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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E4 | F16 |
| 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 12, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 2, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 2, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Oct 18, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Apr 12, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 12, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Apr 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 7, 2023 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Jan 7, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E4 | F16 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 12, 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 Jun 24, 2026 | Complaint |
| Jan 7, 2026 | 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 Feb 20, 2026 | Complaint |
“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 | Jul 28, 1998 |
| Odita Davis | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 28, 1998 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Clay | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 28, 1998 |
| Odita Davis | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 28, 1998 |
| Nightingale Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2012 |
| Catherine Reis-Elbara | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2014 |
| 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 |
|---|---|---|---|---|---|---|
| Highland Health and Rehabilitation of Cascadia 2400 Samish Way, Bellingham, WA 98229 CCN 505140 | 1.5 km | 44 | Aug 12, 2026 | 734 harm1 open | $64k | |
| Rock Hill Health & Rehabilitation 1530 James Street, Bellingham, WA 98225 CCN 505098 | 4.1 km | 52 | Jul 15, 2026 | 1432 IJ3 harm | $75k | |
| Avalon Healthcare Bellingham 3121 Squalicum Parkway, Bellingham, WA 98225 CCN 505296 | 6.6 km | 105 | Dec 5, 2025 | 432 harm | $32k | |
| Alderwood Park Health and Rehab of Cascadia 2726 Alderwood Avenue, Bellingham, WA 98225 CCN 505092 | 7.6 km | 102 | Jan 16, 2026 | 71 | — | |
| North Cascades Health and Rehabilitation 4680 Cordata Parkway, Bellingham, WA 98226 CCN 505393Abuse icon | 11.1 km | 122 | Aug 6, 2026 | 1232 IJ7 harm | $250k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 505376 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 505376 | 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
| Jul 2, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 31, 2025 |
| Jul 2, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2025 |
| Jul 2, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2025 |
| Jul 2, 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 Jul 31, 2025 |
| Jul 2, 2025 | 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 Jul 31, 2025 |
| Jul 2, 2025 | 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 Jul 31, 2025 |
| Jul 2, 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 Jul 31, 2025 |
| Jul 2, 2025 | 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 Jul 31, 2025 |
| Jul 2, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 31, 2025 |
| Jul 2, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 31, 2025 |
| Apr 12, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 12, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 8, 2024 |
| Apr 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 12, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 12, 2024 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 12, 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 8, 2024 |
| Apr 12, 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 May 10, 2024 |
| Apr 12, 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 May 10, 2024 |
| Apr 12, 2024 | 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 10, 2024 |
| Apr 12, 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 10, 2024 |
| Apr 12, 2024 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 10, 2024 |
| Apr 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 10, 2024 |
| Apr 3, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 1, 2024 | Complaint |
| Mar 4, 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 Apr 7, 2024 | Complaint |
| Jan 7, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 1, 2023 |
| Jan 7, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 1, 2023 |
| Jan 7, 2023 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 1, 2023 |
| Jan 7, 2023 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 1, 2023 |
| Jan 7, 2023 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 1, 2023 |
| Jan 7, 2023 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 1, 2023 |
| Jan 7, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 3, 2023 |
| Jan 7, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 3, 2023 |
| Jan 7, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 3, 2023 |
| Jan 7, 2023 | 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 Feb 3, 2023 |
| Jan 7, 2023 | 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 Feb 3, 2023 |
| Jan 7, 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 Feb 3, 2023 |
| Jan 7, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 15, 2023 |
| Jan 7, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 15, 2023 |
| Jan 7, 2023 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 15, 2023 |
| Jan 7, 2023 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 15, 2023 |
| Jan 7, 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 Feb 15, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.36 (case-mix index 1.61).
| Floyd Sekeramayi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| James Clay | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 11, 2003 |
| Merl Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2014 |
| Nightingale Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 3, 2025 |
| Premere Rehab LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Catherine Reis-Elbara | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2014 |
| Floyd Sekeramayi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Catherine Thomas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 2, 2018 |
| 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 |