and implement an infection prevention and control program.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

71. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-09-08 · Health · corrected 2023-10-11

    Potential for more than minimal harm

72. 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.2023-05-19 · Health · corrected 2023-06-15

    Potential for more than minimal harm

73. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-02 · Health · corrected 2023-05-18

    Potential for more than minimal harm

74. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

75. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

76. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

77. DF0584Honor 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.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

78. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-06-09 · Health · corrected 2022-07-21

    Potential for minimal harm

79. EF0641Ensure each resident receives an accurate assessment.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

80. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

81. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

82. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

83. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

84. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

85. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

86. DF0685Assist a resident in gaining access to vision and hearing services.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

87. 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.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

88. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

89. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

90. EF0692Provide enough food/fluids to maintain a resident's health.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

91. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

92. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

93. DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

94. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

95. CF0732Post nurse staffing information every day.2022-06-09 · Health · corrected 2022-07-21

    Potential for minimal harm

96. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

97. 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.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

98. EF0759Ensure medication error rates are not 5 percent or greater.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

99. DF0760Ensure that residents are free from significant medication errors.2022-06-09 · Health · corrected 2022-07-21

    Potential for more than minimal harm

100. 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.2022-06-09 · Health · corrected 2022-07-21

     Potential for more than minimal harm

101. EF0791Provide or obtain dental services for each resident.2022-06-09 · Health · corrected 2022-07-21

     Potential for more than minimal harm

102. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-09 · Health · corrected 2022-07-21

     Potential for more than minimal harm

103. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2022-06-09 · Health · corrected 2022-07-21

     Potential for more than minimal harm

104. DF0880Provide and implement an infection prevention and control program.2022-06-09 · Health · corrected 2022-07-21

     Potential for more than minimal harm

105. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-06-09 · Health · corrected 2022-07-21

     Potential for more than minimal harm

106. DF0888Ensure staff are vaccinated for COVID-192022-06-09 · Health · corrected 2022-07-21

     Potential for more than minimal harm

107. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2022-06-09 · Health · corrected 2022-07-21

     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.