Regency Omak
901 Shumway Rd, Omak, WA 98841 · For profit - Corporation · 56 certified beds · (509) 846-7700 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 4 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 18.2% | 14.2% | 15.4% | worse |
| Long-stay residents who lose too much weight | 3.8% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.4% | 1.0% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 4.4% | 1.6% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.0% | 17.7% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 4.3% | 2.6% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 20.2% | 17.2% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 9.4% | 12.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.7% | 93.8% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.7% | 4.3% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 22.4% | 22.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.6% | 15.1% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 71.0% | 82.0% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 15.2% | 19.9% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.4% | 13.4% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 0.54 | 1.33 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.49 | 1.52 | 1.80 | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ 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.
38.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 93 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 68.6% 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 51 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 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 38.9%CMS range 29.4–46.5 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.6%CMS range 6.9–13.8 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 68.6% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 58.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 51.0% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.2% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.6% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.7%CMS range 2.8–12.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.14 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 56 beds and averages 41.6 residents a day — about 74% occupied, or roughly 14 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.04 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.70 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.47 hrs/resident/day on weekends vs 4.26 on weekdays — 19% thinner on weekends. RN hours go from 0.97 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
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.
19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.
- Actual harm · G2023-06-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide 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 implement interventions, consistently monitor pressure ulcers, and notify appropriate disciplines once pressure ulcers were identified for 3 of 3 sampled residents (Residents 3, 7, and 29), reviewed for pressure ulcer care. Actual harm occurred for Resident 3, when facility staff did not have preventive protective boots(cushioned devices placed on the feet to protect against pressure) implemented timely, the resident lost a significant amount of weight, developed an additional pressure injury, and the Registered Dietician (RD) was not notified of the resident's wounds. This failure placed the other residents at risk of harm from further deterioration of their skin conditions, and a decreased quality of life. Findings included <Resident 3> Resident 3 had diagnoses including left femur (thigh bone) fracture and paralysis (the loss of the ability to move some or all of your body), after a stroke. A 03/07/2023 quarterly pressure sore risk…
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.
- Potential for harm · F2026-01-24 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 hand hygiene was performed when indicated during the lunch meal service. The facility further failed to ensure the microwave and ice machine were clean and dishwasher temperatures were maintained at the appropriate temperatures. These failures placed residents at risk for food-borne illnesses and food served from unsanitary conditions.Findings included .<Sanitary Practices>During an observation of tray line on 01/23/2026 at 11:47 AM and 11:52 AM, Staff E, Cook, was plating food with gloved hands. Staff E opened the refrigerator door with the same gloved hands and then placed salad on a plate and touched it with their gloved hands to keep it on the plate. No hand hygiene was performed after Staff E opened the refrigerator door with their gloved hands before handling the food. In an observation on 01/23/2026 at 12:14 PM, Staff E opened the refrigerator with gloved hands, touched meal tickets, then plated a grilled cheese sandwich, picked it up with their same gloved hands and cut it up. At 12:15 PM,…
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.
- Potential for harm · D2026-01-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 monitor a resident's neurological status (an evaluation completed on a person's alertness, muscle strength, coordination, ability to feel and reflexes) after multiple unwitnessed falls occurred for 1 of 1 sampled residents (Resident 34) reviewed for falls. This failure placed the residents at risk for falls.Findings included .Review of the facility policy titled, Incident Documentation and Investigation revised October 2022 documented neurological checks were to be performed after non witnessed falls occurred. The 09/24/2025 admission assessment documented Resident 34 had diagnoses including Parkinson's disease (a progressive disorder of the central nervous system that impacted movement), a fractured back, and difficulty walking. The assessment further showed Resident 34 had severe cognitive impairment and required partial to moderate staff assistance for transfers. Resident 34 sustained two or more falls since their admission. The 09/22/2025 fall care plan, revised on multiple dates, showed Resident 34 was…
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.
- Potential for harm · D2025-03-03 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
Based on interview and record review, the facility failed to implement care planned interventions related to monitoring during a viral infection for 2 of 3 residents (1 and 2) whose care plans were reviewed. This failure put the residents at risk for worsening of their condition and unmet care needs. Findings included . <Resident 1> Review of Resident 1's medical record showed they tested positive for influenza on 02/19/2025. Review of the resident's care plan showed that on 02/19/2025 a new focus was added for risk of infection due to Influenza. New interventions for the focus included: assess lung sounds, assess sputum or other respiratory discharge, check vital signs and monitor for abnormalities. Review of Resident 1's February 2025 medication administration record (MAR) showed they were administered an antiviral medication from 02/20/2025 through 02/24/2025, for a total of ten doses. Further review of the same MAR did not show orders, or a place to record, the resident's lung sounds, sputum or other respiratory discharge, or when or how often to monitor the resident's vital…
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.
- Potential for harm · D2024-10-11 · tag F0552 — isolatedEnsure 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
Based on interview and record review, the facility failed to ensure 3 of 5 sampled residents (Resident 2, 26, and 14), reviewed for unnecessary medications, were informed of the potential risks associated with the use of psychotropic medications (medications that can affect the mind, emotions, and behaviors). This failure placed the residents and/or their representative at risk of not being fully informed of the potential risks and benefits of taking the medications. Findings included <Resident 2> The 08/06/2024 quarterly assessment documented Resident 2 had diagnoses which included anxiety and depression. In addition, the assessment documented the resident received psychotropic medication. Review of the Order Summary Report from 01/01/2024 through 10/09/2024 documented on 05/10/2024, the physician had prescribed a psychotropic medication, Fluoxetine, to treat Resident 2's depression. Review of the Medication Administration Records (MARS) from May 2024 through September 2024 showed the resident had received Fluoxetine daily as prescribed. Review of Resident 2's record found 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.
- Potential for harm · D2024-10-11 · tag F0622 — isolatedNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to identify what information was conveyed to the hospital at the time of transfer for 1 of 2 sampled residents (Resident 34) reviewed for hospitalizations. This failure placed the resident at risk for a disruptive and ineffective transition from the facility to the hospital setting. Findings included . <Resident 34> Review of 03/17/2024 progress notes showed Resident 34 experienced a change in condition and the staff called the on-call provider who recommended Resident 34 go to the emergency room for an evaluation. Review of Resident 34's medical record showed no documentation the facility communicated to the hospital the minimum required information at the time of the Resident 34's transfer on 03/17/2024, including: The basis for the transfer, the specific resident need(s) that could not be met, facility attempts to meet the resident needs, or the information provided to the receiving facility to include contact information of the practitioner responsible for the care of the resident, resident representative information…
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.
- Potential for harm · D2024-10-11 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure it completed a notice of bed hold for 1 of 2 (Resident 34) sampled residents reviewed for hospitalization. This failure placed the resident and/or their representative at risk for a lack of knowledge regarding their right to hold their bed while in the hospital. Findings included . <Resident 34> Review of the progress notes showed that on 03/17/2024, 05/20/2024, and 07/06/2024, Resident 34 experienced a change in condition and the staff transferred the resident to the local hospital for emergency care. Record review showed no documentation the facility offered Resident 34 and/or their representative a notice of bed hold at the time of or shortly after the hospital transfers for 03/17/2024 and 05/20/2024. In an interview with Staff B, Director of Nursing, and Staff E, Corporate Nurse, on 10/10/24 at 11:53 AM. Staff E confirmed via record review that the facility did not but should have offered the notice of bed hold to Resident 34 and/or their representative at the time of the hospital transfer and stated, I didn't…
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.
- Potential for harm · D2024-10-11 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure 1 of 5 sampled residents (Resident 26), reviewed for Pre-admission Screening and Resident Review (PASARR) [an assessment completed prior to admission into a skilled nursing facility to determine whether a resident with a diagnosis of a serious mental illness needed specialized mental health services] was completed accurately and if indicated, a referral for additional screening had been made. Findings included . <Resident 26> The 07/23/2024 annual assessment documented Resident 26 had diagnoses which included anxiety, depression, and obsessive-compulsive disorder, a mental disorder that caused recurrent, unwanted thoughts and repetitive uncontrollable behaviors. Review of Resident 26's record showed a PASARR level 1 was initiated on 07/06/2024, but the form was incompletely filled out, with Section IV of the form being blank. Additional record review found no other documentation that showed a fully completed PASARR had been done. In an interview on 10/10/2024 at 10:10 AM, Staff D, Social Service Director, stated a…
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.
- Potential for harm · D2024-10-11 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 an adequate indication for the use of an antidepressant for 1 of 5 sampled residents (Resident 14) reviewed for unnecessary medications. This failure placed the resident at risk to receive unnecessary medications and/or experience adverse side effects. Findings included . <Resident 14> Review of a 07/21/2024 annual assessment showed Resident 14 admitted to the facility on [DATE]. This assessment showed the staff assessed the resident to have severely impaired cognition, no signs or symptoms of depression, no hallucinations or delusions and that the resident wandered. The assessment showed Resident 14 used an antidepressant, the staff noted an indication for the use of the antidepressant, and the staff did not identify any psychiatric/mood disorder. Review of Resident 14's medical diagnosis list included the diagnoses of dementia without any behavioral, psychotic, or mood disturbances or anxiety, multiple sclerosis [a progressive neurological…
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.
- Potential for harm · Dcited before2024-10-11 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to destroy a deceased resident's controlled medication timely, in accordance with currently accepted professional standards, in 1 of 1 medication storage rooms. Additionally, the facility failed to ensure that controlled medications were stored in a permanently affixed, locked storage compartment in the medication refrigerator. These failures placed the facility at risk for potential diversion or misappropriation of controlled medications. Findings included . On [DATE] at 3:12 PM, the medication room refrigerator was inspected with Staff F, Registered Nurse/Resident Care Manager (RN/RCM). The refrigerator contained a small, metal box with a padlock. Staff F opened the padlock with the key, and it contained 4 bottles of liquid Lorazepam (a sedative/controlled medication.) One of the bottles was labeled for Resident 1. The metal box was not secured to the refrigerator and could be removed. During a concurrent interview, Staff F stated that…
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.
- Potential for harm · D2024-10-11 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure vaccine consents, medication reviews, and advance directives records were complete and accurate for 3 of the 19 sampled residents (2, 14, 20 and 26) whose records were reviewed. Failure to ensure clinical records were complete and accurate, placed residents at risk of not having their needs met. Findings included . <Resident 2> 1. The 08/06/2024 quarterly assessment documented Resident 2 was able to make their needs known and able to make decisions regarding their care. Review of Resident 2's record showed an updated POLST form, a document that details a resident's wishes for end-of life treatment and resuscitation in the event their heart stops, had been completed on 08/15/2024, was which indicated the resident did not want to be resuscitated, and wished to have comfort measures only. The form included the signature of the resident, but did not have the signature of the medical provider. In an interview on 10/10/2024 at 11:47 AM, with Staff A,…
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.
Show the remaining 8 citations
- Potential for harm · D2024-08-06 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 develop and implement a system to evaluate agency/contracted staff competencies in skills and techniques to ensure staff provided necessary care and respond to each resident's individualized needs for 1 of 4 sampled staff (Staff I), reviewed for nursing services. This failure resulted in ineffective communication with Resident 1 that made them feel uncomfortable, placed residents at risk of unmet care needs and diminished quality of life. Findings included . Review of the facility policy titled, Resident Rights dated 11/2016, showed residents had the right to receive care and treatment with respect and dignity that promotes maintenance or enhancement of their quality of life and individuality. Review of the facility policy titled, Abuse/Neglect/Misappropriation/Exploitation dated 10/2017, showed the facility would train employees at orientation, annually, and as needed on what constitutes abuse and neglect, how to report potential abuse, how to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-12 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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
Based on interview and record review, the facility failed to honor a resident's right to refuse care for 1 of 3 residents (1) investigated for abuse. two staff members insisted that a resident have a shower, despite their initial refusal. This failure placed the resident at risk for feelings of disrespect and decreased self-worth. Findings included . According to an admission assessment, dated 03/04/2024, Resident 1 had diagnoses which included a fractured pelvis and arthritis. The assessment further showed that the resident was able to understand, be understood and required assistance with bathing. A progress note from the social worker, dated 05/30/2024 at 1:43 PM, documented that the resident said they were forced to take a shower on 05/27/2024 and the aides said they smelled like a dog. The nursing assistants identified were immediately suspended, left the facility and appropriate notifications were made. The facility conducted a thorough investigation. A review of Resident 1's Bathing/Shower task in their medical record documented they did have a shower on 05/27/2024. 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.
- Potential for harm · D2024-02-27 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure allegations of potential abuse were reported immediately to the State Survey Agency as required, for 1 of 3 sampled residents (Resident 1). This failure placed the resident at risk for abuse. Findings included . A 12/22/2023 admission assessment showed Resident 1 had diagnoses including pneumonia, chronic obstructive pulmonary disease (chronic disease that damages the lungs) and muscle weakness, and that they were cognitively intact. According to a facility report, dated 02/14/2023, Resident 1 discharged from the facility on 02/02/2024. On 02/14/2024 the facility received a call from the discharged resident's medical provider stating that the resident was reporting they were forced to take an enema, despite their refusal, a few days prior to their facility discharge. Record review of Resident 1's medication administration record showed they received a suppository (medication given in the rectum to encourage bowel movements) given by Staff D, Registered Nurse, on 01/26/2024 at 4:15 AM. No enema (liquid inserted into…
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.
