Nursing homes › Washington › Belmont Terrace
560 Lebo Boulevard, Bremerton, WA 98310 · 3604791515 · 102 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.72 (Washington median: 4.15). RN hours: 0.88. Weekend total: 3.21. Nursing staff turnover: 42%.
All-time on record: 78 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-02 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | 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. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | Provide 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. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-04-20 |
| 2026-03-02 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-04-20 |
| 2026-03-02 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-04-20 |
| 2026-03-02 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2026-04-20 |
| 2026-03-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-04-20 |
| 2026-03-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-04-20 |
| 2026-03-02 | Post nurse staffing information every day. | D | Health | corrected 2026-04-20 |
| 2026-03-02 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Health | corrected 2026-04-20 |
| 2025-11-18 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2025-12-17 |
| 2025-04-01 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2025-04-25 |
| 2025-04-01 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-04-25 |
| 2025-04-01 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-04-25 |
| 2025-04-01 | Implement a program that monitors antibiotic use. | D | complaint | corrected 2025-04-25 |
| 2025-04-01 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | complaint | corrected 2025-04-25 |
| 2025-04-01 | 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. | D | complaint | corrected 2025-04-25 |
| 2024-11-14 | 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. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | 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. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | 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. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | 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. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-12-17 |
| 2024-11-14 | Provide 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. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | Provide enough food/fluids to maintain a resident's health. | E | complaint | corrected 2024-12-17 |
| 2024-11-14 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-12-17 |
| 2024-11-14 | Ensure 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. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2024-12-17 |
| 2024-11-14 | Ensure 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. | E | complaint | corrected 2024-12-17 |
| 2024-11-14 | Ensure 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. | E | Health | corrected 2024-12-17 |
| 2024-11-14 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | complaint | corrected 2024-12-17 |
| 2024-11-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-12-17 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| THE ENSIGN GROUP, INC. | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 11/21/2022 |
| BURNAM, SOON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/21/2022 |
| CANARY, ADAM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/01/2023 |
| KRETCHMAR, JOSHUA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/29/2024 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 11/21/2022 |
| FARNSWORTH, STEPHEN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2023 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2014 |
| PORT, BARRY | Corporate Officer | Individual | NOT APPLICABLE | since 07/26/2018 |
| ACTRIV HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2023 |
| CANARY, ADAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505290. Corrections: data@carerecords.org.