Montesano Health-Rehab Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Staffing

How full it usually is: this home is certified for 94 beds and averages 31.4 residents a day — about 33% occupied, or roughly 63 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 5.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.43 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.13 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.

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

Inspection trend

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

Inspection deficiencies

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

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

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Dcited before2026-07-27 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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, interview and record review, the facility failed to ensure beverage cups were thoroughly cleaned for 1 of 6 sampled residents (Resident 1) reviewed for dietary services. This failure placed residents at risk for exposure to unsanitary conditions that promote foodborne illness and a diminished quality of life.Findings included. Record review of the facility policy titled, Warewashing, dated 01/2024, showed All cookware, dishware, and serviceware that is not processed through the dish machine will be manually washed and sanitized. In an interview, and observation on 07/27/2026 at 4:17 PM, Resident 1 said that she had been served milk and other fluids in what appeared to be dirty cups. Resident 1 was able to provide a photo taken of one of the cups that appeared to have brown staining on the entire inner side of the clear plastic cup. Resident 1 stated this has happened on at least four occasions. In an observation and interview on 07/27/2026 at 6:06 PM, dietary staff were filling clear cups with milk which appeared to have brown staining on the inner side of 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-18 · tag F0880 — failed to prevent and control infections — pattern
  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 interview and record review, the facility failed to conduct real time analysis of their infection control program for 10 of 10 months (August 2025 to May 2026) reviewed for monthly line listings and monthly maps summaries for the facility's surveillance program. These failures placed the facility at risk for failing to identify infection trends and implementing interventions that would prevent residents from acquiring facility related infections. Finding included. Record review of the facility's policy titled, Infection Prevention and Control Program [IPCP], dated 09/18/2023, documented 4. The elements of the infection prevention and control program consist of coordination/oversight, policies/procedures, surveillance, data analysis, antibiotic stewardship, outbreak management, prevention of infection, and employee health and safety. 7. Surveillance a. Process surveillance (adherence to infection prevention and control practices) and outcome surveillance (incident and prevalence of healthcare acquired infections) are used as measures of the IPCP effectiveness. b.…

  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 · D2026-06-18 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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, record review, and interview, the facility failed to provide care and services in a manner that maintained and promoted dignity when staff stood next to the resident while assisting with meals for 1 of 4 sampled residents (Resident 3) reviewed for resident rights. This failure placed residents at risk for diminished self-worth, self-esteem, and feelings of embarrassment.Finding included . Resident 3 was admitted to the facility on [DATE] with multiple diagnoses, to include paraplegia (medical condition characterized by the loss of motor and sensory function in the lower half of the body). Record review of The Quarterly Minimum Data Set, an assessment tool, dated 03/11/2026, indicated the Resident 3 was severely cognitively impaired, and required extensive assistance with eating. In an observation on 06/15/2026 at 12:50 PM, Staff N, Certified Nursing Assistant (CNA) was observed standing on right side of Resident 3, while providing him feeding assistance. In an observation on 06/15/2026 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · 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 include resident's representative in the care planning conference for 1 of 6 residents (Resident 51) who was moderately cognitively impaired and reviewed for care conferences. This failure placed residents at risk of unmet care needs and a diminished quality of life.Findings included.Resident 51 was admitted to the facility on [DATE]. The admission Minimum Data Set, an assessment tool, dated 04/28/2026, documented Resident 51 was moderately cognitively impaired.Record review of Resident 51's Brief Interview for Mental Status (BIMS, a 0-15 standardized cognitive screening tool to assess attention, orientation, and memory, with higher scores indicating better cognitive health) completed on 04/23/2026 documented Resident 51's BIMS score was 9, indicating moderate cognitive impairment.In a telephone interview on 06/16/2026 at 10:07 AM, Resident 51's representative said they had not participated in a care conference with the facility staff to discuss…

