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

Emerald Care

209 North Ahtanum Avenue, Wapato, WA 98951 · Non profit - Corporation · 82 certified beds · (509) 877-3175 Medicare & Medicaid certified

Call the home — (509) 877-3175 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609, F0610) — most recent Jan 20261 actual-harm citation$8,278 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, 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 (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $8,278 in federal fines (most recent 2026-03-24)
  • its facility-reported quality-measure score sits well above its independent inspection score

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

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

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
715 W 1st St · (509) 877-6167 · Call to confirm hours
Pharmacy
507 W 1st St · (509) 584-0300 · Call to confirm hours
Grocery
752 W 1st St · (509) 877-3122 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased19.0%14.2%15.4%worse
Long-stay residents who lose too much weight3.6%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.9%1.0%0.9%typical
Long-stay residents with a urinary tract infection0.7%1.6%2.0%better
Long-stay residents with depressive symptoms50.9%17.7%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.4%2.6%3.3%typical
Long-stay residents whose ability to walk worsened21.0%17.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication0.7%12.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%93.8%95.3%typical
Long-stay residents with pressure ulcers0.9%4.3%4.7%better
Long-stay residents with worsening bladder/bowel control23.3%22.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table10.5%15.1%17.1%better
Short-stay residents who newly got an antipsychotic medication1.4%1.3%1.4%typical
Short-stay residents given the seasonal flu vaccine65.6%82.0%79.4%worse
Short-stay residents rehospitalized after admission10.1%19.9%22.6%better
Short-stay residents with an outpatient ER visit0.0%13.4%12.0%check this — see note marked star below the table
Long-stay hospitalizations per 1,000 resident days1.271.331.67better
Long-stay outpatient ER visits per 1,000 resident days0.601.521.80better

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

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

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

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

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

44.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 26 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

44.7%U.S. median 51.5%
Got home and stayed home
9.9%U.S. median 10.7%
Went back to hospital
0.08U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.03hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 93% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF44.7%CMS range 30.5–59.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.9%CMS range 6.6–16.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified95.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.021.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.80
RN hours/ resident / day
0.67
LPN hours/ resident / day
2.50
Aide hours/ resident / day
3.98
Total nurse hours/ resident / day
0.52
RN hoursweekends
46.3%
Total nursing turnover
55.6%
RN turnover

How full it usually is: this home is certified for 82 beds and averages 74.0 residents a day — about 90% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.98 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.80 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.50 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 3.19 hrs/resident/day on weekends vs 4.30 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.91 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as 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

13
deficiencies at the latest standard inspection (2026-01-30)
5
at the previous standard inspection (2025-02-04)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.

  • Actual harm · G2026-03-24 · 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 provide hot liquids at a safe drinking temperature for 1 of 4 residents (Resident 1) reviewed for accident hazards. Resident 1 experienced harm in which they sustained burns on their right thigh from hot coffee. This failed practice placed the residents at risk for burn injuries, pain, and adverse health conditions.Findings included. Review of a policy titled, Free of Hazards/Supervision and Devices, dated 02/2025, showed the facility would ensure each resident received adequate supervision and assistive devices to prevent avoidable accidents and injuries. The facility would implement a systemic, interdisciplinary approach for identifying, evaluating, and mitigating risks, while maintaining resident safety, dignity, independence, and choice. Review of the Washington State Department of Labor and Industries guidance titled, Burn Injury Facts, dated 04/01/2009, showed scald burns occurred when skin comes in contact with hot liquids or steam. Water at a temperature of 155 degrees Fahrenheit [(F) a temperature…

