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Mt Baker Care Center

2905 Connelly Avenue, Bellingham, WA 98225 · For profit - Limited Liability company · 70 certified beds · (360) 734-4181 Medicare & Medicaid certified

Call the home — (360) 734-4181 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0605, F0609) — most recent May 2026
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 5 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3125 Old Fairhaven Pkwy Ste 106 · (360) 788-8388 · Call to confirm hours
Pharmacy
Rite Aid1.5 mi
220 36th St · (360) 734-8254 · Call to confirm hours
Grocery
203 Sea Pines Ln · (360) 739-5527 · Call to confirm hours
Park
2700 Donovan Ave · Typically dawn to dusk
Place of worship

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

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.4%14.2%15.4%better
Long-stay residents who lose too much weight0.0%5.5%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder0.5%1.0%0.9%better
Long-stay residents with a urinary tract infection1.3%1.6%2.0%better
Long-stay residents with depressive symptoms40.0%17.7%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury9.6%2.6%3.3%worse
Long-stay residents whose ability to walk worsened15.2%17.2%16.1%typical
Long-stay residents on antianxiety or hypnotic medication9.2%12.4%18.9%better
Long-stay residents given the seasonal flu vaccine97.6%93.8%95.3%typical
Long-stay residents with pressure ulcers1.5%4.3%4.7%better
Long-stay residents with worsening bladder/bowel control29.0%22.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table22.2%15.1%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.3%1.4%better
Short-stay residents given the seasonal flu vaccine96.9%82.0%79.4%better
Short-stay residents rehospitalized after admission21.5%19.9%22.6%typical
Short-stay residents with an outpatient ER visit5.6%13.4%12.0%better
Long-stay hospitalizations per 1,000 resident days1.131.331.67better
Long-stay outpatient ER visits per 1,000 resident days0.831.521.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

58.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 255 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

58.5%U.S. median 51.5%
Got home and stayed home
8.0%U.S. median 10.7%
Went back to hospital
64.0%U.S. median 56.6%
Met the expected recovery
0.67U.S. median 0.31
Therapy hours / resident / day
0.31hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.16hours / resident / day
Speech therapy

Met the expected recovery: 64.0% 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 136 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 0.67 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF58.5%CMS range 52.4–63.451.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.0%CMS range 6.4–11.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge64.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge59.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge74.3%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting97.1%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.0%CMS range 2.8–8.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.881.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.30
RN hours/ resident / day
0.68
LPN hours/ resident / day
3.02
Aide hours/ resident / day
5.00
Total nurse hours/ resident / day
0.98
RN hoursweekends
41.0%
Total nursing turnover
22.2%
RN turnover

How full it usually is: this home is certified for 70 beds and averages 56.6 residents a day — about 81% occupied, or roughly 13 beds typically open. It usually has some room. 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 5.00 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.30 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.02 is at or above 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 4.41 hrs/resident/day on weekends vs 5.24 on weekdays — 16% thinner on weekends. RN hours go from 1.44 to 0.98 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%.

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

5
deficiencies at the latest standard inspection (2025-07-02)
6
at the previous standard inspection (2024-04-12)

Deficiencies are fewer than at the previous inspection — improving. 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.

ABCDEFGHIJKL

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.

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

  • Potential for harm · D2026-05-12 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 interview and record review the facility failed to ensure their abuse and neglect policy was followed for an allegation of abuse for 1 of 1 resident (Resident 1). This failed practice placed Resident 1 and all other residents at risk of abuse and neglect. Findings included.Review of the facility's policy titled, Abuse and Neglect Policy, with a review date of 11/11/2025, showed it was the policy of the facility to follow effective procedures to protect and prevent abuse of residents which included to report allegations of abuse and neglect to the appropriate authorities and investigate allegations of abuse and neglect. Resident 1 was admitted to the facility on [DATE]. The resident's Minimum Data Assessment (MDS- an assessment tool) dated 04/16/2026 showed the resident was assessed as cognitively intact, with no mood or behavior symptoms. Review of the facility's April and May 2026 grievance and incident logs showed no grievance or incident involving Resident 1. Review of Resident 1's Clinical Census…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 interview and record review, the facility failed to ensure 1 of 3 residents (Resident 1) received the necessary care and services to attain or maintain the highest practicable physical level of well-being. Failure to ensure Resident 1 received care in accordance with a physician order and their care plan when they received a bath and not a shower. This failure potentially placed the resident at risk of medical complications and a decreased or diminished quality of life. Findings included .Resident 1 was admitted to the facility on [DATE] with diagnoses to include vesicointestinal fistula (abnormal opening between the bladder and the intestines) and colovaginal fistula (abnormal opening between the colon and the vagina).Review of Resident 1's admission Minimum Data Set assessment (a resident assessment tool), dated 7/27/2025, showed the resident had a Brief Interview for Mental Status (BIMS - a structured cognitive interview) score of 09 which indicated the resident had moderate cognitive…

    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 · D2025-07-02 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    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 observation, interview and record review, the facility failed to ensure 1 of 5 residents (Resident 45) reviewed for unnecessary medications, were free from unnecessary psychotropic medication (a drug that affects brain activities associated with mental processes and behavior). Failure to provide a valid diagnosis for the use of psychotropic medications placed residents at risk for receiving unnecessary psychotropic medications, for adverse events and diminished quality of life. Findings included . According to the facility policy titled Unnecessary Medication Policy (undated) showed: All medications must be supported by a documented diagnosis or clinical rationale. The Federal Drug Administration Black Box Warning for Risperidone (an antipsychotic medication) stated that elderly patients with dementia-related psychosis (mental disorder characterized by a disconnection from reality) who are treated with this medication are at a significantly higher risk of death. Risperidone is not approved for use in…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-02 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 observation, interview and record review, the facility failed to develop comprehensive care plans to reflect the resident's current medical status and/or to include all provided nursing services for 1 of 1 resident (Resident 54) reviewed for edema management, 1 of 2 residents (Resident 5) reviewed for discharge planning, and 1 of 2 residents (Resident 15) reviewed for dementia care. This failure placed residents at risk of not receiving needed care, decline in condition, and diminished quality of life. Findings included . <RESIDENT 54> EDEMA MANAGEMENT Resident 54 was admitted to the facility on [DATE], with diagnoses which included gastrointestinal issues, and vascular (veins) wounds with cellulitis (infection of the tissue) to both lower legs. Record Review on 06/30/2025 showed Resident 54 had orders for knee high elastic stockings ordered for lower extremity edema management on 06/18/2025, and orders for Lasix (a diuretic-removes excess water from the body) for edema on 06/26/2025. In an observation…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-02 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 observation, interview, and record review the facility failed to ensure 1 of 3 residents (Resident 15) reviewed for Pressure Ulcers (PU), were provided care planned interventions they required for the prevention of a PU. This failure to implement pressure reducing interventions in accordance with physician's orders placed residents at risk for PU development, pain and a diminished quality of life. Findings included . Resident 15 admitted to the facility on [DATE] with diagnoses that included dementia, high blood pressure, and peripheral vascular disease (circulatory condition that affects blood flow to limbs). Review of Resident 15's care plan, dated 12/03/2019 and revised on 03/15/2023, showed they had a focus area of skin at risk due to failure to thrive, advanced age and fragile/thin skin. The goal was Resident 15 would have no skin breakdown daily. Interventions included encouraging and assisting Resident 15 to reposition every two to three hours and as needed for comfort and to float heels…

    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 · D2025-07-02 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 observation, interview and record review, the facility failed to ensure 3 of 3 residents (Residents 17, 54 and 160) were free of unnecessary drugs due to lack of monitoring and care planning of high-risk medications, including lack of assessment for anti-coagulant (blood thinning medication) use and edema (accumulation of fluid in the body) monitoring. These failures could result in unrecognized change in condition for Resident 54 related to lack of edema monitoring and Resident's 17 and 160 experiencing unrecognized signs and symptoms of bleeding while receiving an anti-coagulant medication and placed all residents at risk for adverse effects of high-risk medications. Findings included . Manufacturer recommendations regarding the use of Eliquis/Apixaban (anti-coagulant) stated the most common side effects were bleeding and bruising more easily. Indications for the use of the drug were that it was typically used to reduce the risk of stroke, prevent the formation of blood clots. <RESIDENT 17> Resident…

