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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D47 | E24 | F44 |
| Minimal | A· | B1 | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 24, 2026 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Apr 24, 2026 | Health | Health Standard | 21 | Potential harm | — | Open → |
| Apr 23, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 27, 2025 | Fire safety | Fire Safety Standard | 25 | Potential harm | — | Open → |
| Mar 27, 2025 | Health | Health Standard | 27 | Potential harm | — | Open → |
| Jan 17, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 4, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 19, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 26, 2024 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Apr 26, 2024 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 23, 2026 | Civil money penalty (fine) | $10,628 | — | 505264|Fine|139620 |
| Jan 17, 2025 | Civil money penalty (fine) | $22,432 | — | 505264|Fine|43683 |
| Oct 4, 2024 | Civil money penalty (fine) | $27,073 | — | 505264|Fine|43682 |
| Jul 19, 2024 | Civil money penalty (fine) | $8,278 | — | 505264|Fine|43681 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D47 | E24 | F44 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 24, 2026 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 25, 2026 | |
| Apr 24, 2026 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 25, 2026 | |
| Apr 24, 2026 | E-0015 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
27 facilities in 2 states. CMS chain ID 58.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ariso LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 6, 2006 |
| Ari Operations, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 6, 2006 |
| Avamere Group LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 6, 2006 |
| Karl Rickard Miller Jr Revocable Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 11, 2011 |
| Karl Miller | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 1998 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ariso LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 6, 2006 |
| Ari Operations, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 6, 2006 |
| Avamere Group LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 6, 2006 |
| Karl Rickard Miller Jr Revocable Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avamere Rehabilitation of Issaquah 805 Front Street, Issaquah, WA 98027 CCN 505004 | 140 | Jul 2, 2026 | 1071 IJ2 harm | $49k | |
| Avamere Rehabilitation of Shoreline 1250 Northeast 145th Street, Seattle, WA 98155 CCN 505009 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Alaska Gardens Health and Rehabilitation 6220 South Alaska Street, Tacoma, WA 98408 CCN 505483 | 3.6 km | 123 | Jun 5, 2026 | 862 IJ4 harm | $170k | |
| Avalon Healthcare - Tacoma 7411 Pacific Avenue, Tacoma, WA 98408 CCN 505183 | 4 km | 81 | Aug 7, 2026 | 1481 IJ1 harm | $25k | |
| Heartwood Extended Healthcare 1649 East 72nd, Tacoma, WA 98404 CCN 505326 | 4.1 km | 120 | Aug 26, 2026 | 1137 harm5 open | $351k | |
| Park Rose Care Center 3919 South 19th Street, Tacoma, WA 98405 CCN 505239 | 4.9 km | 139 | Aug 3, 2026 | 1073 harm | $242k | |
| Orchard Park Health Care & Rehab Center 4755 South 48th, Tacoma, WA 98409 CCN 505093Abuse icon | 5.5 km | 147 | Aug 27, 2026 | 1842 IJ8 harm24 open | $301k | |
| Birch Creek Post Acute & Rehabilitation 5601 S Orchard Street, Tacoma, WA 98409 CCN 505289 | 5.7 km | 124 | Jun 18, 2026 | 1093 harm | $20k | |
| Tacoma Nursing and Rehabilitation Center 2102 South 96th Street, Tacoma, WA 98444 CCN 505154 | 6.3 km | 150 | Jun 22, 2026 | 341 harm | $36k | |
| Avamere Transitional Care of Puget Sound 630 South Pearl Street, Tacoma, WA 98465 CCN 505529 | 7.5 km | 60 | Aug 12, 2026 | 961 harm | $23k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 505264 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 505264 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected May 25, 2026 |
| Apr 24, 2026 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 25, 2026 |
| Apr 24, 2026 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 25, 2026 |
| Apr 24, 2026 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 25, 2026 |
| Apr 24, 2026 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 25, 2026 |
| Apr 24, 2026 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 25, 2026 |
| Apr 24, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 25, 2026 |
| Apr 24, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 24, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 25, 2026 |
| Apr 24, 2026 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 24, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 25, 2026 |
| Apr 24, 2026 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0657 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 29, 2026 |
| Apr 24, 2026 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 29, 2026 |
| Apr 23, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected May 15, 2026 | Complaint |
| Dec 12, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 26, 2025 | Complaint |
| May 20, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| Mar 27, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 14, 2025 |
| Mar 27, 2025 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 14, 2025 |
| Mar 27, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 15, 2025 |
| Mar 27, 2025 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 |
| Mar 27, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2025 |
| Mar 27, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2025 |
| Mar 27, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 |
| Mar 27, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 27, 2025 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Mar 27, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0625 | 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 Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | F · Potential harm Widespread | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0657 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0688 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 14, 2025 |
| Mar 27, 2025 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 14, 2025 |
| Jan 17, 2025 | F-0693 | 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 Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 4, 2025 | Complaint |
| Oct 4, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Jul 19, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 26, 2024 | Complaint |
| Apr 26, 2024 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 26, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 28, 2024 |
| Apr 26, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0693 | 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 Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected May 29, 2024 |
| Apr 26, 2024 | F-0625 | 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 Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected May 29, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.19 (case-mix index 1.34).
