Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505123

Bremerton Trails Post Acute

107 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $65,908.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
107
Total citations
73
Last 3 years
4
Actual harm+
2
Federal penalties
$65,908
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care36 Resident Rights18 Care Planning15 Infection Control11 Medication & Pharmacy8

Most common F-tags at this facility

F8808 F6846 F5845 F6585 F7254

Citation history

107 on record
SurveyF-TagViolationSeveritySource
Nov 18, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Nov 18, 2025F825Provide or get specialized rehabilitative services as required for a resident.EComplaint
Nov 18, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 18, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 18, 2025F584Honor 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.EComplaint
Sep 5, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
May 1, 2025F880Provide and implement an infection prevention and control program.DComplaint
May 1, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Mar 7, 2025F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Feb 20, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Nov 19, 2024F880Provide and implement an infection prevention and control program.DComplaint
Nov 19, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Oct 1, 2024F880Provide and implement an infection prevention and control program.EComplaint
Sep 6, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Sep 6, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Aug 20, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jul 17, 2024F584Honor 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.EComplaint
Jul 13, 2024F660Plan the resident's discharge to meet the resident's goals and needs.EComplaint
Jul 13, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Jul 13, 2024F850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard
Jul 13, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jul 13, 2024F761Ensure 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.EStandard
Jul 13, 2024F758Implement 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.DStandard
Jul 13, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Jul 13, 2024F700Try 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.DStandard
Jul 13, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jul 13, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jul 13, 2024F687Provide appropriate foot care.DStandard
Jul 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jul 13, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jul 13, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jul 13, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 13, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jul 13, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Jul 13, 2024F585Honor 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.DStandard
Jul 13, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard
Jul 13, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jul 1, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 1, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 7, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
May 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 7, 2024F840Employ 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.DComplaint
Mar 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 25, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jan 4, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Dec 14, 2023F692Provide enough food/fluids to maintain a resident's health.GComplaint
Dec 6, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.FComplaint
Dec 6, 2023F880Provide and implement an infection prevention and control program.LComplaint
Dec 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 17, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Nov 17, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Nov 17, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Sep 27, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 8, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 8, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Sep 8, 2023F880Provide and implement an infection prevention and control program.DStandard
Sep 8, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Sep 8, 2023F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Sep 8, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Sep 8, 2023F693Ensure 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.DStandard
Sep 8, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Sep 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Sep 8, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 8, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Sep 8, 2023F585Honor 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.EStandard
Sep 8, 2023F584Honor 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.EStandard
Sep 8, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Sep 8, 2023F578Honor 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.EStandard
Sep 8, 2023F570Assure the security of all personal funds of residents deposited with the facility.EStandard
May 19, 2023F584Honor 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.EComplaint
May 2, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 9, 2022F909Regularly 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.DStandard
Jun 9, 2022F888Ensure staff are vaccinated for COVID-19DStandard
Jun 9, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jun 9, 2022F880Provide and implement an infection prevention and control program.DStandard
Jun 9, 2022F850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard
Jun 9, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 9, 2022F791Provide or obtain dental services for each resident.EStandard
Jun 9, 2022F761Ensure 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.EStandard
Jun 9, 2022F760Ensure that residents are free from significant medication errors.DStandard
Jun 9, 2022F759Ensure medication error rates are not 5 percent or greater.EStandard
Jun 9, 2022F758Implement 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.DStandard
Jun 9, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jun 9, 2022F732Post nurse staffing information every day.CStandard
Jun 9, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Jun 9, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jun 9, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jun 9, 2022F693Ensure 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.DStandard
Jun 9, 2022F692Provide enough food/fluids to maintain a resident's health.EStandard
Jun 9, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 9, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jun 9, 2022F688Provide 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.EStandard
Jun 9, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
Jun 9, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 9, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 9, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jun 9, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 9, 2022F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $65,908 and 1 payment-denial actions spanning 2 days.

DateTypeFinePayment denial
Nov 17, 2023Fine$65,908—
Nov 17, 2023Payment Denial—Jan 3, 2024 · 2 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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