Bridges to Home — nursing home in Shoreline, WA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 12 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 6.9 CMS, MDS-derived
CMS Certification Number: 505535
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 30, 2024
Ownership type: Non profit - Corporation
Operator (legal business name): Ashley House
CMS chain: Not part of a CMS-reported chain
Phone: (206) 629-5878
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jun 8, 2026

Citations

42

15 health · 27 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D12	E7	F22
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

StaffingNot ratedfn 2

Quality measuresNot ratedfn 2

Penalties · about the last 3 years

Fines

1

$8,278

Payment denials

2

Latest

Aug 18, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 505535
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 12
First approved: Aug 30, 2024
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Washington.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 8, 2026	Fire safety	Fire Safety Complaint	2	Potential harm	—	Open →
Apr 1, 2026	Health	Health Complaint	5	Potential harm	—	Open →
Mar 4, 2026	Fire safety	Fire Safety Complaint	4	Potential harm	—	Open →
Aug 4, 2025	Fire safety	Fire Safety Standard	19	Potential harm	—	Open →
Aug 4, 2025	Health	Health Standard	10	Actual harm	—	Open →
Aug 8, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Aug 8, 2024	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Aug 18, 2025	Denial of payment for new admissions	—	Nov 18, 2025 · 21 days	505535\|Payment Denial\|2025-11-18
Aug 4, 2025	Denial of payment for new admissions	—	Nov 4, 2025 · 3 days	505535\|Payment Denial\|2025-11-04
Aug 4, 2025	Civil money penalty (fine)	$8,278	—	505535\|Fine\|136385

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D12	E7	F22
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 8, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 24, 2026	Complaint
Jun 8, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 24, 2026	Complaint
Apr 1, 2026	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 15, 2026	Complaint
Apr 1, 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 15, 2026	Complaint
Apr 1, 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 15, 2026	Complaint
Apr 1, 2026	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 15, 2026	Complaint
Apr 1, 2026	F-0802	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 5, 2026	Complaint
Mar 4, 2026	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 8, 2026	Complaint
Mar 4, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 8, 2026	Complaint
Mar 4, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 24, 2026	Complaint
Mar 4, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 8, 2026	Complaint
Aug 4, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	G · Actual harm Isolated	Corrected Sep 18, 2025
Aug 4, 2025	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0018	Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0020	Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0022	Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 13, 2025
Aug 4, 2025	E-0024	Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0025	Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0031	Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0032	Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 13, 2025
Aug 4, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 8, 2025
Aug 4, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 7, 2025
Aug 4, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 18, 2025
Aug 4, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 2, 2025
Aug 4, 2025	K-0531	Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 13, 2025
Aug 4, 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 Oct 13, 2025
Aug 4, 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 Oct 13, 2025
Aug 4, 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 Oct 13, 2025
Aug 4, 2025	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 18, 2025
Aug 4, 2025	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 Sep 18, 2025
Aug 4, 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	E · Potential harm Pattern	Corrected Sep 18, 2025
Aug 4, 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 Sep 18, 2025
Aug 4, 2025	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Sep 18, 2025
Aug 4, 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 Nov 3, 2025
Aug 4, 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 Sep 18, 2025
Aug 4, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Sep 18, 2025
Aug 4, 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	D · Potential harm Isolated	Corrected Sep 18, 2025
Aug 8, 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 Aug 30, 2024
Aug 8, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 30, 2024

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.8

StaffingNot ratedstate 3.7

Quality measuresNot ratedstate 4.1

Long-stay QMNot rated

Short-stay QMNot rated

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.

Nurse staffing · hours per resident per day

Total nurse staffingNot reported

State avg 4.42US avg 3.90

Registered nurse (RN)Not reported

State avg 0.99US avg 0.69

Licensed practical nurseNot reported

State avg 0.74US avg 0.86

Nurse aideNot reported

State avg 2.68US avg 2.35

Weekend total nurseNot reported

State avg 3.82US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index —).

Staff turnover

Total nursing staff turnoverNot reported

State avg 43.9%US avg 45.3%

Registered nurse turnoverNot reported

State avg 43.8%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 4, 2025
Cycle 1 health score: 144
Total weighted score: 108

Operating entity

Ashley House

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

5

Organizations

0

Individuals

5

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Ken Maaz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 12, 2012
Stephen Freeborn	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 1991
Cindy Grady	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 1, 2011
Ken Maaz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 11, 2024
Jefferson Henson	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 15, 2022

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 18904 Burke Ave N, Shoreline, WA 98133
ZIP: 98133
County: King County FIPS 53033
State: Washington
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Richmond Beach Rehab 19235 - 15th Avenue Northwest, Shoreline, WA 98177 CCN 505488	3 km	131	Apr 21, 2026	571 harm	—
Fircrest Nursing Facility 15230-15th Northeast, Seattle, WA 98155 CCN 50A260	3.8 km	110	Nov 7, 2025	88	—
Avamere Rehabilitation of Shoreline 1250 Northeast 145th Street, Seattle, WA 98155 CCN 505009	4.3 km	115	Aug 21, 2026	1443 open	—
Edmonds Post Acute 21400 72nd Avenue West, Edmonds, WA 98026 CCN 505236	4.3 km	128	Jul 24, 2026	160	—
Pine Ridge Post Acute 21008 76th Avenue West, Edmonds, WA 98026 CCN 505527	4.7 km	80	Aug 31, 2026	761 harm1 open	$16k
Shoreline Health and Rehabilitation 2818 Northeast 145th Street, Seattle, WA 98155 CCN 505262	4.7 km	114	Mar 24, 2026	108	—
The Broadview Center 13023 Greenwood Avenue North, Seattle, WA 98133 CCN 505416	5 km	211	Aug 19, 2026	1462 IJ	$17k
Lynnwood Post Acute Rehabilitation Center 5821 188th Street Southwest, Lynnwood, WA 98037 CCN 505434	7.2 km	67	May 20, 2026	60	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	505535	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	505535	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

Record-level source links for CCN 505535

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction