No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Yakima Valley School

609 Speyers Road, Selah, WA 98942 · Government - State · 112 certified beds · (509) 698-1300 Medicaid only — no Medicare

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Flagged for abuseResident-funds citations (F0566, F0568)Behavioral-health or dementia-care citation — no harm found (F0758)1 immediate-jeopardy citation
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
Worth asking about
  • CMS has flagged it for abuse
  • it has abuse, neglect, or exploitation citations (F0600, F0602, F0609) — most recent May 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has citations for mishandling residents’ money or property (F0566, F0568)
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
318 S 1st St · (509) 697-4123 · Call to confirm hours
Pharmacy
119 E 3rd Ave · (509) 902-6062 · Call to confirm hours
Grocery
121 East 3rd Ave
Park
205 N 5th St · 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 3 of 5
Long-stay residentspeople who live here 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 held steady at 3 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 rating3★
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 increased20.2%14.2%15.4%worse
Long-stay residents who lose too much weight3.8%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.5%1.0%0.9%better
Long-stay residents with a urinary tract infection4.3%1.6%2.0%worse
Long-stay residents with depressive symptoms1.9%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 injury0.0%2.6%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened21.7%17.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication24.5%12.4%18.9%worse
Long-stay residents given the seasonal flu vaccine98.0%93.8%95.3%typical
Long-stay residents with pressure ulcers2.8%4.3%4.7%better
Long-stay residents with worsening bladder/bowel control14.4%22.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table34.7%15.1%17.1%worse
Short-stay residents given the seasonal flu vaccine95.5%82.0%79.4%better
Long-stay hospitalizations per 1,000 resident days2.271.331.67worse
Long-stay outpatient ER visits per 1,000 resident days0.631.521.80better

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

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

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

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

Staffing

2.13
RN hours/ resident / day
0.73
LPN hours/ resident / day
13.74
Aide hours/ resident / day
16.60
Total nurse hours/ resident / day
1.26
RN hoursweekends
32.2%
Total nursing turnover
30.4%
RN turnover

How full it usually is: this home is certified for 112 beds and averages 47.3 residents a day — about 42% occupied, or roughly 65 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 16.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.13 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 13.74 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.

This home’s total nursing-staff turnover of 32% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

7
deficiencies at the latest standard inspection (2026-05-01)
8
at the previous standard inspection (2025-06-06)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

34 citations, most serious first. The 14 most serious are shown; the remaining 20 are one tap away and print in full.

  • Immediate jeopardy · Kcited before2024-09-03 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure 7 of 11 staff (Staff M, O, Q, D, F, J, and H) immediately (not later than two hours after the allegation was made) reported allegations of abuse to the facility administration and State Agency (SA) and to implement timely interentions to protect 2 of 2 residents (Resident 1 and Resident 3) reviewed for abuse reporting. This failure placed the residents at risk for continued abuse, potential for harm, and diminished quality of life and constituted an immediate jeopardy (IJ). On 08/29/2024 the facility was notified of the noncompliance identified at the level of an IJ in F-Tag 609, 42 CFR §483.12(c)(1) Reporting of Alleged Violations, for failure to ensure staff reported alleged abuse immediately to both the facility Nursing Home Administrator (NHA) and Stage Agency (SA) abuse hotline that resulted in a delay of up to 17 days to remove the alleged perpetrators from direct resident care. The facility removed the immediacy on 08/30/2024 with 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2025-08-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure supervision for 1 of 4 residents (Resident 1) reviewed for dental sedation. The failure to follow post sedation safety protocol resulted in Resident 1 to have an unwitnessed fall that caused a 10-centimeter (cm) laceration mid forehead that required 11 staples at the hospital. Findings included.Record review of facility's policy titled, Level of Supervision (LOS) 1.08, dated 10/2024, showed that a LOS would be assigned to provide an appropriate degree of supervision for each resident. Direct care staff would check the LOS assigned in the resident's record daily. Definition for LOS 3 was supervision must be positioned in a manner to protect the resident from or deter danger. Enhanced staffing [was] required.Record review of facility's policy titled, Nursing Standard Operating Procedure IV.A.17 Sedation, dated 02/2024, showed that after receiving sedation, the Attendant Counselor (AC, a nursing assistant) would maintain close observation 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2025-05-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 ensure care, the assessed level of supervision and assistance were consistently provided to prevent an avoidable accident for 1 of 3 residents (Resident 1) reviewed for falls with injury. Resident 1 experienced harm when they were left unsupervised, had an unwitnessed fall or contact with a firm surface and developed a hematoma (a localized collection of clotted blood that pools outside of the blood vessels, similar to a bruise) to the right eye. Findings included . Record review of facility's policy titled, Level of Supervision (LOS) 1.08, dated 10/2024, showed that a LOS would be assigned to provide an appropriate degree of supervision for each resident. Direct care staff will check the LOS assigned in the resident's record daily. Definition for LOS 3 was supervision must be positioned in a manner to protect the resident from or deter (prevent) danger. Enhanced staffing [was] required. <Resident 1> Record review showed Resident 1 was a long-term resident of the facility with a diagnosis that included severe…

