01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-21 | 16 | 2025-07-21 | 16 |
| Cycle 2 | 2024-08-07 | 14 | 2024-08-07 | 9 |
| Cycle 3 | 2023-10-16 | 26 | 2023-10-16 | 15 |
CMS CCN 5054632026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Madison Post Acute
2520 Madison · Everett, WA 98203 · Snohomish County
Certified beds59CMS provider file
Recent citation rows96current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
96 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 23 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-26 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has plan of correction · 2026-08-04 · complaint2025-11-24 · HEALTHF0645Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-12-24 · complaint2025-07-21 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2025-08-202025-07-21 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2025-08-202025-07-21 · FIREE0030Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2025-08-202025-07-21 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-08-202025-07-21 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-08-202025-07-21 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0569Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0582Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0644Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0698Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0801Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Correction field: Deficient, Provider has date of correction · 2025-09-01 · complaint2025-07-21 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-09-01 · complaint2025-07-21 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-01 · complaint2025-07-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · HEALTHF0912Severity B · pattern; potential for minimal harm
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-21 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-08-202025-07-21 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-08-202025-07-21 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-08-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-10-16 | Fine | $71,318 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SIMCHA AND JANET MANDELBAUM FAMILY TRUSTOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/01/2024
- THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/01/2024
- THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/01/2024
- THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/01/2024
- STOCK, SHMUELIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 05/01/2024
- BALDWIN, JASONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/14/2025
- HOBBS, BRENDANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/02/2025
- KULISEWA, KONDIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/16/2024
- LEAL, REBECCAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/18/2024
- SCOVEL, MIKAELAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/18/2024
- SEKERAMAYI, FLOYDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- SINGBEIL, EMMAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/20/2024
- STOCK, SHMUELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2024
- SIMCHA AND JANET MANDELBAUM FAMILY TRUSTOrganization · TRUSTEE OF THE SNFNOT APPLICABLE · since 12/20/2002
- THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2Organization · TRUSTEE OF THE SNFNOT APPLICABLE · since 05/01/2024
- THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2Organization · TRUSTEE OF THE SNFNOT APPLICABLE · since 05/01/2024
- THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2Organization · TRUSTEE OF THE SNFNOT APPLICABLE · since 05/01/2024
- BALDWIN, JASONIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/14/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.21per resident day
RN hours0.81per resident day
Weekend nurse hours3.93per resident day
Staff turnover35.2%CMS reported field
06 / LOCAL RECORDS
Open the Everett ledger →Other published facilities nearby
Bethany At Silver Lake151 beds · CMS overall 5/554 citation rowsBethany At Pacific80 beds · CMS overall 4/584 citation rowsEverett Center100 beds · CMS overall 3/545 citation rowsEverett Transitional Care Services62 beds · CMS overall 4/537 citation rowsView Ridge Care Center70 beds · CMS overall 3/556 citation rows