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Skilled nursing

BELMONT TERRACE

0.00 reviews · 0 verifiedBREMERTON, WALic. 505290
Signals
VBP-THigh nursing staff turnover in VBP period (64%)Source: CMS SNF VBP (PDC)
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About

Belmont Terrace provides skilled nursing, short-term rehabilitation, and long-term care services in a compassionate environment. Located on Lebo Boulevard, the facility focuses on restoring health and wellbeing through tailored therapy programs and professional healthcare. Residents can engage in various activities designed to enhance their quality of life, supported by a dedicated staff committed to exceptional care.

Amenities
Outside AmenitiesGarden
CMS Care CompareView on Medicare.gov →
Medicare overall
3/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.66 total HPRDRN 1.00 · weekend 88%Oct 2025 – Dec 2025
Survey history
11 inspections92 deficiencies on record
Federal IDs
CCN 505290

Overall: 3/5 · Health: 2/5 · Staffing: 4/5 · QM: 5/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections
Fire safetyMar 2026 · STATE FIRE MARSHAL5 deficiencies
  • K-293SS EHave properly located and lighted "Exit" signs.
  • K-324SS FProvide properly protected cooking facilities.
  • K-345SS FHave approved installation, maintenance and testing program for fire alarm systems.
  • K-918SS FHave generator or other power source capable of supplying service within 10 seconds.
  • K-920SS DEnsure proper usage of power strips and extension cords.
Health surveyMar 2026 · CMS16 deficiencies
  • F-552SS DEnsure that residents are fully informed and understand their health status, care and treatments.
  • F-582SS EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  • F-584SS EHonor 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.
  • F-628SS EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  • F-641SS DEnsure each resident receives an accurate assessment.
  • F-645SS DPASARR screening for Mental disorders or Intellectual Disabilities
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-677SS DProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-684SS EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-688SS EProvide 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.
  • F-725SS EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  • F-730SS EObserve each nurse aide's job performance and give regular training.
  • F-732SS DPost nurse staffing information every day.
  • F-803SS DEnsure 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.
  • F-804SS EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-880SS EProvide and implement an infection prevention and control program.
Health surveyNov 2025 · CMS1 deficiencies
  • F-757SS DEnsure each resident’s drug regimen must be free from unnecessary drugs.
Health surveyApr 2025 · CMS6 deficiencies
  • F-660SS DPlan the resident's discharge to meet the resident's goals and needs.
  • F-690SS DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-697SS DProvide safe, appropriate pain management for a resident who requires such services.
  • F-881SS DImplement a program that monitors antibiotic use.
  • F-883SS DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
  • F-887SS DEducate 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.
Fire safetyNov 2024 · STATE FIRE MARSHAL5 deficiencies
  • E-34SS FProvide a means of sharing information on occupancy/needs.
  • K-211SS FKeep aisles, corridors, and exits free of obstruction in case of emergency.
  • K-353SS FInspect, test, and maintain automatic sprinkler systems.
  • K-372SS FEnsure smoke barriers are constructed to a 1 hour fire resistance rating.
  • K-926SS FEnsure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Health surveyNov 2024 · CMS32 deficiencies
  • F-550SS DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-552SS DEnsure that residents are fully informed and understand their health status, care and treatments.
  • F-561SS DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  • F-578SS EHonor 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.
  • F-584SS EHonor 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.
  • F-585SS EHonor 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.
  • F-623SS EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  • F-625SS ENotify 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.
  • F-641SS EEnsure each resident receives an accurate assessment.
  • F-645SS DPASARR screening for Mental disorders or Intellectual Disabilities
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-657SS EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-676SS DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  • F-677SS EProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-686SS DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-688SS EProvide 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.
  • F-692SS EProvide enough food/fluids to maintain a resident's health.
  • F-694SS DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
  • F-698SS DProvide safe, appropriate dialysis care/services for a resident who requires such services.
  • F-725SS EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Health surveyOct 2024 · CMS4 deficiencies
  • F-553SS DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
  • F-660SS DPlan the resident's discharge to meet the resident's goals and needs.
  • F-684SS DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-687SS DProvide appropriate foot care.
Health surveyJan 2024 · CMS4 deficiencies
  • F-677SS DProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-880SS FProvide and implement an infection prevention and control program.
  • F-883SS DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
  • F-887SS DEducate 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.
Fire safetyOct 2023 · STATE FIRE MARSHAL4 deficiencies
  • K-353SS EInspect, test, and maintain automatic sprinkler systems.
  • K-761SS FTo conduct inspection, testing and maintenance of fire doors by qualified individuals.
  • K-920SS EEnsure proper usage of power strips and extension cords.
  • K-921SS FEnsure that testing and maintenance of electrical equipment is performed.
Health surveyOct 2023 · CMS14 deficiencies
  • F-550SS DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-565SS EHonor the resident's right to organize and participate in resident/family groups in the facility.
  • F-638SS DAssure that each resident’s assessment is updated at least once every 3 months.
  • F-641SS DEnsure each resident receives an accurate assessment.
  • F-657SS EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-658SS DEnsure services provided by the nursing facility meet professional standards of quality.
  • F-676SS DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  • F-677SS EProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-679SS EProvide activities to meet all resident's needs.
  • F-688SS DProvide 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.
  • F-692SS DProvide enough food/fluids to maintain a resident's health.
  • F-695SS EProvide safe and appropriate respiratory care for a resident when needed.
  • F-744SS DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  • F-812SS EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Health surveyAug 2023 · CMS1 deficiencies
  • F-726SS DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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Ownership

Operated by THE ENSIGN GROUP (privately held) since 1984.

  1. Nov 2022
    operator transition — THE ENSIGN GROUP, INC.
    5% OR GREATER INDIRECT OWNERSHIP INTEREST (100%) — THE ENSIGN GROUP, INC.
Contact

560 LEBO BOULEVARD
BREMERTON, WA 98310

3604791515belmontterrace.com
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