About Belmont Terrace
Belmont Terrace, located in BREMERTON, WA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Belmont Terrace
- More Nursing Time: Staff spends 3.93 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 3 Stars
- Nursing Hours 3.93 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the THE ENSIGN GROUP network. This chain operates 338 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Belmont Terrace provides less care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 3 |
|
| Health Inspection | 2 |
|
| Quality Measures | 5 |
|
| Staffing | 4 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 104 | Mar 02, 2026 |
| Weighted Average | 152 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 16.3% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 9.0% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.7% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.1% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 11.9% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.1% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.5% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 4.9% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.1% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 99.6% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 93.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 2.7% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 17.6% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 3.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 92.1% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 89.9% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 0.7% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 28.6% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 6.3% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 2 complaints
- 2024: 15 complaints
- 2025: 7 complaints
- Total: 24 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Dec 17, 2025 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Apr 25, 2025 | 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. |
| Apr 25, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| Apr 25, 2025 | Implement a program that monitors antibiotic use. |
| Apr 25, 2025 | Provide safe, appropriate pain management for a resident who requires such services. |
| Apr 25, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Apr 25, 2025 | Plan the resident's discharge to meet the resident's goals and needs. |
| Dec 17, 2024 | 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. |
| Dec 17, 2024 | 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. |
| Dec 17, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| Dec 17, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Dec 17, 2024 | Provide enough food/fluids to maintain a resident's health. |
| Dec 17, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Dec 17, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 17, 2024 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Dec 17, 2024 | Plan the resident's discharge to meet the resident's goals and needs. |
| Dec 17, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Dec 17, 2024 | Provide appropriate foot care. |
| Feb 27, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Feb 27, 2024 | Provide and implement an infection prevention and control program. |
| Feb 27, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| Feb 27, 2024 | 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. |
| Sep 22, 2023 | 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. |
| Jun 10, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
Nearby Hospitals
VALLEY MEDICAL CENTER
RENTON, WA
HARBORVIEW MEDICAL CENTER
SEATTLE, WA
MULTICARE GOOD SAMARITAN HOSPITAL
PUYALLUP, WA
MULTICARE AUBURN MEDICAL CENTER
AUBURN, WA
TACOMA GENERAL ALLENMORE HOSPITAL
TACOMA, WA
OVERLAKE HOSPITAL MEDICAL CENTER
BELLEVUE, WA
MASON GENERAL HOSPITAL & FAMILY OF CLINICS
SHELTON, WA
MULTICARE COVINGTON MEDICAL CENTER
COVINGTON, WA
SWEDISH EDMONDS HOSPITAL
EDMONDS, WA
ST JOSEPH MEDICAL CENTER
TACOMA, WA
HARRISON MEDICAL CENTER
SILVERDALE, WA
ST FRANCIS COMMUNITY HOSPITAL
FEDERAL WAY, WA
UNIVERSITY OF WASHINGTON MEDICAL CTR
SEATTLE, WA
SWEDISH MEDICAL CENTER / CHERRY HILL
SEATTLE, WA
HIGHLINE MEDICAL CENTER
BURIEN, WA
SWEDISH MEDICAL CENTER
SEATTLE, WA
VIRGINIA MASON MEDICAL CENTER
SEATTLE, WA
ST ANTHONY HOSPITAL
GIG HARBOR, WA
EVERGREENHEALTH MEDICAL CENTER
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KAISER PERMANENTE CENTRAL HOSPITAL
SEATTLE, WA
Owner & Operator Information
Management & Direction
- ACTRIV HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL
- BREMER HEALTH HOLDINGS LLC ADP OF THE SNF
- SOON BURNAM MANAGING CONTROL - GOVERNING BODY
- SOON BURNAM CORPORATE OFFICER
- ADAM CANARY MANAGING CONTROL - GOVERNING BODY
- ADAM CANARY OPERATIONAL/MANAGERIAL CONTROL
- ADAM CANARY ADP OF THE SNF
- ENSIGN SERVICES INC ADP OF THE SNF
- STEPHEN FARNSWORTH CORPORATE OFFICER
- CHAD KEETCH CORPORATE OFFICER
- JOSHUA KRETCHMAR MANAGING CONTROL - GOVERNING BODY
- JOSHUA KRETCHMAR ADP OF THE SNF
- BARRY PORT CORPORATE OFFICER
- STANDARD BEARER HEALTHCARE OP LP ADP OF THE SNF
- THE ENSIGN GROUP INC. ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Bainbridge Island Health and Rehab Center | N/A | 5 |
| Heron's Key | N/A | 5 |
| Life Care Center of Port Orchard | N/A | 5 |
| Redmond Care and Rehabilitation Center | N/A | 5 |
| Bethany at Silver Lake | N/A | 5 |
| Queen Anne Healthcare | N/A | 5 |
| Avamere Rehabilitation at Ridgemont | N/A | 4 |
| Covenant Shores Health Center | N/A | 5 |
| Caroline Kline Galland Home | N/A | 4 |
| Shoreline Health and Rehabilitation | N/A | 5 |
Related Analysis
Best Nursing Homes in BREMERTON, WA
Compare Belmont Terrace to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Belmont Terrace directly at 3604791515. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.