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Complaint Investigation

Bremerton Trails Post Acute

May 29, 2026 · Bremerton, WA · 2701 Clare Avenue
Citations 2
CMS Rating 1/5
Beds 125
Provider ID 505123
Healthcare Facility
Bremerton Trails Post Acute
Bremerton, WA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Bremerton Trails Post Acute in BREMERTON, WA — inspection on May 29, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0755
Pharmacy Service Deficiencies

12:49 PM, Resident 2 said their narcotic pain medication was never available on time, the medication

not want to do anything and they were in a lot of pain, it is horrible.Resident 2's physician orders,

05/01/2026 through 05/31/2026, showed Resident 2's Oxycodone was not administered on 05/06/2026 at 8:00 PM and 05/26/2026 at 4:00 PM and 8:00 PM.Resident 2's progress notes, dated 05/06/2026, showed Oxycodone was not administered because on call from pharmacy and not able to get pull code at that time.Resident 2's progress notes, dated 05/26/2026, showed Resident 2's Oxycodone was not administered because staff contacted the pharmacy and the pharmacist stated they required a new script.On 05/29/2026 at 3:48 PM, Staff A, ADON, said they reviewed Resident 2's medical chart and said they did not know why Resident 2 missed their dose on 05/06/2026 and/or why the staff could not obtain a code to access the emergency medication dispensing cabinet if the resident did not have their medication available.

Staff A said there was a new script for the Oxycodone signed on 05/26/2026.

Staff A said the licensed nurse should have pulled the Oxycodone from the emergency medication dispensing cabinet.

Staff A said they did not know why licensed staff did not follow the facility process and/or contact management or the resident's physician if they did not have access to the physician's prescribed medication.

Reference WAC 388-97-1300(1)(a)(4)(e).

505123 05/29/2026

Bremerton Trails Post Acute 2701 Clare Avenue Bremerton, WA 98310

notified and would be at the facility on 05/14/2026.On 05/14/2026 at 1:00 PM, observed Staff B,

PM but did not investigate the amount of call lights not working on the Cove and/or ensure all

Staff D, Plant Operations/Maintenance Director Consultant, said they were already scheduled to come to the facility on [DATE] for other repairs to the call light system.

Staff D said they were contacted on 05/14/2026 at 10:47 AM and notified the call light system was down on the Cove unit.

Staff D said that was their first notification that the system was down.

Staff D said if they had been notified on 05/13/2026 that the call light system was not working they would have sent someone out and/or came themselves at that time.

Staff D said it was an urgent matter because it related to resident safety and the expectation was the facility would notify them immediately when there was a resident safety issue.On 05/14/2026 at 1:46 PM, Staff E, Scheduling Coordinator, said they were notified around 4:00 PM on 05/13/2026 that some of the call lights on the Cove unit were not working.

Staff E said between 6:00 PM and 6:30 PM they found out no call lights on the Cove unit were working.

Staff E said all the staff knew at this point and Staff F, Maintenance Director, was notified and they reported that Staff D, Plant Operations/Maintenance Director Consultant, was coming on 05/14/2026 at around 11:00 AM.On 05/14/2026 at 3:17 PM, Staff G, Administrator, said they found out the call light system was not functioning by reading a grievance they retrieved from the grievance box that morning.

Staff G said they were not aware the call light system had been down since 05/13/2026.

Staff G said if they knew they would have contacted Staff D, Plant Operations/Maintenance Director Consultant, for immediate repair.

Reference WAC 388-97-2280(1) (a-c).

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BREMERTON, WA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Bremerton Trails Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.