    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 · F2026-01-30 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure that unless the facility had a full-time Registered Dietician (RD), that the Dietary Manager (Staff H, Dietary Manager (DM)) had the competencies and skill sets to carry out food and nutrition services for their resident population. This failure placed residents at risk of receiving dietary services from staff who had not completed an academic program in nutrition or dietetics accredited by an appropriate national accreditation organization. Findings included. During an interview on 01/25/2026 at 9:28 AM, Staff H stated they were the DM in training. Staff H stated they would hope to have their required certification by March 2026. During an interview on 01/29/2026 at 10:23 AM, Staff I, Kitchen Manager, stated they would assist the DM if they needed help. Staff I stated they were not the oversight of the DM and that they assumed the Registered Dietitian (RD) was the DMs' oversight. Staff I stated the RD worked two to three days a week and was a consultant for the facility. Staff I stated they themselves carried 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2026-01-30 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to discard expired foods in 1 of 1 walk in refrigerator, 1 of 1 stand-alone refrigerator, and 1 of 1 dry storage area used to store food items for the entire resident population, reviewed for safe and sanitary kitchen. Additionally, the facility failed to follow the thawing process of foods or consistently monitor cooked food temperatures prior to serving the food. This failed practice placed residents at risk for Food borne illness (caused by consuming foods that are contaminated with harmful pathogens [bacteria that reproduce rapidly once entered in the body and can damage tissues and cause illness]).Findings included.Review of a 02/2025 policy titled Thawing Frozen Food, showed ground beef could be thawed for one to two days and then once thawed, could be kept another one to two days (a total of four days from removing from a frozen state). The policy showed bacon or sausage could be kept up to seven days. Expired Foods During the initial tour of the kitchen on 01/25/2026 at 8:50 AM showed: Stand-alone…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-30 · tag F0607 — failed to have anti-abuse policies — pattern
    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 4 of 8 components (identify, protect, report, and investigate), of their abuse/neglect policy/procedure for 3 of 3 residents (Residents 9, 35, and 40) reviewed for allegations of abuse/neglect. This failure placed the residents at risk for unrecognized abuse and unmet care needs. Findings included .Review of a 01/2026 policy titled Abuse, Neglect and Exploitation, showed the facility would prohibit and prevent abuse, neglect, and.of residents. with ongoing oversight and supervision of staff to ensure policies were being implemented. Review of the grievance (a formal or informal complaint about care or living conditions) log, dated 07/01/2025 through 01/25/2026, showed allegations of abuse and/or neglect that had not been identified, reported, or investigated as allegations of abuse and/or neglect, nor were the resident's provided protection from further abuse and/or neglect. The logs showed: On 12/23/2025 a staff concern issue was logged for Resident 9 regarding lack of assistance/care was provided from Staff M,…

    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 · E2026-01-30 · 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 observation, interview, and record review, the facility failed to report potential allegations of abuse and/or neglect to the State Agency (SA) for 3 of 3 residents (Residents 9, 35, and 40) reviewed for abuse/neglect. This failed practice placed the residents at risk for unidentified and ongoing abuse and/or neglect. Findings included. Resident 9 Review of the medical record showed Resident 9 was admitted to the facility on [DATE] with a diagnosis of Amyotrophic lateral sclerosis (ALS) (a progressive, fatal, neurogenerative disease that destroys motor neurons leading to loss of movement, speech, swallowing, and breathing capabilities though cognition stays intact.) The 11/17/2025 comprehensive assessment showed Resident 9's cognition was intact and required total assistance with bed mobility, transfers, dressing, toileting, feeding, and personal hygiene. During a concurrent observation and interview with Resident 9 on 01/26/2026 at 1:16 PM, showed them sitting upright in their bed, eyeglasses in place…

    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 · Ecited before2026-01-30 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    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 a complete and thorough investigation had been completed for reported allegations of abuse and/or neglect for 3 of 3 residents (Residents 9, 35, and 40) reviewed for abuse and neglect. The failure to conduct a thorough investigation including root cause, contributing factors, and identifying preventative measures to rule out abuse/neglect placed the residents at risk for further unmet care needs and psychosocial harm. Findings included. Resident 9 Review of the resident's medical record showed they were admitted to the facility on [DATE] with diagnoses including Amyotrophic lateral sclerosis (ALS) (a progressive, fatal, neurogenerative disease that destroys motor neurons leading to loss of movement, speech, swallowing, and breathing capabilities though cognition stays intact), depression, anxiety and chronic pain. The 11/17/2025 comprehensive assessment showed Resident 9's cognition was intact and required total assistance with bed mobility,…