    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
  • Potential for harm · Dcited before2025-07-02 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure staff were following established guidelines related to Enhanced Barrier Precautions (EBP), which are infection control interventions designed to reduce the transmission of multi-drug-resistant organisms in healthcare settings, for 1 of 3 residents (Resident 19) reviewed for pressure ulcers. These failures placed residents and staff at risk for potential infection from cross contamination of infectious organisms. Findings included . EBP focuses on the use of gowns and gloves during specific high risk resident care activities and is implemented for residents known to be infected, colonized, or at increased risk for acquiring a multi-drug-resistant organism, including residents with chronic wounds or indwelling devices. Record Review on 06/30/2025 at 12:22 PM documented Resident 19 developed a pressure ulcer to the right heel related to a hard cast. The ulcer onset date was documented as 12/04/2024, when the hard cast was removed and the ulcer was discovered. The record documented the wound remained open…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-12 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide assistance with activities of daily living to include personal hygiene and bathing for 5 of 5 sampled dependent residents (Residents 7, 9, 11, 49 and 10) reviewed for activities of daily living (ADL's). Facility failure to provide resident's, who were dependent on staff for assistance with hygiene including oral care, and showers placed residents and others at risk for embarrassment, poor hygiene, unmet care needs and a diminished quality of life. Findings included . Review of the facility's policy, Bathing/Showers, revised 06/23/2023, showed the policy was to ensure residents are receiving proper personal hygiene regarding bathing and the facility is meeting their needs and bathing preferences. If a shower /bath cannot be physically tolerated by the resident a bed bath would be offered. Refusals would be documented, and staff would reapproach. If multiple refusals occur, the LN to be informed. Showers/baths are also given as…

    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 · D2024-04-12 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    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 interview, and record review, the facility failed to identify a significant change in status for 1 of 1 sampled resident (Resident 22), reviewed for Hospice services. Failure to identify and complete a Significant Change in Status assessment, according to the Resident Assessment Instrument (RAI - consists of three basic components: The Minimum Data Set, the Care Area Assessment process, and the RAI Utilization Guidelines. The utilization of the three components of the RAI yields information about a resident's functional status, strengths, weaknesses, and preferences, as well as offering guidance on further assessment once problems have been identified). manual, placed residents at risk for inadequate care planning and a diminished quality of life. Findings included . Record review of the Long-Term Care Facility Resident Assessment Instrument, User's Manual, Version 3.0, dated October 2019, showed that a Significant Change in Status assessment must be conducted within two weeks of the resident's election…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-12 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 observation, interview, and record review the facility failed to implement comprehensive person-centered care plans for 1 of 2 sampled residents (Resident 42) reviewed for urinary catheters (tube inserted into the bladder to remove urine), 1 of 4 sampled residents (Resident 22) reviewed for non-pressure skin alterations, and 1 of 5 sampled residents (Resident 49) reviewed for unnecessary medications. This failure to ensure the comprehensive care plan was implemented placed the residents at risk for unmet care needs and a diminished quality of life. Findings included . Review of the facility policy titled, Comprehensive Care Plans, dated 07/01/2017 stated that all residents will have a comprehensive care plan developed within seven days of the comprehensive assessment. Care plans will be reviewed annually, quarterly, if there was a change in condition or as needed. All care plans will be revised based on changing goals, preferences, and needs of the resident. <URINARY CATHETER> Resident 42 admitted to…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-04-12 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 observation, interview, and record review, the facility failed to comprehensively assess, monitor, and implement dietary interventions as needed to prevent weight loss for 1 of 2 residents (Resident 49) reviewed for nutritional status. This failure placed residents at risk for continued weight loss, dehydration, and a decline in their nutritional status. Findings included . Review of the facility policy titled, Nutrition Review Committee, revised 06/02/2023, showed the facility was to assure that residents have adequate nutritional intake to maintain healthy weights, to maintain current health status/healing .The policy showed the facility would monitor all residents with weight loss more than (>) 5% in 30 days, >7.5% in 90 days or >10% in 180 days (as pulled with weight triggers). Resident care managers will make sure that care plans include a plan to meet nutritional needs of residents at risk for nutritional deficiencies with measurable goals. Residents with above mentioned needs to be reviewed at…

    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 · D2024-04-12 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    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 observation, interview, and record review, the facility failed to ensure residents who were trauma survivors and diagnosed with Post Traumatic Stress Disorder (PTSD - a mental health condition triggered by a terrifying event that was either experienced or witnessed) received culturally competent, trauma-informed care and services in accordance with professional standards of practice for 2 of 2 sampled residents (Resident 9 and 15) reviewed for Trauma informed care. The facility's failure to develop and implement resident centered interventions placed residents at risk for unidentified triggers, re-traumatization, and a decreased quality of life. Findings included . <RESIDENT 15> Resident 15 admitted [DATE] with diagnoses which included Alzheimer's dementia and PTSD. Review of the Annual Minimum Data Set (MDS - an assessment tool) assessment, dated 02/24/2024, showed severe cognitive impairment, total dependence on staff for all activities of daily living including transfers, toileting, eating 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-12 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    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 observation, interview and record review, the facility failed to ensure infection control standards were followed during 1 of 2 residents (Resident 45) wound care observations when hand hygiene was not completed between glove changes and when items were touched in a drawer and gloves were not changed. This failure placed residents at risk for an infection of their wound. Findings included . Review of the facility provided policy titled, Hand Hygiene, undated, showed hand hygiene was to be performed after gloves were removed. Resident 45 was admitted to the facility on [DATE], with the most recent admission on [DATE], and had diagnoses to include open wound to left thigh, malnutrition, cancer of left leg and an infection following a procedure of a surgical site. Review of Resident 45's provider orders, initiated 03/28/2024, showed there was an order for daily wound care and dressing change to their left thigh wound. In an observation on 04/08/2024 at 1:24 PM, Staff J, Registered Nurse (RN)/Case Manager,…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-03 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 interview, and record review, the facility failed to ensure they were free of significant medication errors for 1 of 3 sampled residents (Resident 1). The facility administered two doses of an antibiotic listed on Resident 1's allergy list. This failure placed Resident 1 at an increased risk of an allergic reaction to the medication, potential complications, and placed other residents at risk of medication errors. Findings included . Resident 1 admitted to the facility on [DATE] with diagnoses to include heart failure. Review of Resident 1's clinical record showed allergies listed as nitrofurantoin (antibiotic) and sulfa (antibiotic). Review of Resident 1's hospital discharge record, dated 09/07/2024, showed the resident had a history of urinary tract infections (UTIs) and had allergy to nitrofurantoin and sulfa antibiotics. Review of urine culture results, dated 09/28/2023, showed Resident 1 had an UTI. There was a handwritten order on the urine culture result form for Septra DS (sulfa antibiotic)…

    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
  • Potential for harm · Dcited before2024-03-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 interview, and record review the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 of 3 sampled residents (Resident 1) reviewed for quality of care. The facility failed to ensure Resident 1's oxygen (O2) was replaced on the resident after completion of cares. This failure resulted in Resident 1 becoming hypoxic (absence of enough air in the tissues to sustain bodily functions) and placed other residents with orders for O2 at risk for hypoxia, medical complications, and a diminished quality of life. Findings included . Resident 1 admitted to the facility on [DATE] with diagnoses to include heart failure and chronic respiratory failure (condition that occurs when the lungs cannot get enough O2 into the blood). Review of Resident 1's Quarterly Minimum Data Set (MDS - an assessment tool) assessment, dated 01/21/2024, showed the resident was cognitively intact. Section J (health conditions) of the MDS assessment, showed the resident…