    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
  • Actual harm · Gcited before2024-09-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 protect a resident's right to be free from physical abuse for 2 of 2 cognitively impaired residents (Resident 1 and Resident 3) reviewed for allegations of abuse. This failure resulted in physical harm when Resident 1 who had severe cognitive impairment, dependence on staff, and was unable to express discomfort, was kicked in the face. Resident 1 experienced psychosocial harm, applying the reasonable person concept when Resident 1 had a change in sleep behaviors and eating patterns and seemed more withdrawn. This failure placed the residents at risk for further abuse, injury, and diminished quality of life. Findings included . Review of the State Operations Manual (SOM), Psychosocial Outcome Severity Guide dated 10/24/2022, showed when a resident's reaction to a deficient practice (such as physical abuse) were markedly incongruent (or different) with the level of reaction a reasonable person in the resident's position would have to the physical abuse…

    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 · D2026-05-01 · tag F0566 — isolated
    1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
    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 a resident who had expressed the need/desire to work, had previously worked and agreed to the work arrangements, was given the choice to perform voluntary services at the facility for 1 of 2 residents (Resident 44) reviewed for resident rights. This failure placed the resident at risk of confusion/frustration with facility staff and an increased risk of behaviors regarding their choice/arrangement to work.Finding included .Review of the facility's policy titled, Resident Rights, revised January 2025, showed the facility resident had the right to participate in the development of their plan of care and they would be .permitted successive degrees of freedom of movement and opportunities/responsibility for self-management and independent decision making. Review of Resident 44's medical record showed they were admitted to the facility on [DATE] with diagnoses including Autistic Disorder (a condition related to the brains development…

