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Americana Health and Rehabilitation

917 7th Avenue, Longview, WA 98632 · For profit - Corporation · 74 certified beds · (360) 425-5910 Medicare & Medicaid certified

Call the home — (360) 425-5910 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0604) — cited Nov 2025Resident-funds citation (F0569)1 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — 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 (4/5)
  • lower-than-typical staff turnover (33% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0569)
  • it has 1 actual-harm citation
  • 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
  • its facility-reported quality-measure rating is low (2/5)

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1004 Fir St · (877) 522-1275 · Call to confirm hours
Pharmacy
Grocery
965 15th Ave · (360) 353-5373 · Call to confirm hours
Park
920 7th Ave · (360) 442-5400 · 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 2 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 3 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 fell from 5 to 4 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 rating4★
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 increased18.4%14.2%15.4%worse
Long-stay residents who lose too much weight9.8%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.6%1.0%0.9%better
Long-stay residents with a urinary tract infection1.4%1.6%2.0%better
Long-stay residents with depressive symptoms5.8%17.7%6.5%better 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 injury4.7%2.6%3.3%worse
Long-stay residents whose ability to walk worsened30.3%17.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication18.8%12.4%18.9%typical
Long-stay residents given the seasonal flu vaccine97.8%93.8%95.3%typical
Long-stay residents with pressure ulcers4.4%4.3%4.7%typical
Long-stay residents with worsening bladder/bowel control23.2%22.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table43.1%15.1%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.7%1.3%1.4%worse
Short-stay residents given the seasonal flu vaccine86.7%82.0%79.4%typical
Short-stay residents rehospitalized after admission18.0%19.9%22.6%better
Short-stay residents with an outpatient ER visit13.7%13.4%12.0%worse

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.

49.6% 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 91 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

49.6%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
55.7%U.S. median 56.6%
Met the expected recovery
0.31U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 55.7% 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 61 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 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 58% of this home’s weekday level — it runs therapy at close to weekday levels right through 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.

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 SNF49.6%CMS range 40.8–60.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 7.7–17.910.7%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 discharge55.7%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 discharge45.9%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 discharge39.3%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 identified95.0%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 setting92.2%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 worsened2.5%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 hospitalization7.3%CMS range 4.5–12.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.891.02Oct 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

0.85
RN hours/ resident / day
0.77
LPN hours/ resident / day
2.31
Aide hours/ resident / day
3.93
Total nurse hours/ resident / day
0.52
RN hoursweekends
33.3%
Total nursing turnover
28.6%
RN turnover

How full it usually is: this home is certified for 74 beds and averages 49.3 residents a day — about 67% occupied, or roughly 25 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.93 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 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 3.33 hrs/resident/day on weekends vs 4.17 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.98 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below 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

9
deficiencies at the latest standard inspection (2025-11-21)
7
at the previous standard inspection (2024-12-17)

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.

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 11 most serious are shown; the remaining 9 are one tap away and print in full.

  • Actual harm · G2024-05-28 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 . Based on interview and record review, the facility failed to ensure the physician was consulted regarding a signification change in respiratory status and failed to notify the physician of the need for oxygen administration orders related to oxygen levels and obtain timely a needed seasonal allergy and asthma medication for 1 of 4 sampled residents (Resident 1) reviewed for notification of changes including a significant change in resident health status. Resident 1 experienced harm when hospitalization and intubation was required for respiratory failure related to untreated respiratory symptoms. This failure placed residents at risk for medical complications and a diminished quality of life. Findings included . A facility policy, dated [DATE], and entitled Respiratory Care; Oxygen Administration documented the following: -- Oxygen is administered per physician order. Oxygen may be administered in the absence of a physician order in emergency situations. -- Oxygen saturations are obtained and documented 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-11-21 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    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 interviews and record review, the facility failed to initiate bowel interventions for 5 of 8 residents (Resident 17, 24, 27, 2 & 6) reviewed for quality of care. This failure placed residents at risk for discomfort, experiencing health complications and a diminished quality of life.Findings included . Record review of the facility policy, titled, Bowel Protocol, revision date, May 2025, documented: 1. The licensed Nurse reviews the bowel monitor daily. 2. If a resident does not have a bowel movement for three days, the nurse administers the physician ordered bowel program. 3. If the facility has no specific bowel program the nurse administers medications as ordered as follows: Administer milk of magnesia [laxative] per physician order on day four. If milk of magnesia offers no result, administer a stimulant laxative suppository or oral tablet (Bisacodyl, Senna, etc.) per physician order on the next shift, during waking hours only. If a resident continues to have no results from suppository, administer…

