Premier Washington Rehabilitation And Nursing Ctr

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

48.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 100 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 34 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 288 beds and averages 262.1 residents a day — about 91% occupied, or roughly 26 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.04 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.66 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.68 hrs/resident/day on weekends vs 3.18 on weekdays — 16% thinner on weekends. RN hours go from 0.58 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

• Potential for harm · F2026-04-24 · tag F0801 — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews it was determined that the facility failed to employ a qualified Food Service Director to manage the daily operations of the Dietary Department for 12 of 12 months (May 2025 through April 24, 2026). Findings include:During an interview on 4/20/26, at approximately 9:30 a.m., the Dietary Supervisor Employee E6 stated that she was the manager and was currently working on her Certification to become a CDM.During an interview on 4/20/26, at 9:50 a.m., Registered Dietician Employee E7 stated that she can barely get her dietician assessments completed and she has no involvement in the management of the dietary department as that is run by [food service company]. During an interview on 4/20/26, at 12:50 p.m., Regional Certified Dietary Manager Employee E8 and Regional Dietician Employee E9 confirmed that the facility currently does not have a Certified Dietary Manager and the Registered Dietician is not employed by [food service company] so does not manage the dietary department. The Regional Certified Dietary Manger Employee E8 confirmed that the facility failed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-24 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of facility policy, facility documents ( five months of Resident Council Meeting Minutes and Food Council Meeting Minutes and six months of Grievances), Resident Council Meeting onsite, resident interviews, staff interviews and observations, it was determined the facility failed to provide the residents with food and drink that is at a safe and appetizing temperatures on six of six nursing units (1 South, 1 West, 2 South, 2 East, 3 South and 3 East nursing units).Findings include: Review of the facility policy Food and Nutritional Services dated 1/6/26, indicated each resident will receive three meals a day that are nourishing, palatable, meets their individual needs and is in accordance with resident needs, physician orders, each resident preferences and plans. During an interview on 4/20/26, with the Ombudsman (government program of a resident advocate to address concerns about quality of life of persons living in long term care) at 9:50 a.m., revealed concerns about the facility meals. The Ombudsman reported receiving multiple resident complaints about the food…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-24 · tag F0805 — failed to prepare food in a form residents can eat — widespread
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy, resident interviews, observations and staff interviews, it was determined that the facility failed to provide food for a resident in a form to meet the resident's individual needs for 13 of 26 residents reviewed (Residents R81, R55, R1, R142, R2, R203, R26, R45, R175, R106, R224, R29 and R120).Findings include:During an interview on 4/20/26, at approximately 11:00 a.m., Resident R81 stated that she has been upgraded to a mechanical soft diet but keeps getting purred veggies and she is sick of it, she stated that the Speech Therapist has come to her multiple times and he has told the dietary department, but nothing has changed. During an interview on 4/20/26, at 11:29 a.m., Speech Therapist Employee E11 stated that he has discussed this issue with the Dietician and Dietary Supervisor, but nothing has been done. During an interview on 4/20/26, at 12:20 p.m., Nurse Aide Employee E10 was feeding Resident R55 a mechanical soft diet and stated that residents that require mechanical soft foods always have pureed veggies, staff have gone to dietary about it and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-24 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, and staff interviews, it was determined that the facility failed to maintain sanitary conditions to prevent the potential for cross-contamination or foodborne illness in the main kitchen (Main Kitchen). Findings include:During an observation of the kitchen on 4/20/26, from 9:30 a.m., through 10:06 a.m., the following was observed:The deep freezer and refrigerator had boxes of food stored on floors of areas.During an interview on 4/20/26, at 10:06 a.m., Dietary Supervisor confirmed that the facility failed to maintain sanitary conditions to prevent the potential for cross-contamination or foodborne illness in the main kitchen (Main Kitchen). During an observation on 4/21/26, from 11:45 a.m., through 12:45 p.m., the following was observed: Cook/ Dietary Aide Employee E12 was plating food and setting plates onto a cart, then placed plates into warmer touching surfaces of handle of warmer, then returned to plate foods, touching items that were falling off plates with no hand washing or glove change. During an interview on 4/21/26, at 1:00 p.m., the Nursing Home…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-24 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, it was determined that the facility failed to ensure the dish machine was in proper working order in the Main Kitchen and staff had proper education to maintain the dish machine to provide documentation of temperature levels and sanitation levels. Findings include:During an observation of the main kitchen on 4/20/26, from 9:30 a.m., through 11:00 a.m., the following was observed:The dish machine wash and rinse cycle temperature gauges were not functioning; the dish machine is a high temperature machine with a chemical final rinse cycle as a bucket of chemicals was attached to the final rinse hose. The dish machine appeared to be leaking, and the floor drain was unable to drain the water fast enough to keep it from puddling under the machine and the floor had no nonslip mats.During an interview on 4/20/26, at 9:40 a.m., Dietary Supervisor Employee E6 stated that the gauges have not worked consistently and could not identify how to fix the issue.During an interview on 4/20/26, at 11:00 a.m., the Director of Nursing confirmed that the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-24 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy, resident council documents, resident group interview, and staff interview it was determined that the facility failed to respond to or address concerns from resident council, food committee, and grievances in a timely manner for five out of six months. Findings include:Review of the facility policy Resident Council Meeting dated 1/6/26. The policy indicates The Resident Council is mandated by law and is the recognized forum established for the resident to voice their ideas and/or concerns regarding their environment and care. This governing body works closely with the administration of the facility and other staff to possibly affect changes and resolve problems within the facility where they reside. Schedule other ad hoc committee meetings as needed i.e. food committee. Address collective concerns using the concern (grievance) form to inform appropriate department of concern in a timely manner. During a group interview on 4/20/26, at 1:30 p.m., the group consensus was dissatisfaction with the meals and frustration as they voiced concerns with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-24 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, observation and resident and staff interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment for four of six nursing units and in the therapy gym as required (2 South, 3 South, 3 East and 1 [NAME] nursing units and the therapy gym). Findings included: Review of the facility policy Resident Rights, dated 1/6/26, indicated the facility staff are trained regarding resident rights including the right for a safe and homelike environment. During a group interview on 4/20/26, at 1:30 p.m., the group consensus was dissatisfaction with the cleanliness of their rooms and bathrooms. Multiple statements were provided by the group describing the conditions of the bathrooms being left soiled with urine on the floor and feces on the toilet seat and stains in the toilet bowl as if it was not cleaned often. The group stated most of the rooms have four residents who share a bathroom you can't imagine how dirty it gets every day.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-24 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of clinical record reviews, resident interviews and observations, and staff interviews, it was determined that the facility failed to provide Activity of Daily Living (ADL) assistance for seven of twelve residents (Confidential Resident R500, R501 and Residents R2, R7, R13, R16, and R104).Findings Include: Review of the facility ADL Care - Bathing (Shower, Tub, Bed, Perineal) dated 1/6/26, indicated it is the policy of the facility to shower residents at least weekly, based on resident preference. During an interview on 4/20/26, at 1:44 p.m. Confidential Resident R500 stated that not all aides do their job, and some only do it halfway. Confidential Resident R500 stated, They can't bathe you because there are only two aides working. Confidential Resident R500 stated that at times she has had to have a bed bath, rather than her preferred shower, because staff told there were not enough aides. Confidential Resident R500 stated staff do not make rounds at night and she has been left in soiled briefs / bed linen, stating that many times she is not assisted after 10:00…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, clinical records, observations, and staff interviews, it was determined that the facility failed to provide appropriate respiratory care and maintain oxygen equipment for four of eight sampled residents (Residents R13, R80, R159, and R256).Findings include: Review of the facility policy Oxygen Administration reviewed on 1/6/26, indicated Date tubing when initiated, and at least every 2 weeks when changed; more often if malfunction or visibly soiled. Review of the facility, BiPAP CPAP Policy and Procedure dated 1/6/26, indicated, BiPAP and CPAP is administered by licensed nurses with a physician's order. Review of Resident R80's admission record indicated she was originally admitted on [DATE]. Review of Resident R80's Minimum Data Set (MDS- a periodic assessment of care needs) dated 4/15/26, indicated the diagnoses of chronic obstructive pulmonary disease (COPD progressive lung disease limiting airflow to the lungs), hypertension (high blood pressure), and anxiety disorder…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-24 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of facility policy, clinical records, and staff interview, it was determined that the facility failed to make certain that residents are free of significant medication errors for one of five residents (Resident R7).Findings include:Review of the United States Food and Drug Administration prescribing guidelines for Xtampza ER (an extended-release, abuse-deterrent opioid medication used for severe, chronic pain requiring around-the-clock treatment) dated December 2023 indicated Xtampza ER is administered, twice daily, every 12 hours, and must be taken with food. The oral bioavailability of oxycodone from Xtampza ER is greater when taken with food than when taken in the fasted state. The oral bioavailability is dependent on the food consumed and is greatest following a high-fat and high-calorie meal.Review of the facility policy Medication Administration / Disposition dated 1/6/26, indicated medications shall be administered in a timely manner, and as prescribed by the physician. Medications must…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to JONATHAN BLEIER — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 85% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in PA