BELMONT TERRACE
BELMONT TERRACE, in BREMERTON, Washington, holds 102 certified beds and has been certified for Medicare and Medicaid since 1984-12-19, averaging 69.2 residents a day.
Has BELMONT TERRACE been cited for violations?
CMS lists 78 health-inspection deficiencies for BELMONT TERRACE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-03-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-02 | F0582, F0584, F0628, F0684, F0688, F0725, F0730, F0804, F0880 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2026-03-02 | F0552, F0641, F0645, F0656, F0677, F0732, F0803 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Post nurse staffing information every day. / 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 |
| 2025-11-18 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2025-04-01 | F0660, F0690, F0697, F0881, F0883, F0887 | Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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 |
| 2024-11-14 | F0578, F0584, F0585, F0623, F0625, F0641, F0657, F0677, F0688, F0692, F0725, F0761, F0804, F0808, F0809, F0849, F0880, F0883, F0908 | 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. / 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. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / 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. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Keep all essential equipment working safely. | E |
| 2024-11-14 | F0550, F0552, F0561, F0645, F0656, F0676, F0686, F0694, F0698, F0756, F0757, F0758, F0887 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement 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. / 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 |
| 2024-10-31 | F0553, F0660, F0684, F0687 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. | D |
| 2024-01-05 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-01-05 | F0677, F0883, F0887 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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 |
| 2023-10-13 | F0565, F0657, F0677, F0679, F0695, F0812 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-10-13 | F0550, F0638, F0641, F0658, F0676, F0688, F0692, F0744 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2023-08-25 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
How is BELMONT TERRACE staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.72066 | 4.36934 |
| Total nursing staff turnover (%) | 42.5 | 45.1 |
| Average number of residents per day | 69.2 | 76.0 |
Who owns BELMONT TERRACE, and what chain is it in?
BELMONT TERRACE is registered with CMS as For profit - Corporation, operates under the legal business name OLYMPIC MARMOT HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | THE ENSIGN GROUP, INC. | since 11/21/2022 |
| MANAGING CONTROL - GOVERNING BODY | BURNAM, SOON, CANARY, ADAM, KRETCHMAR, JOSHUA | since 08/01/2023 |
| CORPORATE OFFICER | BURNAM, SOON, FARNSWORTH, STEPHEN, KEETCH, CHAD, PORT, BARRY | since 01/01/2014 |
| OPERATIONAL/MANAGERIAL CONTROL | ACTRIV HEALTHCARE LLC, CANARY, ADAM | since 08/01/2023 |
| ADP OF THE SNF | BREMER HEALTH HOLDINGS LLC, ENSIGN SERVICES INC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP, INC., CANARY, ADAM, KRETCHMAR, JOSHUA | since 04/19/2025 |