    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 · D2026-05-01 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 were given the opportunity to formulate advanced directives (AD, a legal document in which an individual person specifies what actions should be taken for their health care and/or finances in the event they were no longer are able to make decisions for themselves because of illness or incapacity) nor notify a resident of their right to formulate an AD when the resident was able to make the decision regarding their rights for 1 of 3 residents (Resident 44) reviewed for AD. This failure denied the resident the right to make an informed decision regarding formulation of an AD and placed residents at risk for losing the right to have their preferences and choices honored regarding emergent/end-of-life care.Findings included .Review of the facility's policy titled, Resident Rights, revised January 2025, showed the facility resident had the right .to participate in the development of the plan for services and medical treatment, including the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 protect the resident's right to be free from physical abuse for 1 of 3 residents (Resident 38) reviewed for abuse/neglect. This failure placed the residents at risk of experiencing fear, intimidation, mental anguish, and emotional distress. Findings included . Resident 38 Review of the medical record showed the resident was admitted to the facility on [DATE] with diagnoses which included severe intellectual disabilities (condition that involves limitations on intelligence, learning and everyday abilities to live independently), osteoarthritis (changes in bone shape and cartilage that causes inflammation which results in pain in joints, stiffness and loss of mobility), obsessive compulsive disorder (a pattern of unwanted thoughts and fears known as obsessions that lead to repetitive behaviors called compulsive acts that interfere with daily living). The 03/11/2026 quarterly nursing assessment showed the resident was unable to communicate verbally but…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-01 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 their abuse policy regarding identifying, reporting, and investigating potential allegations of abuse for 1of 1 sampled residents (Resident 38), reviewed for abuse. This failure to recognize abuse, to timely report allegations of potential abuse, and to conduct timely and thorough investigations based all residents in the facility at risk for abuse. Findings included. Review of the 07/2024 policy 15.3, Protection from Abuse: Mandatory Reporting, showed when identifying abuse or a reasonable cause of good faith intent of the circumstances presented to report to Residential Care Services for adults to the Complaint Resolution Unit (CRU) as mandated for incidents of abuse and supervisor/ administration of the facility that provides services to these residents/clients involved. The scope of the policy 15.3 showed that the policy was to be given to all contractors, volunteers, employees, interns, residential service providers on the requirements of mandatory reporting requirements.Review of the 12/2024 number 2.02…

    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 · D2026-05-01 · 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 nurses consistently documented the condition of a pressure injury (PI, localized damage to the skin as well as underlying soft tissue that occurs due to sustained pressure, often over bony areas) that included an initial wound assessment and periodic follow up assessments for 1 of 2 residents (Resident 15) reviewed for PI. In addition, the facility failed to open a plan of care that included specific interventions to promote healing of the PI. This failure placed Resident 15 at risk of delayed healing having unevaluated changes to their pressure injury to inform the provider for assessment and treatment orders. Findings included. Record review of the facility's policy titled, Pressure Sore-Decubitus Ulcer (PI) care and prevention dated 08/29/2025, showed the purpose of the policy was to prevent and treat further pressure injuries, the licensed nurse (LN) was responsible to document the condition of the wound including stage, size,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-01 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program that ensured, A) the Legionella (a waterborne bacteria that can cause a severe respiratory disease) Water Management Program (WMP) identification and monitoring of control measures within acceptable ranges and what ways to intervene when control measures were not met for 1 of 1 WMP, reviewed for infection control and B) the facility staff implemented the cleaning/disinfecting of the general environmental surfaces and resident rooms with an Environmental Protection Agency (EPA) registered disinfectant 3 of 4 staff (Staff AA, CC, BB), reviewed for environmental cleaning/disinfection. This failure increased risk for exposure to cross contamination (harmful spread of diseases) and transmission of infectious diseases.Findings included .Review of the facility's WMP, dated March 2026, showed where control measures should be applied and required to be monitored for the facility's seven sets of cottages (a small house that a limited number of residents reside…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure consistent one to one supervision for 2 of 4 residents (Resident 2, Resident 1) reviewed for accidents, when Resident 2 experienced a superficial scalp laceration of unknown origin and Resident 1 was left on the toilet for an unknown about of time without staff supervision at the door. This failure placed the residents at risk for accidents, injuries and diminished quality of life.Findings included Record review of the facility's policy titled, Level of Supervision, LOS, dated 10/07/2024, showed that a LOS was assigned to provide an appropriate degree of supervision for each resident to promote the free exercise of a resident's rights while also ensuring the safety of residents and staff. LOS level 4 was one-to-one supervision allowing as much social space as possible. Supervision must be positioned in a manner to prevent danger or harm to self or others.Resident 2Record review showed Resident 2 was admitted to the facility on [DATE] with diagnoses to include autistic disorder (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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-03 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and record review, the facility failed to ensure Pre-admission Screening and Resident Review (PASRR, a screening required to be completed prior to admission to a nursing home that looked for indicators that one may have a mental disorder or intellectual disability) were completed for 1 of 3 sampled residents (Resident 4), reviewed for PASRR's. This failure placed residents at risk for receiving inadequate mental health interventions, an increase in avoidable behaviors, and a diminished quality of life. Findings included .Record review of facility's policy titled, Admissions 1.08, dated 08/2025, showed that a PASRR Level 1 form would be completed prior to a resident's admission to the facility. Record review of facility's policy titled, Residential Habilitation Center Admissions, 17.01.02, dated 08/2024, showed that before a resident's admission for nursing facility services, the facility must ensure the Level 1 PASRR was complete and accurate. Resident 4 Record review of Resident 4's medical…