    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 · E2026-01-30 · tag F0646 — pattern
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure Preadmission Screening and Resident Review (PASARR) assessments were completed for residents following significant change in status or with newly evident or possible serious mental disorders for 3 of 7 residents (Resident 23, 59, and 31) reviewed for unnecessary medications. This failure resulted in a potential delay in access to Level 2 PASARR services and decreased quality of life. Findings included .Resident 31 Review of the resident's medical records showed they admitted to the facility with diagnoses to include heart failure and a stroke (when blood flow to the brain is interrupted from a blocked or burst of a blood vessel) with deficits to their right side. The 01/02/2026 comprehensive assessment showed Resident 31's cognition was severely impaired, had a diagnosis of dementia (the loss of cognitive functioning; thinking, remembering, and reasoning to such an extent that it interferes with a person's daily life and activities), and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-30 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure 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, and document demonstrated competencies (a series of knowledge, abilities, skills, experiences and behaviors, which leads to effective performance of staff regarding resident cares) and skill sets for 3 of 3 Licensed Nurses (Staff D,M and Q) reviewed for staff competencies. This deficient practice placed all residents at risk of receiving care from inadequately trained staff and unmet care needs.Findings included.Washington State Board of Nursing (an entity that regulates the competency and quality of nurses to protect the health and safety of the public) defined nurse competency in reference to [NAME] Administrative Code 246-840-210(5) titled, Continuing Competency .the ongoing ability of a nurse to maintain, updated, and demonstrate sufficient knowledge, skills, judgement, and qualifications to practice safely and ethically .Review of the Facility Assessment, updated January 2026, showed 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-30 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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 the call light and bedside table was within reach and easily accessible for 1 of 3 residents (Resident 13) reviewed for reasonable accommodations. This deficient practice prevented the resident from independently accessing personal items such as their bedside beverage, using the call light, and placed them at risk for unmet care needs.Findings included .Review of the medical record showed Resident 13 had diagnoses of anoxic brain injury (occurs when the brain received no oxygen), hemiplegia (paralysis) of the left side, and loss of vision to left eye. Review of the comprehensive assessment, dated 12/31/2025, showed Resident 13 had moderate cognitive impairment and was dependent on the assistance of one to two people for dressing, hygiene, incontinent care, bathing, and transfers using a mechanical lift.Review of Resident 13's care plan, on 01/29/2026, showed Resident 13 was blind in their left eye, had limited vision in their right eye, was able to use the call light appropriately, and their call light…

    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 · D2026-01-30 · 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 are not inappropriately placed in nursing homes for long term care) were completed prior to admission and/or corrected or updated as required to reflect a Level 2 screening was completed for 2 of 7 residents, (Residents 4 and 9) reviewed for PASARR. This failure placed the residents at risk for not receiving the care and services appropriate for their needs.Findings included .Resident 4 Review of the medical record showed Resident 4 was admitted to the facility on [DATE] with diagnoses including dementia (a decline in mental abilities, characterized by the loss of memory, language, problem solving and other thinking skills), psychotic disturbance (a severe mental disruption that causes a person to lose touch with reality causing impaired thinking, emotions and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-30 · 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

    Number of residents sampled: Number of residents cited: Review of the resident's medical records showed they admitted to the facility with diagnoses to include hydronephrosis (one or both kidneys cannot drain from the kidney to the bladder) with obstruction from kidney stones (hard, pebble like pieces of material that form in the kidneys) and kidney disease. Review of the 01/02/2026 significant change comprehensive assessment showed Resident 31's cognition was severely impaired, required the use of an RC, and did not experience pain. Additional review of Resident 31's medical records showed they had been admitted to Hospice services on 01/02/2026 for a primary diagnosis of Cerebrovascular disease (conditions that affect blood flow to your brain). An observation and concurrent interview at 01/26/2026 at 5:21 PM, Resident 31 was observed lying in bed with their Resident Representative (RR) sitting in a chair at their bedside. The RC tubing and bag were hanging down to the left side of the bed and hanging on the bed frame. The RC bag had less than 100 milliliters (mL, a unit 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 12 citations
  • Potential for harm · D2026-01-30 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to thoroughly assess, monitor, and identify the potential need for positioning and Range of Motion (ROM) services to prevent a contracture (a permanent tightening of the muscles, tendons, and skin often leading to rigidity of joints) or decrease in ROM to the affected hand of 1 of 2 residents (Resident 51) with hemiplegia (paralysis to one side of the body) reviewed for restorative services. This deficient practice placed residents at risk for unidentified contractures, decrease in ROM, and potentially the increase in dependence of others to complete Activities of Daily Living.Findings included.Review of the facility policy, Restorative Programs and Guidelines, dated 01/14/2026, showed all residents would be assessed for restorative potential when newly admitted to the facility, when discharged from therapy, and with every Minimum Data Set [(MDS) a standardized assessment tool that measures health status in nursing home residents] assessment.Review of the medical record showed Resident 51 admitted to the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-30 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide the ordered therapeutic diet with modified texture of food and liquids for 1 of 3 residents (Resident 51) reviewed for nutrition. This deficient practice placed residents at risk of choking or aspirating (when food or liquid accidentally enters the airway and lungs instead of going into the stomach) on their food and liquids and potentially causing health complications including death.Findings included.Review of the facility policy, Diets/Diet Orders, dated 05/15/2024, showed the facility provided five modified texture food diets: mechanical soft (food made of moist and soft textures making it easier to chew and swallow), mechanical soft with chopped/shredded meats, mechanical soft with ground meats, pureed (blending or mashing cooked food into a completely smooth, thick, lump-free paste with the consistency of pudding) , and full liquid. The policy showed thickened liquids (modified liquid consistency) would be pre-made by the kitchen and placed on the residents' trays.Review of the medical record…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-30 · 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 and interview, the facility failed to maintain a bedside suction machine in a clean and sanitary manner that met infection control standards of practice for 1 of 2 residents (Resident 60) reviewed for infection control related to respiratory equipment. This deficient practice placed residents at risk of the transmission of infectious organisms (germs such as bacteria, viruses, fungi or parasites) with the potential of developing Healthcare Associated Infections [(HAIs) an infection a person gets while receiving treatment for a different condition].Findings included.Review of [NAME] Manual of Nursing Practice, 11th edition, showed the standard of practice for oropharyngeal (mouth and throat) suctioning was to use a clean (reduction of germs by using soap, water, and clean gloves) technique and to replace suction tubing and attachments at least every 24 hours. Review of the medical record showed Resident 60 admitted to the facility on [DATE] with diagnoses of stroke (occurs when the blood…

    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 · Fcited before2025-02-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure expired foods were discarded for 1 of 1 dry storage area and failed to consistently monitor refrigerator temperatures for 2 of 3 refrigerators (the kitchen snack refrigerator and a small black refrigerator), reviewed for food safety. These failures placed residents at an increased risk for food-borne illnesses. Findings include . Review of the undated policy titled, Receiving, Inventory and Storage, Food Storage showed food items should be received and handled in accordance with good sanitary practice. The dry foods would be rotated, labeled, dated, and discarded on the expiration date. The facility ' s policy further showed a temperature record was to be kept of all refrigerated items. <Expired Foods> During an observation on 01/28/2025 at 8:16 AM, the initial kitchen tour with Staff K, Cook, showed the dry storage area contained the following expired foods: • one box of spinach wraps; expiration date of 01/21/2025. • two boxes of white corn tortillas; expiration date of 12/24/2024. • seven packs 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-04 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 that residents who had an indwelling urinary catheter (IUC, a tube placed in the bladder which drains urine out into a collection bag) received care and services to prevent urinary tract infections (UTI, a condition were bacteria enter through the urinary meatus [a passage or opening leading to the interior of the body] and infect the kidneys or bladder) for 1 of 3 residents (Resident 7), reviewed for urinary catheter care. This failure placed the residents at risk of developing medical complications, secondary to an infection in the bladder. Findings included . Review of the facility's policy titled, Indwelling catheter Insertion and Care, dated January 2025 showed that it was the policy of the facility to .provide for the use of indwelling catheters per physician orders . Review of the facility's policy titled, Catheter Management, revised 08/13/2019, showed IUC were .only changed as necessary (i.e., when it becomes occluded,…

    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 · D2025-02-04 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to secure all medication in 1of 1 locked medication room and to limit access to authorized personal consistent with professional practice. This failure allowed one unauthorized staff member (Staff E) to access medication in the medication storage room and increasing the risk for diversion of controlled (narcotic) medication. Findings included Record review of the facility's policy titled, Storage of Medications, dated, 07/2021showed that the medication was accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. Medication rooms were locked when not attended by persons with authorized access. During a concurrent observation and interview on 01/29/2025 at 1:20 PM, Staff H, Registered Nurse/Resident Care Manager (RN/RCM), used their key to open the medication room. Staff H stated that only nursing staff had keys to the medication room and there were no controlled medications stored in the room. On 01/29/2025 at 1:30 PM, during medication…

