Clallam County, Washington · Nursing home
Sequim Bay Post Acute
4 of 5 overall from CMS
650 West Hemlock St, Sequim, WA 98382
At a glance
- Overall rating 4 of 5 Above the state average of 3.3
- Nurse time per resident, per day 3.73 hours Below the state average of 4.36
- Nursing staff who left in a year 56.4% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 49 2 at the harm level or above
- Fines in 3 years $9,870 1 fine
- Certified beds in use 88.3% of 100 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Sequim Bay Post Acute is a 100-bed nursing home in Sequim, Washington (Clallam County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.73 nurse staffing hours per resident per day, below the Washington average of 4.36. CMS lists 1 fine totaling $9,870 in the past three years.
- Certified beds
- 100
- Residents per day (average)
- 88.3
- Certified since
- 1969 (57 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Kalesta Healthcare Group (19 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Sequim Bay Post Acute
Chosen from this home's public data.
- CMS lists 1 fine totaling $9,870 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 56.4%, above the Washington average of 45.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.19 hours per resident on weekends against 3.73 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Washington average 3.3
- Health inspections 3 of 5 Washington average 2.8
- Staffing 3 of 5 Washington average 3.6
- Quality measures 5 of 5 Washington average 4.0
The vertical line marks the Washington average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.73 h Washington average 4.36
- Nurse aides 2.32 h Washington average 2.66
- Licensed practical nurses 0.71 h Washington average 0.77
- Registered nurses 0.70 h Washington average 0.94
- All staff, weekends 3.19 h Washington average 3.80
How much nurse staffing is enough? All bars share one scale, 0 to 17 hours. The vertical line marks the Washington average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover56.4%
- Washington average45.1%
- Registered nurse turnover50.0%
- Washington average45.4%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Washington and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.9% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 6.1% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.0% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% | 2.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 96.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 12.7% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% | 93.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 7.3% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.2% | 22.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 18.7% | 15.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.94 | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.05 | 1.52 | 1.78 |
Short-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% | 88.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.4% | 82.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.0% | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% | 13.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 49 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 15 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 28, 2026: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 22, 2025 | 13 | 4 |
| Aug 12, 2024 | 14 | 2 |
| Jul 31, 2023 | 22 | 10 |
Washington homes averaged 15.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (49)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 2, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 2, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 2, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 19, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 19, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 30, 2025)
-
FPotential for more than minimal harm, widespread
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 30, 2025)
-
EPotential for more than minimal harm, pattern
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 30, 2025)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 30, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 30, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 30, 2025)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 30, 2025)
-
DPotential for more than minimal harm, isolated
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 30, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 29, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 1, 2024)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Sep 19, 2024)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 19, 2024)
-
EPotential for more than minimal harm, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 19, 2024)
-
EPotential for more than minimal harm, pattern
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 19, 2024)
-
EPotential for more than minimal harm, pattern
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 19, 2024)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 19, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Sep 19, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Sep 19, 2024)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Sep 19, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 19, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 19, 2024)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 19, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 19, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 25, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 16, 2024)
Showing the 30 most recent of 49.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Apr 28, 2026 | Fine | $9,870 |
Washington homes averaged 1.2 fines and $52,633 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Washington
- Size85 of 193 by certified beds
- Washington average residents per day76.0
- ChainKalesta Healthcare Group
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Clallam County3
Common questions
What is the CMS star rating for Sequim Bay Post Acute?
Sequim Bay Post Acute has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 5.
How many beds does Sequim Bay Post Acute have?
Sequim Bay Post Acute has 100 certified beds. It averages 88.3 residents per day, about 88.3% of its certified beds.
How much nursing care do residents get at Sequim Bay Post Acute?
The home reports 3.73 hours of nurse staffing per resident per day, including 0.70 hours from registered nurses. The Washington average is 4.36 hours and 0.94 hours from registered nurses.
Has Sequim Bay Post Acute been fined?
Yes. CMS lists 1 fine totaling $9,870 in the past three years.
Does Sequim Bay Post Acute accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Avamere Olympic Rehabilitation of Sequim 90beds 77.7%in use 4.63nurse hours a day
- 1 of 5 Olympic View Post Acute 101beds 90.1%in use 3.51nurse hours a day
- 5 of 5 Life Care Center of Port Townsend 94beds 43.8%in use 3.96nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Clallam County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 505128. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.