- Potential for harm · D2024-02-27 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to complete a thorough investigation into allegations of abuse in a timely manner, for 1 of 3 sampled residents (Resident 1). Failure to recognize allegations as possible abuse and failure to immediately investigate allegations, placed the resident at risk for diminished quality of life, and continued possible abuse. Findings include: A 12/22/2023 admission assessment showed Resident 1 had diagnoses including pneumonia, chronic obstructive pulmonary disease (chronic disease that damages the lungs) and muscle weakness, and that they were cognitively intact. According to a facility report, dated 02/14/2023, Resident 1 discharged from the facility on 02/02/2024. On 02/14/2024 the facility received a call from the discharged resident's medical provider stating that the resident was reporting they were forced to take an enema, despite their refusal, a few days prior to their facility discharge. Record review of Resident 1's medication administration record showed they received a suppository (medication given in the rectum to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY <Resident 17> Per the 03/02/2023 quarterly assessment, Resident 17 admitted to the facility with obstructive sleep apnea (a problem in which your breathing pauses during sleep), hypoxemia (a low level of oxygen in the blood), shortness of breath, and a disorder of diaphragm (the thin muscle below the lungs and heart), and required oxygen due to those conditions. Review of the physician orders showed on 12/18/2020, the resident had been prescribed oxygen to be used continuously due to the diagnoses listed. The respiratory care plan showed the licensed nursing staff were instructed on 09/23/2019 to change the oxygen tubing weekly. There was no direction on cleaning the concentrator, or a physician's order to do so. On 05/23/2023 at 9:25 AM, Resident 17 was observed wearing oxygen with a date on the tubing of 05/16/2023. An inspection of the oxygen concentrator in the resident's bathroom showed the concentrator had thick dust stuck to the vent, and the filter had dust and debris with white spots. Subsequent…
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.
- Potential for harm · D2023-06-01 · tag F0740 — failed to provide behavioral / mental-health care — isolatedEnsure 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
Based on observation, interview, and record review, the facility failed to refer a resident for behavioral health services when needed for 1 of 1 sampled residents (Resident 12), reviewed for mood and behavior. This failure placed the resident at risk for worsening depression and a decreased quality of life. Findings included . Resident 12 had diagnoses including stroke and major depressive disorder. A 05/04/2023 quarterly comprehensive assessment showed the resident was cognitively intact, had a mood severity score of 0 (meaning no mood alterations), and received an antipsychotic (a type of medication used to alter the brain chemistry to reduce symptoms of psychosis - a mental disorder), and and an antidepressant (medication to treat depression), daily. The 03/29/2022 comprehensive care plan had the following care areas: -History of suicidal ideation, depression; interventions included do not leave the resident alone if they made suicidal ideation comments unless it was determined they were not at risk, monitor for self-harm/ideation, remove hazardous items from room if they report…
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.
- Potential for harm · Dcited before2023-06-01 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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, interview, and record review, the facility failed to ensure expired medications were disposed of timely, in accordance with currently accepted professional standards, in 1 of 1 medication storage rooms. The facility further failed to ensure narcotics were locked in a permanently affixed narcotic container. These failures placed residents at risk for receiving compromised or ineffective medication, and placed the facility at risk for potential diversion or misappropriation of narcotic medications. Findings included . Per observation of the medication storage room, located between the two nursing stations on 05/06/2023 at 8:12 AM with Staff E, Resident Care Manager, and Staff C, Director of Nursing, showed Nutrisource Fiber (medication used to treat constipation) expired on 02/09/2023, a vial of Tubersol (a medication injected under the skin to determine the presence of tuberculosis, that must be discarded after 30 days of use) had been opened with no open date placed on the vial, and three bottles of Magnesium Citrate (a medication used to treat constipation),…
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.
- Potential for harm · D2023-06-01 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure two of three sampled residents (Residents 29, 191), reviewed for use and care of a urinary catheter (a flexible tube inserted into the bladder to drain urine into a drainage bag), received appropriate care and services to minimize the risk of associated urinary infections. In addition, the facility failed to ensure hand hygiene and glove changes were performed when indicated in the kitchen by one of three kitchen staff (Staff I), observed during tray line service. These failures placed the residents at risk for infection. Findings included <Urinary Catheters> Per review of the 04/20/2023 quarterly assessment, Resident 29 had diagnoses which included obstructive uropathy, (a condition in which the flow of urine is blocked resulting in the urine backing up into the kidneys, creating the risk of damage to the kidneys and infection), and utilized an indwelling urinary catheter (defined above). Review of catheter care plan showed interventions for catheter care were implemented on 08/04/2022, and instructed…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to REGENCY PACIFIC MANAGEMENT — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 3.9 | +1.1 vs chain |
| Health inspection | 5 of 5 | 3.7 | +1.3 vs chain |
| Staffing | 5 of 5 | 4.0 | +1.0 vs chain |
| Quality measures | 4 of 5 | 3.6 | +0.4 vs chain |
The other 26 homes this chain runs (chain average 3.9★, per CMS)
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 / manager | Type | Role | Since |
|---|---|---|---|
| REGENCY PACIFIC MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2014 |
| BEDDOE, MARVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2014 |
The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 75% 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 $735K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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
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
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.
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 505303. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-24, 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.