    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 · E2025-11-21 · tag F0694 — pattern
    Provide for the safe, appropriate administration of IV fluids 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 observation, interview and record review, the facility failed to ensure intravenous (IV) access devices were assessed, maintained and monitored in accordance with professional standards of practice for 2 of 2 residents (Residents 1 & 46) reviewed for IV therapy. This failure placed residents at risk for unidentified complications including loss of vascular access, infection, and other potential negative health outcomes.Findings included .Review of the facility's Vascular Access Devices and Infusion Therapy Procedures policy, dated August 2021, showed upon admission or insertion staff would measure the external length of a Peripherally Inserted Central Catheter (PICC, a long, thin tube that's inserted through a vein in the arm and passed through to the larger veins near the heart), and the residents arm circumference 10 centimeter (cm) above the insertion site, to establish a baseline. The PICC external length and resident's arm circumference would then be measured weekly with PICC dressing changes. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · tag F0569 — isolated
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    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 resident funds were conveyed (the act of legally transferring property from one entity to another) to the Office of Financial Recovery (OFR) within 30 days of death or discharge for 1 of 2 discharged residents (Resident 62) reviewed for trust accounts. This failure resulted in a delayed final accounting and conveyance of Resident 62's funds.Findings included . Review of the Discharge Minimum Data Set (MDS, an assessment tool), dated 02/18/2025, showed Resident 62 was transferred to the hospital on [DATE], where they subsequently passed away on the same date. Review of the facility's resident Trust- Audit Report showed Resident 62 had a trust balance of $60 from March - August 2025. A Transmittal of Resident Personal Funds form showed Resident 62's trust balance was not conveyed to the OFR until 08/27/2025. During an interview on 11/20/2025 at 1:34 PM, when asked if Resident 62's trust balance was conveyed to the OFR within 30 days of death 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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 obtain a Safety Device Evaluation and Consent and/or physician's order for 1 of 1 sampled residents (Resident 43) reviewed for physical restraints. This failure placed the residents at risk of injury, unmet needs, and a diminished quality of life.Findings included . Record review of the facility policy, titled, Physical Restraints, revision date, January 2025, documented: 5. The resident and/or resident representative is provided risks/benefits of restraint use or enabler/device use, and consent obtained prior to implementation of the device.6. The care plan is updated for the device use with the goal for the least restrictive measures.7. The care plan is evaluated quarterly and as needed.8. The resident is evaluated using Device Evaluation on admission, re-admission, annually, and with significant change in condition. Resident 43 admitted to the facility on [DATE]. The Quarterly Minimum Data Set, (an assessment tool), dated 09/24/2025,…

    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 · D2025-11-21 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY .Based on interview and record review, the facility failed to ensure admission Minimum Data Sets (MDS, an assessment tool) were completed within 14 days of admission as required, for 1 of 18 sample residents (Resident 2) reviewed for comprehensive assessments. This failure placed residents at risk for unidentified and/or unmet care needs.Findings included .Review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.20.1 October 2025, showed admission assessments were required to be completed by the 14th calendar day of a resident's admission. Resident 2 was admitted to the facility on [DATE]. Review of Resident 2's admission Minimum Data Set (MDS, an assessment tool), dated 07/19/2025, showed it was not completed until 08/05/2025 20 days after admission. On 11/21/2025 at 1:47 PM, when asked if Resident 2's admission MDS was completed by the 14th calendar day after admission as required, Staff D, MDS Coordinator, stated, No. Reference WAC 388-97-1000(1)(b)(c)(ii)(d).

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-21 · 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 interview and record review, the facility failed to ensure assessments accurately reflected residents' health status and care needs for 2 of 18 sample residents (Residents 6 & 2) reviewed. This failure placed residents at risk for unidentified and/ unmet care needs and decreased quality of life. Findings included . 1) Resident 6 was admitted to the facility on [DATE]. Review of the Significant Change Minimum Data Set (MDS, an assessment tool), dated 08/04/2024, showed Resident 6 had a terminal diagnosis and received hospice services. Review of the Hospice intake paperwork, dated 07/29/2024, showed due to severe chronic obstructive pulmonary disease (COPD, an umbrella term for chronic lung diseases that cause airflow obstruction and breathing difficulties), respiratory failure and hypoxia (deficiency in the amount of oxygen reaching the tissues) Resident 6 was determined to have a life expectancy of less than six months and was admitted to Hospice. Hospice documentation showed Resident 6 was repeatedly…

    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 · D2025-11-21 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 resident care plans were reviewed, revised, and accurately reflected residents' care needs for 3 of 18 residents (Residents 1, 2 & 46) whose care plans were reviewed. These failures placed residents at risk for unidentified/ unmet care needs and a diminished quality of life. Findings included . 1) Resident 2 was admitted to the facility on [DATE]. Review of the electronic health record (EMR) showed an order, dated 07/21/2025, to cleanse Resident 2's anal fissure (a small tear in the thin, moist tissue that lines the anus) with normal saline or wound cleanser, pat dry, and apply zinc oxide ointment (skin protectant) twice a day and as needed. Review of the comprehensive care plan, intiated 07/17/2025, showed no care plan was developed to address Resident 2's anal fissure. During an interview on 11/21/2025 at 2:48 PM, Staff B, Director of Nursing Services (DON), said Resident 2's anal fissure should have been addressed in the comprehensive care…

    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 · D2025-11-21 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 services provided met professional standards of practice for 3 of 18 residents (Residents 1, 2 & 46). Failure of nursing staff to follow and/or clarify physicians' orders when indicated, and to notify the physician of weight variances and when medications were held, placed residents at risk delayed changes in medication regimen, hypotension, falls and other adverse outcomes. Findings included .1) Resident 1 was admitted to the facility on [DATE]. Review of Resident 1's physician's orders showed an order for daily weights, dated 10/25/2025. Review of Residnt 1's November 2025 weight record showed Resident 1 had the following 24-hour weight variances:11/08/2025 weight - 272.6 lbs.; 11/09/2025 - 264.4 lbs. (-8.2 lbs. in 24 hours).11/11/2025 - 262.2 lbs.; 11/12/2025 - 252.2 lbs. (- 10 lbs. in 24 hours).11/14/2025 - 252.2 lbs.; 11/15/2025 - 268 lbs. (+16 lbs. in 24 hours). Review of Resident 1's electronic medical record (EMR) showed no…

    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 · D2025-11-21 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 2 residents (Resident 2) reviewed for limited Range of Motion (ROM) received treatment and services to maintain and/or improve ROM. The failure to ensure residents were offered/provided Restorative Nursing Programs (RNPs) at the frequency they were assessed to require, placed residents at risk for decline in ROM, contracture formation, reduction in strength and mobility, increased dependence on staff and decreased quality of life. Findings included . Resident 2 was admitted to the facility on [DATE]. Review of Resident 2's Quarterly MDS, dated [DATE], showed Resident 2 was cognitively intact and received a passive ROM RNP on two of seven days during the assessment period. Review of Resident 2's impaired mobility related to decreased ROM care plan, revise 09/15/2025, showed Resident 2 was to receive passive ROM to both lower extremities, two sets of 15 reps (hip flexion, hip abduction, heel sliders and ankle pumps) five times a week. Review…

    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 · F2024-12-17 · 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 observation, record review and interview, the facility failed to ensure food items were labeled and dated when opened in 1 of 2 kitchen refrigerators, and in 1 of 1 nourishment refrigerators/freezers reviewed for proper food storage. This failure placed residents at risk for cross-contamination, food borne illness, and a diminished quality of life. Findings included . The facility's policy entitled, Nursing Unit Refrigerator Storage Guide, updated 03/2018, documented, Label all resident food with Name, Room Number, Use By Date. Packaged foods when opened are labeled with use by date. The manufacturer's expiration date is the 'Use By' for unopened items. Use by dates should not exceed the manufacturer's expiration or best 'use by' date. <Kitchen Refrigerator> On 12/12/2024 at 10:18 AM, the top left corner of the kitchen walk in refrigerator was observed with the following undated, unlabeled, used items: 1. Plastic bag of celery sticks 2. Plastic bag of carrot sticks with RO [received on] 10/04/2024 written on the bag 3. Cardboard box containing Rosemary, dated 12/07/2024 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · E2024-12-17 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to label medications with the date first accessed in 2 of 3 medication storage areas (Ocean Side medication storage room and Ocean Side medication cart) reviewed for medication storage and labeling, and the facility failed to ensure medications were kept secure when observed on a bedside table for 1 of 1 sampled residents (6) reviewed for medication storage. These failures placed residents at risk of receiving compromised/ineffective medications, medication errors and diminished quality of life. Findings included . On 12/12/2024 at 3:22 PM, the Ocean Side medication room was observed with Staff K, Licensed Practical Nurse (LPN). A multi dose vial of purified protein derivative (a solution used in Tuberculosis [TB] skin test to diagnose TB) was observed in the medication refrigerator without a date showing when it was first accessed. At 3:30 PM, the Ocean Side medication cart was observed with Staff K. Two multi dose vials of insulin (Humulin and Lispro - medication used to treat chronic disease that affects how the body uses…

    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 · D2024-12-17 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    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 and/or resident representatives were informed and provided consent before administering an influenza vaccination for 1 of 5 sampled residents (24) reviewed for right to be informed to make treatment decisions. This failure placed residents and/or resident representatives at risk of not being fully informed of the risks and benefits before making decisions about vaccinations and a diminished quality of life. Findings included . Record review of the facility's policy entitled, Prevention and Control of Seasonal Influenza, updated 01/04/2023, showed, .Influenza Prevention Vaccination . 5. Documentation in EHR [Electronic Health Record] on consent or declination for each resident. Resident 24 was admitted to the facility on [DATE]. The modification of Quarterly Minimum Data Set assessment, dated 11/14/2024, documented Resident 24 was moderately cognitively impaired and received this year's influenza vaccination on 10/04/2024. The October…

    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 · Dcited before2024-12-17 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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 were free from physical restraints for 1 of 2 sampled residents (19) reviewed for physical restraints. This failure placed residents at risk for injury and a decreased quality of life. Findings included . Resident 19 was admitted to the facility on [DATE]. The Admission's Minimum Data Set (MDS) assessment, dated 10/23/2024, indicated Resident 19 was moderately cognitively impaired. On 12/12/2024 at 1:49 PM, Resident 19's bed was observed to be against the wall. Resident 19 said there was a little gap, but he was ok with it. On 12/16/2024 at 9:54 AM, Resident 19 was observed lying in bed on his back. The bed was up against the wall. On 12/17/2024 at 10:04 AM, Resident 19 was observed lying in bed on his back. The bed was up against the wall. At 12:27 PM, Staff K, MDS Coordinator and Registered Nurse (RN), said the bed against the wall should have a consent, order and be part of the care plan. At 12:39 PM, Staff E,…

    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 · D2024-12-17 · 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 a comprehensive care plan for anticoagulant side effect monitoring (a high-risk, blood thinning medication) for 1 of 5 sampled residents (150) reviewed for comprehensive care plans. This failure placed residents at risk for complications, unmet care needs and a diminished quality of life. Findings included . The facility's policy entitled, Anticoagulation Therapy, updated 07/2014, documented: Residents who are on anticoagulation therapy are monitored to deliver proper care and treatments. This includes monitoring residents for any signs or symptoms of complications from the medication(s) utilized. Resident 150 was admitted to the facility on [DATE]. The admission Minimum Data Set assessment, dated 11/27/2024, documented the resident was alert and oriented. Resident 150's electronic health record (EHR) documented the following order, dated 11/21/2024: Apixaban Oral Tablet (Apixaban). Give 5 mg [milligram] by mouth two times a 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-17 · 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 interviews and record reviews, the facility failed to ensure bowel interventions were initiated for 1 of 6 sampled residents (35) reviewed for quality of care related to constipation. This failure placed residents at risk for discomfort, health complications and a diminished quality of life. Findings included . The facility's policy entitled, Bowel Protocol, updated 03/2018, documented the following interventions: If a resident does not have a bowel movement for three days, the nurse administers the physician ordered bowel program. In the event the Center has no specific bowel program the nurse administers medication as ordered as follows: --Administer Milk of Magnesia [laxative] per physician order on day four. --If Milk of Magnesia offers no results, administer a stimulant laxative suppository (Bisacodyl, etc.) per physician order on the next shift, during waking hours only. --If resident continues to have no results from suppository, administer an enema on the next shift, during waking hours only.…

    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 · D2024-12-17 · 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 implement Enhanced Barrier Precautions (EBP) during wound care for 1 of 2 sampled residents (33) reviewed for infection prevention and control. This failure placed residents at risk for contracting infectious diseases and a decreased quality of life. Findings included . Review of the Centers for Medicare and Medicaid Services (CMS) Memorandum (Ref: QSO-24-08-NH), dated 03/20/2024, with the subject of: Enhanced Barrier Precautions in Nursing Homes documented .EBP recommendations now include use of EBP for residents with chronic wounds or indwelling medical devices during high-contact resident care activities regardless of their multidrug-resistant organism status . For residents for whom EBP are indicated, EBP is employed when performing the following high-contact resident care activities: dressing, bathing/showering, transferring, providing hygiene, changing linens, changing briefs or assisting with toileting, and wound care of any skin…

    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 · D2024-01-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    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 interview and record review, the facility failed to ensure bathing opportunities were provided for dependent residents for 1 of 2 sampled residents (145) reviewed for activities of daily living (ADLs). This failure placed residents at risk of skin infections, decreased dignity, and a diminished quality of life. Findings included . Resident 145 was admitted to the facility on [DATE]. The admission Minimum Data Set, an assessment tool, dated 01/05/2024, documented the resident was moderately cognitively impaired. Resident 145's shower record, dated 12/30/2023 to 01/09/2024, did not show bathing opportunities were completed in 11 days. The bathing record documented a resident refusal on 12/30/2023, the day of Resident 145's admission to the facility. On 01/08/2024 at 12:30 PM, Resident 145 said he had not had a shower or bath since admitting to the facility. Resident 145 said he used personal wipes to clean himself as needed. On 01/09/2024 at 1:08 PM, Staff D, Certified Nursing Assistant (CNA), said…

    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 · D2024-01-11 · tag F0730 — isolated
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to ensure performance reviews were completed for 1 of 2 sampled nursing assistants (NA) (Staff E) reviewed for performance reviews. This failure placed residents at risk for receiving care from unskilled staff. Finding included . Staff E, Nursing Assistant, was hired on 08/04/2017. Staff E's personnel records did not have a Performance Evaluation for the previous year. On 01/10/2024 at 6:57 PM, Staff B, Director of Nursing Services and Registered Nurse, said performance evaluations were supposed to be completed annually. When asked about Staff E's performance evaluations, Staff B stated, We missed it. Reference WAC 388-97-1680 (2)(b)(I) .

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2024-01-11 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to ensure nursing hours were accurately posted daily for 12 of 30 days reviewed for nurse staff posting. This failure placed residents, resident representatives, and visitors at risk of not being fully informed of the current staffing levels and census. Findings included . The nursing home daily staff postings had not been updated for 12 days, from 12/09/2023 through 01/08/2024, to accurately reflect the number of nursing assistants working per shift. On 01/11/2024 at 9:15 AM, Staff F, Staff Coordinator, said the floor nurse should adjust the staff numbers if the posting were not accurate at the start of a shift. At 10:06 AM, Staff B, Director of Nursing Services and Registered Nurse, said the shift nurses were supposed to update the postings to reflect the staffing level. No WAC Reference .

    Nursing and Physician Services 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 EVERGREEN HEALTHCARE GROUP — 44 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 4 of 52.5+1.5 vs chain
Health inspection 4 of 52.4+1.6 vs chain
Staffing 4 of 53.3+0.7 vs chain
Quality measures 2 of 53.0-1.0 vs chain
The other 43 homes this chain runs (chain average 2.5★, per CMS)
1 of 5Alaska Gardens Health and RehabilitationTacoma, WA 1 of 5El Jen Skilled CareLas Vegas, NV 1 of 5Firesteel Healthcare CenterMitchell, SD 1 of 5Gardnerville Health & Rehabilitation CenterGardnerville, NV 1 of 5Laurel Health & Rehabilitation CenterLaurel, MT 1 of 5Livingston Health & Rehabilitation CenterLivingston, MT 1 of 5Palisade Healthcare CenterGarretson, SD 1 of 5Portland Health And RehabilitationPortland, OR 1 of 5Riverview Healthcare CenterFlandreau, SD 1 of 5Shepherd of the Valley Rehabilitation and WellnessCasper, WY 1 of 5Worland Health and RehabilitationWorland, WY 2 of 5Aspen Meadows Health And Rehabilitation CenterBillings, MT 2 of 5Canterbury HouseAuburn, WA 2 of 5Enumclaw Health and RehabilitationEnumclaw, WA 2 of 5Granite Rehabilitation and WellnessCheyenne, WY 2 of 5Independence Health And RehabilitationIndependence, OR 2 of 5Laramie Health and RehabilitationLaramie, WY 2 of 5Mountain View Health And RehabilitationCarson City, NV 2 of 5North Cascades Health and RehabilitationBellingham, WA 2 of 5Seattle Medical Post Acute CareSeattle, WA 2 of 5Shelton Health and RehabilitationShelton, WA 2 of 5Village Health CareGresham, OR 2 of 5Wind River Rehabilitation and WellnessRiverton, WY 3 of 5Fountain Springs HealthcareRapid City, SD 3 of 5La Grande Post Acute RehabLa Grande, OR 3 of 5Pahrump Health And RehabilitationPahrump, NV 3 of 5Prairie View Healthcare CenterWoonsocket, SD 3 of 5Rawlins Rehabilitation and WellnessRawlins, WY 3 of 5Royal Park Health and RehabilitationSpokane, WA 3 of 5Sage View Care CenterRock Springs, WY 3 of 5Thermopolis Rehabilitation and WellnessThermopolis, WY 3 of 5Wheatcrest Hills Healthcare CenterBritton, SD 3 of 5Windsor Health And RehabilitationSalem, OR 4 of 5Buena Vista HealthcareColville, WA 4 of 5Frontier Rehabilitation and Extended CareLongview, WA 4 of 5Hillsboro Health And RehabilitationHillsboro, OR 4 of 5Hot Springs Health & Rehabilitation CenterHot Springs, MT 4 of 5Missoula Health & Rehabilitation CenterMissoula, MT 4 of 5Polson Health & Rehabilitation CenterPolson, MT 4 of 5The Dalles Health And RehabilitationThe Dalles, OR

Showing 40 of 43; lowest-rated first.

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
AMERICANA SNF OPERATIONS, LLCOrganizationDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/17/2025
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (WA) LLCOrganizationDIRECT OWNERSHIP INTERESTsince 08/31/2023
CH PACIFIC NORTHWEST HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 08/31/2023
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 08/31/2023
WITZCORP GLOBAL LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 08/31/2023
HERZKA, YISROELIndividualINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 08/31/2023
YENOWITZ, YITZCHOKIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/31/2023
BAYHON, MARISSAIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 08/31/2023
JEFFRIES, BRANDIIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/31/2023
ODENTHAL, JASONIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/31/2023
SPIELMAN, SHIMONIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/31/2023
COUVE FINANCIAL SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/21/2025
COUVE HEALTHCARE CONSULTING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/21/2025
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/21/2025
WASHINGTON SNF CONSULTING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/21/2025
CHHEDA, NEELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/31/2023
MCCOY, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/31/2023
WILSON, TAMARAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/31/2023

CMS files one row per role, so the 41 rows in the source record cover these 18 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.

9 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.

$3.8M
Net patient revenuemost recent cost report
-22.8%
Operating marginrevenue minus expenses
$120K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 72%Medicare 11%Other / private 17%

About 72% 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. This home reported $120K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$445per resident / day
operating cost
$13,530per month
≈ monthly operating cost
$362per 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 505361. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-21, 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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