    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 · E2025-06-06 · tag F0604 — failed to not use physical restraints improperly — pattern
    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

    Based on interview, and record review, the facility failed to ensure that physical restraints (any manual method, physical or mechanical device, equipment or material, attached or adjacent to the residents body, that cannot be removed by the resident and restricts the resident's freedom of movement) were implemented in a safe manner, had the required resident specific medical symptoms (which warranted the use of physical restraints) identified, medical provider orders for the use of the specific type of physical restraint were obtained, nor that least restrictive measures were utilized to treat a resident's medical symptoms for 3 of 3 residents (Residents 20, 3 and 15), reviewed for physical restraints. This failure placed residents at an increased risk for injury, a loss of their freedom of movement and adverse mental health effects regarding their well-being, independence and self-direction. Findings included . Review of the facility's policy titled, Use of Restrictive Procedures, revised December 2024, showed that a medical professional would place an order for medically…

    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 · E2025-06-06 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    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 there were optimal nursing staff in order to provide appropriate supervision and individualized care needed based on the acuity (the level of severity of residents' illnesses, physical, mental, cognitive limitations, and conditions) level of care required for 6 of 10 residents (Residents 2, 6, 23, 10, 15, and 17) reviewed for staffing. This failed practice placed residents at risk for unmet care needs, not receiving care planned interventions, and negative outcomes. Findings included . Review of a policy dated 10/2024, titled Level of Supervision (LOS), showed that a LOS was to be assigned to each resident to provide an appropriate degree of supervision to protect their rights, keep them safe, and to staff to the maximum extent reasonable. The LOS showed: • LOS 1- staff should have general knowledge of where residents are and what they are doing. • LOS 2- staff were to have knowledge of where the residents were at, at all times, who they were with, and what they were doing. • LOS 3- staff supervision…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
Show the remaining 20 citations
  • Potential for harm · D2025-06-06 · 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

    Based on observation, interview and record review, the facility failed to provide care and services in a dignified manner when they served other residents their meals before everyone else seated in the dining area for 3 of 4 residents (Residents 2, 6, and 23) reviewed for dignity. This failure placed residents at risk for lack of inclusion and decreased dignity. Findings included . <Resident 2> Review of the resident's medical record showed they admitted with diagnoses to include Intellectual Disabilities (ID, limitations in cognitive functioning and skills, including conceptual, social, and practical skills) and mixed receptive-expressive language disorder (a communication disorder that affects both understanding and producing/expressing language). The 05/13/2025 comprehensive assessment showed Resident 2's cognition was severely impaired and was dependent on staff for eating their meals. <Resident 6> Review of the resident's medical records showed they admitted with diagnoses to include ID and epilepsy (a brain condition that causes recurring seizures, which are abnormal…