    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 · F2023-01-07 · 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 interviews, personnel record review, and facility job description review, the facility failed to ensure Staff C, Dietary Manager (DM), was qualified with the appropriate competencies and skill sets to serve as the Director of Food and Nutrition Services. This had the potential to affect all 57 residents who consumed food from the kitchen. Findings included . Review of the facility's Job Description and Qualifications provided by the facility for the Dining Services Director, undated, indicated Prefer dietary manager certification. Review of the personnel records provided by the facility revealed Staff C and Staff E, Assistant Dietary Manager, had completed the Washington State Food Worker Card. There was no evidence of any other trainings or certifications being completed. During an interview on 01/06/2023 at 1:01 PM, Staff A, Administrator, stated Staff C was not certified, but she thought they were in the course. During an interview on 01/06/2023 at 2:01 PM, Staff C stated she started as the Dietary Manager during the start of COVID in 2020. She stated she was a cook…

    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 · F2023-01-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and facility policy review, the facility failed to ensure cold food was stored at the proper temperature; cold food was covered during storage; cold food was held at proper temperature for meal service; and the stove hood was cleaned in accordance with professional standards for food service safety. This had the potential to affect all 57 residents who consumed food from the kitchen. Findings included . Review of the facility's policy titled Cooking Food dated 05/04/2017, indicated Effective methods for cooling foods include: 1. Foods should be loosely covered to facilitate heat transfer while also protecting from contamination. Review of the facility's policy titled Refrigerated Storage Standards dated 05/04/2017, indicated Refrigerated temperature will be cold enough to hold food items at 41 degrees F [Fahrenheit] or less. Review of the facility's policy titled Service dated 05/04/2017, indicated The hot food must be equal to or higher than 135 degrees F and cold food equal…

    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 · D2023-01-07 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 observation, interview, and record review, the facility failed to accurately assess one of five residents (9) whose Minimum Data Sets (MDS) Assessment (a tool used to identify a resident's care needs) was reviewed. Failure to ensure accurate assessments regarding dental/oral status placed residents at risk for unidentified and/or unmet care needs. Findings included . According to the Long-Term Care Resident Assessment Instrument (RAI) 3.0 User's Manual, Version 1.17.1, dated October 2019, (a guide to accurately complete the Minimum Data Set (MDS) assessment). Steps for Assessment of Oral/Dental Status include: . Visually observe and feel all oral surfaces including lips, gums, tongue, palate, mouth floor, and cheek lining RESIDENT 9 Resident 9 admitted to the facility on [DATE] with diagnoses to include COPD (Chronic Obstructive Pulmonary Disease) and tracheostomy (tube placed into windpipe to help a person breath). Review of the Annual MDS assessment dated [DATE], showed no Obvious or likely cavity or…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-01-07 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of the manufacturer's instructions for prefilled insulin syringes, the facility failed to ensure the correct procedure was followed as directed prior to administering insulin via a prefilled syringe for one of two residents (314) observed during medication pass who received insulin. This had the potential for the resident not to receive the correct amount of insulin needed in order to control blood sugars. Findings included . Review of the Electronic Medical Record (EMR) for Resident 314 under the Census tab reviewed an admission date of 12/30/2022. In the EMR under the Diagnosis tab revealed that the resident had diabetes. Review of the EMR for Resident 314 under the Orders tab revealed an Order for Lispro (a short acting insulin) 5 units subcutaneously, per sliding scale, three times a day, as needed (PRN). Review of the Manufacturer's Instructions provided by the facility for the prefilled insulin syringe directed the needle unit to be attached to the prefilled syringe. The needle unit is then to be primed with 2 units of insulin to…