| not provided |
| Jul 11, 2011 |
| Karl Miller | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 1998 |
| Glen Cavallo | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Cody Feakin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Michelle Funderberg | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Damien Haskins | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 1, 2025 |
| Kevin Hill | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Tonia Hoskins | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Todd Inskeep | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Mary Kofstad | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Jolynn Munro | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Ike Okoli | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Justin Polson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Michele Powelson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Misty Reid | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Amanda Sanders | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Andrew Simpson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Carolyn Staples | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2025 |
| Colby Strunk | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Carrie Vanderzanden | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Avamere Health Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2005 |
| Avamere Skilled Advisors LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2005 |
| Midcap Finco LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 22, 2010 |
| Anthony Brooks | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 16, 2024 |
| Loriel Fanunal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 2, 2023 |
| Katherine Fowler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| Mary Kofstad | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 13, 2024 |
| Joshua Kretchmar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Mary Mckinney | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 27, 2023 |
| Jolynn Munro | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2023 |
| Stacy Poirier | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Justin Polson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 10, 2025 |
| Michele Powelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 25, 2015 |
| Yolanda Presley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 6, 2025 |
| Misty Reid | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 2, 2025 |
| Andrew Simpson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2024 |
| Shelby Strider | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Midcap Finco LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jan 22, 2010 |
| Avamere Health Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2025 |
| Avamere Skilled Advisors LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 13, 2025 |
| Anthony Brooks | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 16, 2024 |
| Loriel Fanunal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 2, 2023 |
| Cody Feakin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Katherine Fowler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Michelle Funderberg | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2024 |
| Kim Games | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Damien Haskins | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Kevin Hill | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 12, 2022 |
| Tonia Hoskins | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2025 |
| Todd Inskeep | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 21, 2022 |
| Mary Kofstad | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 13, 2024 |
| Joshua Kretchmar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Mary Mckinney | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 27, 2023 |
| Jolynn Munro | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2023 |
| Stacy Poirier | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Justin Polson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2025 |
| Michele Powelson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 25, 2015 |
| Yolanda Presley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 6, 2025 |
| Misty Reid | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 2, 2025 |
| Anita Scaglione | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 30, 2025 |
| Andrew Simpson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2024 |
| Carolyn Staples | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 5, 2023 |
| Shelby Strider | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 13, 2025 |
| Colby Strunk | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 6, 2022 |
| Carrie Vanderzanden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Ashley Whyte | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2023 |
| 115 |
| Aug 21, 2026 |
1443 open |
| — |
| Queen Anne Healthcare 2717 Dexter Avenue North, Seattle, WA 98109 CCN 505204 | 120 | Aug 3, 2026 | 51 | — |
| Avamere Rehabilitation at Ridgemont 2051 Pottery Avenue, Port Orchard, WA 98366 CCN 505217 | 96 | Aug 11, 2026 | 591 harm1 open | — |
| Avamere Rehabilitation of Burien 1031 Southwest 130th Street, Burien, WA 98146 CCN 505252 | 140 | Jun 26, 2026 | 1016 harm | $59k |
| Avamere Rehabilitation at Park West 1703 California Avenue Southwest, Seattle, WA 98116 CCN 505270 | 137 | Mar 9, 2026 | 991 IJ1 harm | $30k |
| Avamere Olympic Rehabilitation of Sequim 1000 5th Avenue South, Sequim, WA 98382 CCN 505327 | 90 | Jun 16, 2026 | 791 harm | $49k |
| Avamere Rehabilitation of Cascade Park 801 Southeast Park Crest Avenue, Vancouver, WA 98683 CCN 505389 | 88 | Mar 4, 2026 | 761 harm | — |