    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 · D2025-06-06 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to issue a written notice of bed hold (holding or reserving a resident's bed while the resident was absent from the facility) and provide a written notice to the resident and/or their representative of a hospital transfer for 1 of 2 residents (Residents 15) reviewed for hospitalization. This failure placed the residents at risk for lack of knowledge regarding their right to hold their bed and any monetary charges associated with the bed hold and lack of discharge needs while in the hospital. Findings included . <Resident 15> Review of the resident ' s medical record showed they admitted to the facility with diagnoses to include Intellectual Disabilities (ID, limitations in cognitive functioning and skills, including conceptual, social, and practical skills) and epilepsy (a brain condition that causes recurring seizures, which are abnormal electrical brain activities). The 03/13/2025 comprehensive assessment showed Resident 15's cognition was severely impaired and had readmitted to the facility on after a hospital stay. 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-06 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 validate the accuracy of a resident's Preadmission Screening and Resident Reviews ([PASARR], an assessment to ensure individuals with serious mental illness [SMI] or intellectual/developmental disabilities [ID/DD] are not inappropriately placed in nursing homes for long term care) as required for 1 of 5 residents (Resident 35) reviewed for PASARR. This failure placed the residents at risk for not receiving the care and services appropriate to their needs. Findings included . <Resident 35> Review of Resident 35's medical record showed the resident was admitted to the facility on [DATE] with diagnoses including a bone infection of the lower spine, depression and anxiety. The comprehensive assessment, dated 05/05/2025, showed the resident was cognitively intact, could make their needs known and had active diagnoses of an anxiety disorder and depression. Review of Resident 35's PASARR, dated 11/01/2024, showed under section I, SMI/ID, had been marked for…

    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 · D2025-06-06 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 a base line care plan (BCP), for 3 of 3 residents (Resident's 43, 44 and 35) reviewed for base line care planning. The facility failed to provide the residents or their representatives with a written summary of the required information upon completion of the comprehensive care plan. The missing information included the resident's initial goals, physician's orders and current diet orders. This failure placed the residents at risk for adverse events and unmet care needs. Findings included . <Resident 43> Review of the resident's record showed they were admitted to the facility on [DATE] with diagnoses which included autism (a mental health condition that affects an individual's ability to communicate and react to the environment), and intellectual disability (limitations in cognitive functioning). The comprehensive assessment dated [DATE] showed Resident 43 had severe cognitive impairment and required two staff to support their activities of daily…

    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 · D2025-06-06 · 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

    Based on observation, interview, and record review the facility failed to follow physician's orders to obtain specialized services for 1 of 2 residents (Resident 15) reviewed for pain. This failed practice placed residents at risk of not receiving needed specialized care and services and a decline in health and/or mobility. Findings included . <Resident 15> Review of the resident's medical records showed they admitted with diagnoses of Intellectual Disabilities (limitations in cognitive functioning and skills, including conceptual, social, and practical skills) and autism (when a person has trouble communicating and understanding what people think and feel). Review of the 03/13/2025 comprehensive assessment showed Resident 15's cognition was severely impaired and was independent for transfers and ambulation. During an observation and concurrent interview on 06/02/2025 at 3:00 PM, Resident 15 was sitting in a chair in the dining room, stood up, and walked towards the back patio door. When Resident 15 walked, they had a slight limp to their left leg. Resident 15 was wearing shorts,…

    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 · D2025-06-06 · tag F0887 — isolated
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    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 their representative were offered/educated on the COVID-19 (an infectious disease causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases, difficulty breathing that could result in severe impairment or death) immunization (the action of taking a vaccine for a particular infectious disease) for 1 of 5 sampled residents (Residents 38) reviewed for immunization status. This failure placed the resident at risk of making an uninformed decision and contracting the COVID-19 virus. Findings included . Review of the facility's policy titled, COVID-19 Response, revised January 2025, showed the facility would offer residents or their representative the COVID-19 vaccine, educate on the risk/benefits of the immunization and obtain consent. <Resident 38> Review of the resident's medical record showed they were…