    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
  • Potential for harm · D2023-01-07 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY F791 Based on interview, observation, and record review, the facility failed to ensure timely dental services were provided for one of one resident (9) reviewed for dental care and services. This failure placed the resident at risk for pain and a diminished quality of life. RESIDENT 9 Resident 9 admitted to the facility on [DATE] with diagnoses to include COPD (Chronic Obstructive Pulmonary Disease) and tracheostomy (tube placed into windpipe to help a person breath). Review of the Annual MDS Assessment (a tool used to identify a resident's care needs) dated 09/29/2022, showed no Obvious or likely cavity or broken natural teeth. In an interview and observation on 01/04/2023 at 2:25 PM, the resident was observed to have missing lower teeth with areas of observable broken teeth along lower front gum line. Resident 9 stated their teeth were broken during a fall prior to admission to this facility. The resident stated that this area Gets a little tender at times and they had not seen a dentist about it. Record…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to REGENCY PACIFIC MANAGEMENT — 27 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 →

RatingThis homeChain avg
Overall 5 of 53.9+1.1 vs chain
Health inspection 5 of 53.7+1.3 vs chain
Staffing 5 of 54.0+1.0 vs chain
Quality measures 5 of 53.6+1.4 vs chain
The other 26 homes this chain runs (chain average 3.9★, per CMS)
1 of 5Pilot Butte Rehabilitation CenterBend, OR 1 of 5Puyallup Post AcutePuyallup, WA 2 of 5Park Rose Care CenterTacoma, WA 2 of 5Regency AlbanyAlbany, OR 2 of 5Regency Coupeville Rehab And Nursing CenterCoupeville, WA 3 of 5Kauai Care CenterWaimea, HI 3 of 5Laurel Hill Nursing CenterGrants Pass, OR 3 of 5Regency Hermiston Nursing & Rehab CenterHermiston, OR 3 of 5Sharon Care CenterCentralia, WA 3 of 5View Ridge Care CenterEverett, WA 4 of 5Arlington Health And RehabilitationArlington, WA 4 of 5Regency Care Center At MonroeMonroe, WA 4 of 5Regency FlorenceFlorence, OR 5 of 5Good Samaritan Health Care CtrYakima, WA 5 of 5Regency At NorthpointeSpokane, WA 5 of 5Regency At The ParkCollege Place, WA 5 of 5Regency Canyon Lakes Rehab And Nursing CenterKennewick, WA 5 of 5Regency Care Of Central OregonBend, OR 5 of 5Regency Care Of Rogue ValleyGrants Pass, OR 5 of 5Regency Gresham Nursing & Rehabilitation CenterGresham, OR 5 of 5Regency Harmony House Rehab & NursingBrewster, WA 5 of 5Regency Olympia Rehabilitation And Nursing CenterOlympia, WA 5 of 5Regency OmakOmak, WA 5 of 5Regency Prineville Rehabilitation and Nursing CentPrineville, OR 5 of 5Regency Redmond Rehabilitation And Nursing CenterRedmond, OR 5 of 5Regency Wenatchee Rehabiliation & Nursing CenterWenatchee, WA

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

Owner / managerTypeRoleSince
CLAY, JAMESIndividualDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTORsince 07/28/1998
DAVIS, ODITAIndividualDIRECT OWNERSHIP INTERESTsince 07/28/1998
NIGHTINGALE HEALTHCARE LLC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/03/2025
REIS-ELBARA, CATHERINEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2014
SEKERAMAYI, FLOYDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
MERL INCOrganizationADP OF THE SNFsince 12/01/2014
PREMERE REHAB LLCOrganizationADP OF THE SNFsince 01/01/2023
THOMAS, CATHERINEIndividualADP OF THE SNFsince 07/02/2018

CMS files one row per role, so the 12 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 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.

$11.0M
Net patient revenuemost recent cost report
+4.2%
Operating marginrevenue minus expenses
$307K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 44%Medicare 20%Other / private 36%

This home reported $307K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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

$512per resident / day
operating cost
$15,568per month
≈ monthly operating cost
$534per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). 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 WA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Washington Medicaid page.

Typical monthly cost in Washington
$13,155/mo
Nursing home (semi-private)
$15,969/mo
Nursing home (private)
$7,600/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 505376. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-02, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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