  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 · D2026-06-18 · 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 provide care with activities of daily living (ADL) for dependent residents to include bed baths and/or showers for 1 of 3 residents (Resident 36), reviewed for ADLs. This failure placed residents at risk of unmet care needs and a diminished quality of life. Findings included.Resident 36 was admitted to the facility on [DATE]. The 5-day Minimum Data Set, and assessment tool, dated 05/31/2026, indicated Resident 36 was alert and oriented.Record review, on 06/17/2026, of Resident 36's bathing task, dated 05/21/2026 through 06/17/2026, documented Resident 36 had not had a bed bath and/or shower since 06/09/2026, eight days since the last bed bath and/or shower. Record review of the shower log showed Resident 36's shower schedule was Mondays & Thursdays.During an interview on 06/17/2026 at 11:24 AM, Staff M, Nursing Assistant, said resident shower day assignments were based on resident room assignments. Staff M said if a resident refused a shower Durning…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · 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 initiate bowel interventions for 1 of 5 residents (Resident 34) reviewed for constipation. This failure placed residents at risk of discomfort, experiencing health complications and a diminished quality of life.Finding included. Record review of the facility's policy titled, Bowel Care, Undated, documented,Bowel care protocol will be indicated for residents who have not had a bowel movement in the past three days as follows (per physician order):1. The Licensed Nurse will administer 30cc [cubic centimeters] of Milk of Magnesia [laxative- medication to stimulate bowel movement] per M.D. [doctor] Order. (Recommend P.M. Shift initiates based on routine checking of bowel sheet)2. If no results from Milk of Magnesia by the end of the suggested shift, (i.e., NOC Shift), the Licensed Nurse will administer a Dulcolax Suppository [laxative- medication to stimulate bowel movement] per M.D. Order. 3. If no results from a suppository by suggested shift, (i.e., AM.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · 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 2 sampled residents (Resident 42) reviewed for Pressure Ulcers (PUs), received appropriate pressure reducing measures and repositioning on a consistent basis. This failure placed residents at risk for PU development, and a diminished quality of life. Findings included . Record review of the facility policy, titled, Skin Integrity, undated, documented: 4. Develop comprehensive, interdisciplinary plan of care including prevention and wound treatments, as indicated- .4.4 Turning and repositioning based on resident needs. Resident 42 was admitted to the facility on [DATE]. The Medicare 5-Day Minimum Data Set, an assessment tool, dated 04/08/2026, documented the Resident 42 was moderately cognitively impaired, and was dependent on staff for bed mobility. In an interview on 06/15/ 2026 at 11:33 AM, when asked about repositioning, Resident 42 stated, they say 'we should reposition you,' but they never do. Record review of 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 · D2026-06-18 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 physician orders were followed for 1 of 1 sampled resident (Resident 30) reviewed for pain medication. This failure placed residents risk of receiving unnecessary medications and a diminished quality of life.Findings included.Record review of the facility's policy titled, Administering Pain Medications, dated April 2025, showed, 6. Administer pain medications as ordered. Resident 36 was admitted to the facility on [DATE]. The 5-day Minimum Data Set, and assessment tool, dated 05/31/2026, indicated Resident 36 was alert and oriented.Record review of Resident 36's physician's order, dated 05/22/2026, showed Resident 36 was prescribed Oxycodone (a narcotic pain medication) tablet, give 2 tablet [sic] by mouth every 4 hours as needed for severe pain 7-10.Record review of Resident 36's medication administration record (MAR), dated May 2026, showed Resident 36 received two oxycodone tablets for pain levels less than seven on two separate occasions…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  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 document/monitor targeted behaviors for 1 of 5 residents (Resident 49) reviewed for mood and behavior. This failure placed residents at risk for unmet psychosocial needs and a decreased quality of life. Findings included . Resident 49 was admitted to the facility on [DATE], with multiple diagnoses to include Dementia (group of symptoms affecting memory, thinking and social abilities) with mood disturbance, Major Depressive Disorder (mental health condition defined by a persistent feeling of sadness, emptiness, and loss of interest in activities), and Generalized Anxiety Disorder (mental health condition characterized by excessive, and uncontrollable worry about everyday events and activities). Record review of The Quarterly Minimum Data Set, an assessment tool, dated 05/18/2026, indicated Resident 49 was severely cognitively impaired. In an interview with Resident 49's roommate (Resident 27), on 06/15/2026 at 3:03 PM, Resident 27 reported Resident 49…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were administered by professional standards of practice for 1 of 2 sampled residents (Resident 36) reviewed for medication administration. This failure placed residents at risk for medication errors, negative outcomes, and a diminished quality of life.Findings included.Resident 36 was admitted to the facility on [DATE]. The 5-day Minimum Data Set, and assessment tool, dated 05/31/2026, indicated Resident 36 was alert and oriented.Record review of Resident 36's Medication Self-Administration Evaluation, dated 05/24/2026, indicated Resident 36 was not granted approval to self-administer medication.During an observation on 06/15/2026 at 12:33 PM, an unidentified nursing assistant (NA) took Resident 36's lunch tray into the room. The NA was observed moving a small pill cup from the bedside table and placing it on the tray. After the NA left the room, it was observed that there were three pills in the pill cup. During an…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GENESIS HEALTHCARE — 184 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

What families pay in WA