BELMONT TERRACE

BREMERTON, WA · 102 beds · For profit - Limited Liability company

18 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 39 deficiencies — 2.3x the state average
  • 1 citation(s) where residents suffered actual harm

Green Flags

  • 4-star staffing rating

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
39
2.3x state avg
Deficiencies
$9,750
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

November 17, 2025

1 deficiency
F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

March 31, 2025

6 deficiencyies
F0660 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Plan the resident's discharge to meet the resident's goals and needs.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Implement a program that monitors antibiotic use.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0887 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Educate 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.

November 13, 2024

13 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F0578 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor 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.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0585 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor 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.

F0623 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0625 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Notify 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.

F0641 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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PASARR screening for Mental disorders or Intellectual Disabilities

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0676 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

See full violation history →

Staffing

0.98
RN hrs/res/day
0.79
LPN hrs/res/day
2.41
CNA hrs/res/day
3.57
Weekend hrs/res/day
44%
Total nurse turnover
52%
RN turnover

A nurse checks on each resident roughly every 5.7 hours on average.

Fines & Penalties

  • Fine May 8, 2023
    $9,750
Total $9,750

Ownership

For profit - Limited Liability company Chain: THE ENSIGN GROUP
  • BURNAM, SOON

    CORPORATE OFFICER

    Since since 11/21/2022

    Individual
  • PENNANT HEALTHCARE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/21/2022

    100% Organization
  • THE ENSIGN GROUP, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/21/2022

    100% Organization
  • ACTRIV HEALTHCARE LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2023

    Organization
  • CANARY, ADAM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/01/2023

    Individual
  • FARNSWORTH, STEPHEN

    CORPORATE OFFICER

    Since since 01/01/2023

    Individual
  • KEETCH, CHAD

    CORPORATE OFFICER

    Since since 01/01/2014

    Individual
  • PORT, BARRY

    CORPORATE OFFICER

    Since since 07/26/2018

    Individual

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