    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 · E2025-03-19 · tag F0602 — failed to protect residents from theft of their belongings — pattern
    Protect each resident from the wrongful use of the resident's belongings or money.
    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 protect 5 of 5 residents (Resident 1, 2, 3, 4, and 5) from misappropriation of controlled medications (narcotics) by 1 of 1 staff (Staff C, Registered Nurse [RN]), reviewed for drug diversion (transfer of medication from the resident it was prescribed for to another person for unlawful use). This failure placed the residents at risk for pain, unmet care needs, on-going misappropriation of medication, and a diminished quality of life. Findings included . Record review of the facility's policy titled Controlled Substance (Medication) Accountability, 7.08 dated 02/2025, showed that controlled substances would be strictly accounted for from acquisition through dispensing, and their disposal if necessary. An accurate inventory of all controlled substances would be conducted on the living unit by nursing staff. The pharmacist would review the controlled substance log monthly and sign the log. Each nursing unit would maintain a bound controlled…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-26 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure allegations of potential abuse were reported to the administration and the state survey agency (SA) abuse hotline as required for 1 of 1 resident (Resident 1) reviewed for reporting allegations of abuse. Failure to report an incident of potential abuse placed residents at risk for additional abuse. Findings included . Review of the Washington State Reporting Guidelines for Nursing Homes (Purple Book) dated October 2015, showed that for the purposes of reporting abuse, abandonment, neglect, financial exploitation, sexual assault and physical assault, a nursing home employee (or other mandated reporter) was required to make a report if they had reasonable cause to believe the incident occurred. Examples of reasonable cause may include: The individual observes the incident or hears the victim state it happened. Record review of the facility's policy titled, Resident Incident Management 2.02, dated 09/30/2024, showed that abuse and neglect of…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-03 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 have written policies and procedures to include the time frames for the immediate reporting of abuse according to CFR §483.12(c)(1) and a written policy to define how staff will communicate and coordinate situations of abuse with the quality assurance performance improvement (QAPI) program according to CFR §483.12(b)(4), and failed to ensure implementation of the facility procedure to immediately notify the Nursing Home Administrator (NHA), and State Survey Agency of abuse violations was followed by staff. This failure caused a delay of protection for 2 of 2 residents (Resident 1, 3) reviewed for allegations of abuse, and placed the residents at risk for unrecognized abuse and unmet care needs. Findings included Record review of the facility's policy titled, Resident Incident Management 2.02, dated 08/22/2023, showed that abuse and neglect of vulnerable adults was prohibited by law and would not be tolerated. All facility employees, contractors,…

    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 · D2024-07-01 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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 personal privacy was protected for 4 of 4 residents (Resident 1, 2, 3, 4), reviewed for the right to privacy. Resident 1, 2, 3 and 4's images were recorded on a staff member's (Staff C, Nursing Assistant (NA)) personal cell phone without the resident's and/or designated representative's consent and sent in text messages to an individual outside the facility. This failure placed the residents at risk for embarrassment, a violation of their privacy, and a decreased quality of life. Findings included . Record review of the facility's policy titled, Cell Phone/Telephone/Intercom Usage, dated 09/26/2023, showed a staff must never use a personal electronic device to photograph or record residents and information involving or identifying residents must never be sent or shared via text message or social media. Record review of the facility's policy titled, Resident Privacy, dated 09/26/2023, showed personal privacy will be made available…

    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 · E2024-04-26 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were properly stored and labeled, found in a single locked drawer during one medication pass for 5 of 11 residents (Residents 4, 7, 26, 31, and 35) reviewed for medication administration. This failure placed residents at risk of receiving incorrect medication, adverse side effects and increased the facility's risk for medication errors. Findings included . <Resident 4> Review of the resident's medical record showed the resident admitted to the facility on [DATE] with diagnoses to include epilepsy (a neurological disorder that causes seizures or unusual sensations and behaviors) and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest). <Resident 7> Review of the resident's medical record showed the resident admitted to the facility on [DATE] with diagnoses to include intellectual disability ([ID] a condition that limits intelligence and disrupts abilities necessary for living…

