Washington › Kitsap County › Bremerton
Belmont Terrace
560 Lebo Boulevard, Bremerton, WA 98310
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Belmont Terrace is a For-profit, corporation nursing home in Bremerton, Washington, certified for 102 beds and caring for about 69 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Washington median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 78 health deficiencies across the three most recent survey cycles (17, 42, 19 by cycle, most recent first), none at the actual-harm level. That is 76.5 per 100 beds, more than the state median of 50.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.7 hours per resident per day (0.9 RN), close to the Washington median of 4.1; nursing staff turnover is 42.5%.
78health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 4.1
68%occupancy (residents ÷ beds)69 residents a day
Compared with county, state and nation
| Measure | This facility | Kitsap Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 78 | 46 | 46 | 28.7 |
| Citations per 100 beds | 76.5 | 35.4 | 50.0 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.9 | 4.1 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 42.5% | 42.5% | 43.2% | 45.8% |
| Fines listed | $0 | $0 | $17,388 | — |
County and state figures are medians across facilities (9 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Mar 2026, 14 Nov 2024.
Severity mix: D ×43 E ×34 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0584 | 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 | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0688 | 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 | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0732 | Post nurse staffing information every day. | D | Standard survey | 20 Apr 2026 |
| 2 Mar 2026 | F0803 | 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 | Standard survey | 20 Apr 2026 |
| 18 Nov 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 17 Dec 2025 |
| 1 Apr 2025 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 25 Apr 2025 |
| 1 Apr 2025 | F0690 | 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 investigation | 25 Apr 2025 |
| 1 Apr 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 25 Apr 2025 |
| 1 Apr 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Complaint investigation | 25 Apr 2025 |
| 1 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 25 Apr 2025 |
| 1 Apr 2025 | F0887 | 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 investigation | 25 Apr 2025 |
| 14 Nov 2024 | F0578 | 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 | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0584 | 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 | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0585 | 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 | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0625 | 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 | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 17 Dec 2024 |
| 14 Nov 2024 | F0688 | 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 | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 17 Dec 2024 |
| 14 Nov 2024 | F0725 | 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 investigation | 17 Dec 2024 |
| 14 Nov 2024 | F0761 | 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 | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 17 Dec 2024 |
| 14 Nov 2024 | F0808 | 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 investigation | 17 Dec 2024 |
| 14 Nov 2024 | F0809 | 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 | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0849 | 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 investigation | 17 Dec 2024 |
| 14 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 17 Dec 2024 |
| 14 Nov 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0758 | 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. | D | Standard survey | 17 Dec 2024 |
| 14 Nov 2024 | F0887 | 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 | Standard survey | 17 Dec 2024 |
| 31 Oct 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 17 Dec 2024 |
| 31 Oct 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 17 Dec 2024 |
| 31 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Dec 2024 |
| 31 Oct 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 17 Dec 2024 |
| 5 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 27 Feb 2024 |
| 5 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 27 Feb 2024 |
| 5 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 27 Feb 2024 |
| 5 Jan 2024 | F0887 | 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 investigation | 27 Feb 2024 |
| 13 Oct 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0688 | 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. | D | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 27 Nov 2023 |
| 13 Oct 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 27 Nov 2023 |
| 25 Aug 2023 | 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 | Complaint investigation | 22 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 42.5%, RNs 41.2%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.5% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.5% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.0% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.6% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Olympic Marmot Healthcare Llc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Ensign Group, Inc. | 5% or greater indirect ownership interest | 100% | 11/21/2022 |
| Actriv Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2023 |
| Bremer Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
| The Ensign Group, Inc. | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kitsap County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bainbridge Island Health & Rehab Center | Bainbridge Island | 58 | 5 | 5 | 5 | 20 | 34.5 | — | 1 Jul 2026 |
| Life Care Center of Port Orchard | Port Orchard | 125 | 5 | 4 | 4 | 34 | 27.2 | — | 2 Jun 2026 |
| Northwoods Lodge | Silverdale | 57 | 5 | 4 | 5 | 36 | 63.2 | $52K | 16 Mar 2026 |
| Avamere Rehabilitation At Ridgemont | Port Orchard | 96 | 4 | 4 | 2 | 34 | 35.4 | — | 13 Apr 2026 |
| Martha and Mary Health Service | Poulsbo | 135 | 4 | 3 | 4 | 46 | 34.1 | — | 13 May 2026 |
| Washington Veteran Home-Retsil | Pt Orchard | 240 | 4 | 3 | 5 | 59 | 24.6 | $24K | 11 May 2026 |
| Bremerton Trails Post AcuteSFF Candidate | Bremerton | 125 | 1 | 1 | 2 | 107 | 85.6 | $174K | 23 Jun 2026 |
| Port Washington Post Acute | Bremerton | 98 | 1 | 1 | 3 | 116 | 118.4 | $131K | 19 May 2026 |
All 9 facilities in Kitsap County
Questions and answers
How many deficiencies has Belmont Terrace been cited for?
78 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Belmont Terrace been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Belmont Terrace compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Belmont Terrace?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include The Ensign Group, Inc. and Actriv Healthcare LLC. Individual owners and managers are not listed on this site.
When was Belmont Terrace last inspected?
The most recent survey or investigation in the CMS record is dated 2 Mar 2026; the most recent standard health survey was 2 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.