Federal inspection record · CMS data as of October 1, 2026
Sequim Bay Post Acute
650 West Hemlock St, Sequim, WA · (360) 582-2400
- Certified beds
- 100
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- Kalesta Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1969
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Sequim Bay Post Acute carries 97 inspection points. That is fewer than 46% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
49 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
K
Provide and implement an infection prevention and control program.
Everything else, by area of care
Quality of Life and Care15E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide or get specialized rehabilitative services as required for a resident.
- E
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
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Ensure 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.
- D
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
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
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning12E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights10E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
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.
Nursing and Physician Services5F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Post nurse staffing information every day.
Nutrition and Dietary2E
- E
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Pharmacy Service1E
- E
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.
Inspection history
2025-08-22
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2024-08-12
15 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-07-31
22 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 36 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$9,870 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-28 | Fine | $9,870 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 0.9 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 100.0% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 98.4% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 0.9% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms13.4 pts better | 4.5% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 4.3% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts worse | 17.2% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts worse | 18.8% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.8 pts better | 12.8% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.4 pts better | 5.4% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.8 pts worse | 6.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts worse | 25.7% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts worse | 7.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.4 pts better | 97.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 12.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 1.9% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 87.2% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.7 pts better | 17.0% | 19.7% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kalesta Healthcare Group, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 19 facilities |
| Clawson, Scott | 5% Or Greater Indirect Ownership Interest · Individual | 44% | 34 facilities |
| Williams, Ryan | 5% Or Greater Indirect Ownership Interest · Individual | 44% | 28 facilities |
| Clawson, Scott | Corporate Officer · Individual | 0% | 34 facilities |
| Clawson, Scott | Adp Of The SNF · Individual | 0% | 34 facilities |
| Deangelo, Daniel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Deangelo, Daniel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hickcox, Mary | Adp Of The SNF · Individual | 0% | 1 facilities |
| Williams, Ryan | Corporate Officer · Individual | 0% | 28 facilities |
| Williams, Ryan | Adp Of The SNF · Individual | 0% | 28 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Emergency Preparedness6F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for volunteers.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems3F
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
-
Avamere Olympic Rehabilitation Of Sequim
Sequim, WA · Avamere
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 34 min
- Fines
- $48,828
-
Olympic View Post Acute
Port Angeles, WA · Kalesta Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 55 min
- Fines
- $144,479
-
Life Care Center Of Port Townsend
Port Townsend, WA · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0