    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 · E2024-04-26 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 Cottage refrigerators and cupboards were free of expired foods and refrigerator temperatures were logged appropriately for 3 of 8 Cottages (Cottages 401, 402, and 403) reviewed for food storage. This failure placed the residents at risk of receiving food or drink that decreased their quality of life and had the potential to cause harm. Findings included . <Cottage 403> An initial tour observation on 04/22/2024 at 9:37 AM, the refrigerator/freezer showed expired food as follows: • two frozen waffle molds (food that is blended up and then shaped back into the shape it originated as), expired 06/14/2023. • two frozen pear molds, expired 11/02/2024. • two frozen roast beef molds, expired 12/15/2023. • two frozen corn molds, expired 10/12/2023. • in the refrigerator, a white bowl, half full of peaches, uncovered and undated. • round, pink/brownish colored cup half full of white, thick liquid, undated. Additionally, in the cupboard above the sink, there were five (7.25 ounce) cans of chicken noodle soup 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-26 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide care in a manner that maintained a resident's dignity for 1 of 2 sampled residents (Resident 12) reviewed for gastrostomy tube ([GT], a surgically placed tube in the stomach to allow liquid food and water to be given). This failure placed the resident at risk for psychosocial harm and lack of privacy. Findings included . <Resident 12> Resident admitted to the facility on [DATE] with diagnosis to include GT and developmentally delayed. The comprehensive assessment dated [DATE], showed Resident 12 had severely impaired cognition and was dependent of two staff members with activities of daily living. During an observation on 04/25/2024 at 2:54 PM, Resident 12 was observed sitting in their wheelchair in the common area with other residents and staff. Staff P, Licensed Practical Nurse (LPN), was observed lifting Resident 12's shirt exposing the resident's stomach and disconnected the tube feeding port from the gastrostomy port. During…

    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 · D2024-04-26 · tag F0568 — isolated
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    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 quarterly personal fund statements were provided to residents and/or resident representative (RR) for 2 of 9 sampled residents (Resident 43 and 47) reviewed for personal fund accounts. This failure placed residents at risk of not having an accurate accounting of their personal funds held in trust by the facility. Findings included . Review of a policy titled, Local Funds, dated 02/2023, showed statements were to be mailed quarterly to the residents or RR. <Resident 43> The resident was admitted to the facility on [DATE] with diagnosis including intellectual disabilities, and epilepsy. The comprehensive assessment dated [DATE] showed the resident had severely impaired cognition and required assistance of one staff member for activities of daily living (ADLs). During an interview on 04/22/2024 at 3:48 PM, the RR stated they had only received a statement regarding Resident 43's personal funds three times since they had admitted to the facility.…

    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 before2024-04-26 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 review and validate the Preadmission Screening and Resident Reviews ([PASARR], an assessment to ensure individuals with serious mental illness [SMI] or intellectual/developmental disabilities [ID/DD] are not inappropriately placed in nursing homes for long term care) were correct on admission and corrected/updated as needed for 2 of 5 residents (Resident 47 and 50 ) reviewed for unnecessary medications. This failure placed the residents at risk for not receiving the care and services appropriate for their needs. Findings included . <Resident 47> Resident was admitted to the facility on [DATE] with diagnosis including anxiety disorder and attention deficit hyperactivity disorder ([ADHD] marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.) The comprehensive assessment dated [DATE] showed that resident had severely impaired cognition and required extensive assist of one staff member…

