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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D26 | E14 | F17 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 24, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Nov 24, 2025 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Aug 30, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Aug 30, 2024 | Health | Health Standard | 11 | Potential harm | — | Open → |
| May 11, 2023 | Fire safety | Fire Safety Standard | 17 | Potential harm | — | Open → |
| May 11, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D26 | E14 | F17 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 4, 2026 | 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 | D · Potential harm Isolated | Corrected Aug 28, 2026 | Complaint |
| Nov 24, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 26, 2025 | |
“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 3 states. CMS chain ID 442.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Clay | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2017 |
| Andrea Leebron Clay | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Clay | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2017 |
| Andrea Leebron Clay | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2017 |
| Nightingale Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2017 |
| James Clay | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Regency at the Park 1440 SE Garrison Village Way, College Place, WA 99324 CCN 505075 | 106 | Jan 9, 2026 | 701 IJ3 harm | $149k | |
| Puyallup Post Acute 516 23rd Ave SE, Puyallup, WA 98372 CCN 505211 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Madison Post Acute 2520 Madison, Everett, WA 98203 CCN 505463 | 2.7 km | 59 | Aug 20, 2026 | 831 open | — | |
| Everett Transitional Care Services 916 Pacific Avenue, Everett, WA 98201 CCN 505533 | 3 km | 62 | May 15, 2026 | 371 harm | $9,347 | |
| Bethany at Pacific 916 Pacific Avenue 3rd-5th Floors, Everett, WA 98201 CCN 505404 | 4.8 km | 80 | May 18, 2026 | 841 harm | $42k | |
| Everett Center 1919 112th Street Southwest, Everett, WA 98204 CCN 505491 | 6.4 km | 100 | Feb 24, 2026 | 411 IJ | $148k | |
| Bethany at Silver Lake 2235 Lake Heights Drive, Everett, WA 98208 CCN 505403 | 7 km | 151 | Mar 20, 2026 | 542 harm | $121k | |
| Snohomish Health and Rehabilitation of Cascadia 800 10th Street, Snohomish, WA 98290 CCN 505338 | 10.8 km | 91 | May 1, 2026 | 871 IJ5 harm | $188k | |
| Mountain View Rehabilitation and Care Center 5925 47th Avenue NE, Marysville, WA 98270 CCN 505407 | 12 km | 82 | Jan 12, 2026 | 53 | — | |
| Marysville Care Center 1821 Grove Street, Marysville, WA 98270 CCN 505386 | 13.1 km | 97 | Aug 18, 2026 | 621 harm | $12k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 505362 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 505362 | 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
| F-0551 |
| Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Jan 20, 2026 |
| Nov 24, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 20, 2026 |
| Nov 24, 2025 | F-0572 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 20, 2026 |
| Nov 24, 2025 | 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 Jan 20, 2026 |
| Nov 24, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 20, 2026 |
| Nov 24, 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 Jan 20, 2026 |
| Nov 24, 2025 | 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 Jan 20, 2026 |
| Nov 24, 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 Jan 20, 2026 |
| Nov 24, 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 Jan 20, 2026 |
| Nov 24, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 20, 2026 |
| Nov 24, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jan 20, 2026 |
| Nov 24, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 20, 2026 |
| Nov 24, 2025 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 20, 2026 |
| Nov 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 20, 2026 |
| Nov 24, 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 Jan 20, 2026 |
| Aug 30, 2024 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 30, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 30, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 30, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 30, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 30, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 30, 2024 | K-0531 | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 30, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 30, 2024 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 2024 | 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 Sep 30, 2024 |
| Aug 30, 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 Sep 30, 2024 |
| Aug 30, 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 | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 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 Sep 30, 2024 |
| Aug 30, 2024 | F-0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Aug 30, 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 | F · Potential harm Widespread | Corrected Oct 11, 2024 |
| Aug 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| May 11, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jun 12, 2023 |
| May 11, 2023 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 13, 2023 |
| May 11, 2023 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jun 21, 2023 |
| May 11, 2023 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jun 13, 2023 |
| May 11, 2023 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 12, 2023 |
| May 11, 2023 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jun 21, 2023 |
| May 11, 2023 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 21, 2023 |
| May 11, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 21, 2023 |
| May 11, 2023 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2023 |
| May 11, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 30, 2023 |
| May 11, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 30, 2023 |
| May 11, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jun 6, 2023 |
| May 11, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 11, 2023 | K-0521 | 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 | Waiver granted Jun 6, 2023 |
| May 11, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2023 |
| May 11, 2023 | 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 Jun 21, 2023 |
| May 11, 2023 | 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 Jun 12, 2023 |
| May 11, 2023 | 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 Jun 12, 2023 |
| May 11, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 11, 2023 | 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 Jun 12, 2023 |
| May 11, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.91 (case-mix index 1.70).
| Brittney Gabaldon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2023 |
| Patrick Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 21, 2024 |
| Andrea Leebron Clay | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Floyd Sekeramayi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2023 |
| James Clay | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Feb 1, 2017 |
| Andrea Leebron Clay | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Feb 1, 2017 |
| Merl Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2017 |
| Nightingale Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2025 |
| Premere Rehab LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2017 |
| James Clay | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2017 |
| Patrick Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2025 |
| Andrea Leebron Clay | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2017 |
| Floyd Sekeramayi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2023 |
| 96 |
| Aug 26, 2026 |
791 open |
| — |
| Park Rose Care Center 3919 South 19th Street, Tacoma, WA 98405 CCN 505239 | 139 | Aug 3, 2026 | 1073 harm | $242k |
| Regency Omak 901 Shumway Rd, Omak, WA 98841 CCN 505303 | 56 | Aug 11, 2026 | 391 harm | — |
| Regency Coupeville Rehab and Nursing Center 311 Northeast 3rd Street, Coupeville, WA 98239 CCN 505309Abuse icon | 112 | Apr 20, 2026 | 1091 IJ2 harm | $131k |
| Good Samaritan Health Care Ctr 702 North 16th Avenue, Yakima, WA 98902 CCN 505348 | 105 | Nov 18, 2025 | 62 | — |
| Regency Care Center at Monroe 1355 West Main Street, Monroe, WA 98272 CCN 505350 | 92 | Jul 31, 2026 | 48 | — |
| Arlington Health and Rehabilitation 620 South Hazel Street, Arlington, WA 98223 CCN 505351 | 76 | Jan 26, 2026 | 501 IJ1 harm | $173k |