| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D40 | E20 | F7 |
| 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 | |
|---|---|---|---|---|---|---|
| May 15, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 15, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| May 1, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 23, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 18, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jun 18, 2025 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Sep 13, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Sep 13, 2024 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Aug 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 8, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 23, 2026 | Civil money penalty (fine) | $32,646 | — | 505318|Fine|138701 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D40 | E20 | F7 |
| Minimal | A· | B· | C· |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.18 (case-mix index 1.41).
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 | Oct 25, 1995 |
| Forrest Preston | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 25, 1995 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Developers Investment Company Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 25, 1995 |
| Forrest Preston | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 25, 1995 |
| Nancy Butner | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 16, 2018 |
| Vanessa Nekuda | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 3, 2024 |
| Heather Savela | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2023 |
| Developers Investment Company Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2006 |
| Life Care Centers of America, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 1996 |
| Skagit Valley Operations, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 1996 |
| Nancy Butner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 16, 2018 |
| Navdeep Dhaliwal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 14, 2022 |
| Todd Fletcher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Vanessa Nekuda | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 3, 2024 |
| Aubrey Preston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Heather Savela | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2023 |
| James Ziegler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2024 |
| Lisa Lay | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 24, 2017 |
| Richard Swanker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Cindy Cross | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 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 20, 2025 |
| Skagit Valley Operations, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2000 |
| Navdeep Dhaliwal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 20, 2025 |
| Forrest Preston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2000 |
| Heather Savela | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 20, 2025 |
| 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 | 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 | |
| Life Care Center of Port Townsend 751 Kearney Street, Port Townsend, WA 98368 CCN 505306 | 94 | Mar 13, 2026 | 361 harm | — | |
| Hallmark Manor 32300 First Avenue South, Federal Way, WA 98003 CCN 505313 | 147 | May 28, 2026 | 1142 harm | $47k |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Mira Vista Care Center 300 South 18th Street, Mount Vernon, WA 98274 CCN 505315 | 10.6 km | 61 | May 15, 2026 | 74 | — | |
| Life Care Center of Mount Vernon 2120 East Division Street, Mount Vernon, WA 98273 CCN 505272Abuse icon | 11.7 km | 121 | Jul 27, 2026 | 1291 IJ7 harm | $207k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 505318 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 505318 | 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