    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 · D2024-04-26 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement 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 residents were free of unnecessary psychotropic medications (drugs that affect brain activities associated with mental processes and behavior) for 1 of 5 residents (Resident 39) reviewed for unnecessary medications. The facility failed to ensure individualized targeted behaviors were being monitored while they received psychotropic medications. These failures placed residents at an increased risk for experiencing medication-related adverse side effects, and unnecessary medications. <Resident 39> Review of Resident 39's medical records showed the resident admitted to the facility on [DATE] with diagnoses to include Cerebral Palsy ( a group of disorders that affect a person's ability to move and maintain balance and posture), Seizures [ a burst of uncontrolled electrical activity between brain cells (also called neurons or nerve cells) that causes temporary abnormalities in muscle tone or movements (stiffness, twitching or limpness)],…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-26 · 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 maintain infection control practices for 1 of 1 resident (Resident 39 ), by not wearing the proper Personal Protection Equipment (PPE, equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses) during COVID-19 (an infectious disease causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases difficulty breathing that could result in severe impairment or death) isolation, perform hand hygiene and glove changes between dirty and clean tasks (after touching the resident and/or the resident's environment). These failures placed residents at risk for development of communicable diseases and the spread of infections. Findings included . Review of the facility's policy titled, Infection Control Program revised on 11/2023, showed that the purpose was to prevent the development and/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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-17 · tag F0678 — failed to provide CPR when needed — pattern
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    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 licensed staff responsible for providing basic life support in an emergency, had current training and certification in Cardiopulmonary Resuscitation [(CPR) a lifesaving technique that's useful in many emergencies when someone's breathing or heartbeat has stopped, that is used prior to the arrival of emergency medical personnel] for 3 of 4 staff (Staff E, F, and G) reviewed for CPR certification. This failed practice put residents at risk for a delay in life saving treatment and/or receiving lifesaving treatment incorrectly that could result in injury and/or death. Findings included . Review of a policy titled, Medical Emergency, dated 12/2022, showed a qualified employee with current CPR certification could provide life sustaining treatment during a life-threatening emergency such as choking, not breathing, and no pulse. Review of facility staff personnel files, showed the following: Staff E's, Nursing Assistant, CPR certification expired on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-17 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the residents were served the appropriate diet texture to prevent choking hazards for 2 of 3 Residents (Residents 1 and 3) reviewed for food and nutrition services. This failed practice put residents at risk for a decreased nutritional intake, serious injury, and/or death. Findings included . Review of a policy titled, Food and Nutrition Services, dated 05/2023, showed. Each Resident receives a nourishing, well-balanced diet including special diets prescribed by the physician and or the speech pathologist. Every effort will be made to ensure that food items that are not compatible with the resident's swallowing skills are not made available. Chopped meals provide foods that are easily chewed and swallowed. Foods are chopped into 1/4 inch (a unit of measure) by 1/4 inch. All staff are to be knowledgeable of the individual resident's diet order. <Resident 1> Resident 1 was admitted to the facility on [DATE] with diagnosis including…

    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
  • No harm found · C2026-05-01 · tag F0732 — widespread
    Post nurse staffing information every day.
    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 the nurse staffing information postings were posted on daily basis at the beginning of each shift in prominent locations readily accessible to residents and visitors for 4 of 4 units (203/4, 401/2, 403/4, 405/6), reviewed for Nurse Staffing Information. These failures placed residents, family members and visitors at risk of not being fully informed of current nurse staffing levels and resident census information.Findings included.The nurse staffing data was observed posted on the second floor of the Main Building (MB) across from the Director of Nursing Services (DNS) office on 04/27/2026, 04/28/2026, 04/29/2026, 04/30/2026 and 05/01/2026. There were no staff posting observed on the six living units where residents and visitors would have access during the dates listed. During an interview and observation on 04/28/2026 at12:31 PM Staff B, DNS, stated the staff posting was updated at the beginning of each shift and posted outside…

    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.

    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.

Who owns this facility

Owner / managerTypeRoleSince
Ownership Data Not Available

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in WA

Paying with Medicaid

CMS lists this home as Medicaid-certified only — it can accept Medicaid for long-term care, but it is not Medicare-certified, so Medicare will not pay for a short rehabilitation (“skilled nursing”) stay here. 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 50A261. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-01, 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.

What to do next