CareSentinel

Compiled from official CMS federal data

Bremerton Trails Post Acute, BREMERTON, WA — Violations & Inspection Reports

CCN 505123 · 2701 CLARE AVENUE, BREMERTON, WA, 98310

Record as of Jun 2026 · Updated monthly from CMS

Does Bremerton Trails Post Acute have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Bremerton Trails Post Acute (CCN 505123), in BREMERTON, WA, has federal inspection findings. CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list.

In its current inspection cycle, CMS cited the facility for 38 deficiencies; the most severe is rated G, a level CMS classifies as actual harm. The latest standard health inspection on file is dated 2025-11-18. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $174,068 in civil money penalties on file against the facility. The record also includes 6 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Mar 2026). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 6 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Mar 2026.
  • 2 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Mar 2024.
  • 4 pressure-ulcer care citations (F686) — the consumer term is "bedsores"; most recent Nov 2025.
  • 3 nutrition and hydration citations (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Nov 2025.
  • 45 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

At its most recent federal inspection, CMS cited this facility for 1 deficiency that CMS classified as "actual harm" — its category for harm that reached a resident, above the level of risk alone.

Below is this facility's federal inspection record as on file with CMS.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$174,068

CMS also records 2 days of payment denial.

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 103 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2025-11-18
CURRENT CYCLE
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-09-06
HISTORICAL
F684S/S G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-11-18
CURRENT CYCLE
F605S/S E

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

57 more citations on file — Abuse & neglect 4 · Nutrition & hydration 1 · Medication & pharmacy 4 · Resident rights 12 · Other citations 30 (expand)
2026-04-15
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2026-03-31
CURRENT CYCLE
F745S/S D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2026-03-31
CURRENT CYCLE
F585S/S D

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.

2026-03-31
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2026-03-31
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2026-03-04
CURRENT CYCLE
F677S/S E

Provide care and assistance to perform activities of daily living for any resident who is unable.

2026-03-04
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2026-03-04
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-11-18
CURRENT CYCLE
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-11-18
CURRENT CYCLE
F825S/S E

Provide or get specialized rehabilitative services as required for a resident.

2025-11-18
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-11-18
CURRENT CYCLE
F550S/S E

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

2025-11-18
CURRENT CYCLE
F567S/S E

Honor the resident's right to manage his or her financial affairs.

2025-11-18
CURRENT CYCLE
F568S/S E

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

2025-11-18
CURRENT CYCLE
F569S/S E

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

2025-11-18
CURRENT CYCLE
F908S/S E

Keep all essential equipment working safely.

2025-11-18
CURRENT CYCLE
F881S/S E

Implement a program that monitors antibiotic use.

2025-11-18
CURRENT CYCLE
F584S/S E

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.

2025-11-18
CURRENT CYCLE
F585S/S E

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.

2025-11-18
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-11-18
CURRENT CYCLE
F641S/S E

Ensure each resident receives an accurate assessment.

2025-11-18
CURRENT CYCLE
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2025-11-18
CURRENT CYCLE
F655S/S E

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-11-18
CURRENT CYCLE
F657S/S E

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

2025-11-18
CURRENT CYCLE
F757S/S E

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

2025-11-18
CURRENT CYCLE
F742S/S E

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

2025-11-18
CURRENT CYCLE
F692S/S E

Provide enough food/fluids to maintain a resident's health.

2025-11-18
CURRENT CYCLE
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-11-18
CURRENT CYCLE
F865S/S D

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-11-18
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-11-18
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-11-18
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-11-18
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-11-18
CURRENT CYCLE
F700S/S D

Try 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.

2025-11-18
CURRENT CYCLE
F679S/S D

Provide activities to meet all resident's needs.

2025-09-05
CURRENT CYCLE
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2025-05-01
HISTORICAL
F760S/S E

Ensure that residents are free from significant medication errors.

2025-05-01
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2025-03-07
HISTORICAL
F660S/S D

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

2025-02-20
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-11-19
HISTORICAL
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2024-11-19
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-10-01
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-09-06
HISTORICAL
F925S/S E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2024-08-20
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2024-07-17
HISTORICAL
F584S/S E

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.

2024-07-13
HISTORICAL
F577S/S E

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

2024-07-13
HISTORICAL
F868S/S E

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2024-07-13
HISTORICAL
F850S/S E

Hire a qualified full-time social worker in a facility with more than 120 beds.

2024-07-13
HISTORICAL
F609S/S E

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-07-13
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-07-13
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-07-13
HISTORICAL
F761S/S E

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.

2024-07-13
HISTORICAL
F660S/S E

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

2024-07-13
HISTORICAL
F695S/S E

Provide safe and appropriate respiratory care for a resident when needed.

2024-07-13
HISTORICAL
F552S/S D

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

2024-07-13
HISTORICAL
F687S/S D

Provide appropriate foot care.

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.3

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

Bremerton Trails Post Acute — Federal Record

CMS overall 1/5 · 38 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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What happened

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How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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Download the full federal record (PDF) →