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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E4 | F11 |
| Minimal | A· | B· | C· |
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 | |
|---|---|---|---|---|---|---|
| Mar 13, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 13, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Apr 11, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 11, 2025 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Aug 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 23, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 23, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Oct 4, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E4 | F11 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 13, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 7, 2026 | |
| Mar 13, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 15, 2026 | |
| Mar 13, 2026 | K-0521 |
“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.
194 facilities in 26 states. CMS chain ID 311.
Chain average overall rating (CMS): 3.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Developers Investment Company Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 19, 1996 |
| Forrest Preston | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 19, 1996 |
| Forrest Preston | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 19, 1996 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Developers Investment Company Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 19, 1996 |
| Forrest Preston | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 19, 1996 |
| Forrest Preston | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 19, 1996 |
| Developers Investment Company Inc | Organization | Partner | GENERAL PARTNERSHIP INTEREST | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Life Care Center of Richland 44 Goethals Drive, Richland, WA 99352 CCN 505070 | 104 | Aug 19, 2026 | 984 harm | $58k | |
| Life Care Center of Kennewick 1508 West Seventh Avenue, Kennewick, WA 99336 CCN 505080Abuse icon |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Regency Coupeville Rehab and Nursing Center 311 Northeast 3rd Street, Coupeville, WA 98239 CCN 505309Abuse icon | 13.3 km | 112 | Apr 20, 2026 | 1091 IJ2 harm | $131k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 505306 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 505306 | 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
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Apr 15, 2026 |
| Mar 13, 2026 | 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 15, 2026 |
| Mar 13, 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 | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 13, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 13, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 15, 2026 |
| Mar 13, 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 Apr 15, 2026 |
| Mar 13, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 13, 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 Apr 15, 2026 |
| Apr 11, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 7, 2025 |
| Apr 11, 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 7, 2025 |
| Apr 11, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 7, 2025 |
| Apr 11, 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 May 7, 2025 |
| Apr 11, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 7, 2025 |
| Apr 11, 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 7, 2025 |
| Apr 11, 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 | E · Potential harm Pattern | Corrected May 6, 2025 |
| Apr 11, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 6, 2025 |
| Apr 11, 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 6, 2025 |
| Apr 11, 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 6, 2025 |
| Apr 11, 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 | D · Potential harm Isolated | Corrected May 6, 2025 |
| Apr 11, 2025 | 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 6, 2025 |
| Apr 11, 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 | D · Potential harm Isolated | Corrected May 6, 2025 |
| Apr 11, 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 | D · Potential harm Isolated | Corrected May 6, 2025 |
| Apr 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 6, 2025 |
| Aug 12, 2024 | F-0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 19, 2024 | Complaint |
| Feb 23, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 22, 2024 |
| Feb 23, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 29, 2024 |
| Feb 23, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 22, 2024 |
| Feb 23, 2024 | 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 Mar 22, 2024 |
| Feb 23, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 23, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 23, 2024 | 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 | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 23, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 7, 2024 |
| Oct 4, 2023 | 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 Nov 2, 2023 | Complaint |
| Oct 4, 2023 | 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 Nov 2, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.70 (case-mix index 1.43).
| Mar 19, 1996 |
| Forrest Preston | Individual | Partner | GENERAL PARTNERSHIP INTEREST | not provided | Mar 19, 1996 |
| Forrest Preston | Individual | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Mar 19, 1996 |
| Nancy Butner | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 16, 2018 |
| Angela Cerna | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 18, 2019 |
| Karla Winters | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 4, 2025 |
| Developers Investment Company Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 1996 |
| Life Care Centers of America, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 1996 |
| Nancy Butner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 16, 2018 |
| Angela Cerna | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 18, 2019 |
| Todd Fletcher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Aubrey Preston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Floyd Sekeramayi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 2, 2023 |
| Karla Winters | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 4, 2025 |
| James Ziegler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Cindy Cross | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 1996 |
| Terry Henry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 16, 1999 |
| Lisa Lay | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 9, 2018 |
| Richard Swanker | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2011 |
| Joan Thurmond | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 22, 2000 |
| Life Care Centers of America, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2025 |
| Angela Cerna | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2025 |
| Todd Fletcher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 19, 2004 |
| Forrest Preston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2004 |
| Floyd Sekeramayi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2025 |
| 136 |
| Jul 27, 2026 |
832 IJ3 harm |
| $43k |
| Life Care Center of Federal Way 1045 South 308th Street, Federal Way, WA 98003 CCN 505188 | 157 | Jun 3, 2026 | 1195 harm | $99k |
| Life Care Center of Port Orchard 2031 Pottery Avenue, Port Orchard, WA 98366 CCN 505210 | 125 | Aug 27, 2026 | 50 | — |
| Alderwood Manor 3600 East Hartson Avenue, Spokane, WA 99202 CCN 505257 | 85 | Jul 22, 2026 | 1003 harm | — |
| Life Care Center of Mount Vernon 2120 East Division Street, Mount Vernon, WA 98273 CCN 505272Abuse icon | 121 | Jul 27, 2026 | 1291 IJ7 harm | $207k |
| Hallmark Manor 32300 First Avenue South, Federal Way, WA 98003 CCN 505313 | 147 | May 28, 2026 | 1142 harm | $47k |
| Life Care Center of Skagit Valley 1462 West State Route 20, Sedro Woolley, WA 98284 CCN 505318 | 150 | May 15, 2026 | 681 harm | $33k |