    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 · D2025-02-04 · tag F0839 — isolated
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the Director of Nursing Services (DNS) had an active nursing license while providing care to residents in the facility for 1 of 6 staff (Staff R) reviewed for staff qualifications. This failure placed residents at risk of receiving care from an unlicensed staff health professional and unmet care needs. Findings included . Review of the facility's undated document titled, Director of Nursing Job Description, dated 2023, showed that Staff B, DNS, had acknowledged/signed on as the responsible DNS of the facility. The document showed the required qualifications of the DNS was to have a current unrestricted license as a Registered Nurse (RN) . and to abide by all standards, polices, regulations and guidelines of the facility and the state and federal governing agencies .at all times. <Staff R> Review of Staff R's personnel records showed their professional RN license was no longer active and had expired on [DATE]. Review of Staff R's DNS schedule 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-04 · 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 provide correct implementation of infection control practices for indwelling urinary catheter (a hollow, partially flexible tube that collects urine from the bladder and leads to a drainage bag) equipment for 2 of 4 residents (Resident 29 and Resident 52) reviewed for use of urinary catheters. This failure placed residents with catheter bags at risk for infections and a diminished quality of life. Finding included Review of recommendations from the Centers of Disease Control, Guideline for Prevention of Catheter-Associated Urinary Tract Infections (2009), located at www.cdc.gov, showed a strong recommendation to maintain unobstructive urine flow and to not rest the catheter bag (a urine collection bag attached to the catheter) on the floor. Review of the Lippincott Manual of Nursing Practice 10th Ed. ([NAME], 2014) showed infectious organisms could move into the bladder along the outside of any urinary catheter, and the catheter bag should…

    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 · Ecited before2024-09-11 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    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 conduct a complete and thorough investigation into resident-to-resident altercations including protecting the residents involved from further physical or psychological harm for 4 of 6 residents (Residents 4, 5, 6, and 7) reviewed for abuse. This failed practice placed the residents at risk for continued exposure to unidentified physical and verbal abuse, unidentified injuries, and unmet emotional needs. Findings included . <Resident 4> Review of the resident's medical record showed the resident admitted to the facility on [DATE] with diagnoses to include kidney failure. The 08/29/2024 comprehensive assessment showed Resident 4's cognition was intact and independent with the use of their wheelchair (w/c). <Resident 5> Review of the resident's medical record showed the resident admitted to the facility on [DATE] with diagnoses to include kidney failure. The 06/11/2024 comprehensive assessment showed Resident 5's cognition was intact and…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-05 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure infection prevention and control practices were maintained for 2 of 2 residents (Resident 26, and 21) by staff not performing hand hygiene and glove changes between dirty and clean tasks (after touching the resident and/or the resident's environment during hydration pass, personal care, and wound care dressing change). These failures placed residents at an increased risk for exposure to cross contamination (harmful spread of infections) and the development of communicable diseases. Findings include . Review of a facility policy titled Hand Hygiene dated 01/28/2023 showed: • The use of gloves does not eliminate the need for hand hygiene. • Perform hand hygiene before placing gloves. • Change gloves during resident care if moving from a contaminated body site to a clean body site. • Remove gloves promptly after use, before touching non-contaminated items and environmental surfaces, and before caring for another resident. During an…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-05 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure resident care plans were reviewed and revised to accurately reflect care needs for 1 of 3 residents (Resident 40) reviewed for dental services and choices, and 1 of 1 resident (Resident 66) reviewed for transfers and meal assistance. The failure to revise care plans to reflect current care needs placed the residents at risk for inadequate or unsafe care. Findings included . Review of the facility policy titled, Plan of Care, dated 09/18/2019, showed each resident would have a plan of care that described the services provided to the residents to attain or maintain the resident's highest practicable physical, mental and psychosocial well-being as well as any other services that would be otherwise be required are not provided due to the resident's exercise of rights including to refuse treatments. Further review showed changes were made to the plan of care anytime the resident's condition or need warranted it (including temporary…

    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 · D2024-03-05 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents received ongoing communication and collaboration with the dialysis (a process to remove waste products and excess fluid from the blood when the kidneys stop working properly) center for 3 of 3 residents (Resident 40, 44, and 38) reviewed for dialysis services. The failure to communicate and collaborate with the dialysis center as required, placed the residents at risk for unnoticed significant changes in their health status, delay in care, and death. Findings included . Review of the facility policy titled, Hemodialysis (a process of filtering the blood of a person whose kidneys were not working properly), dated 03/2023, showed the facility would ensure ongoing communication and collaboration with the dialysis facility regarding dialysis care and services. Additionally, the licensed nurse would communicate to the dialysis center via telephone or written form, such as a dialysis communication form, that included 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

“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

$8,278 in federal fines across 1 penalty.

  • $8,278 — penalty dated 2026-03-24

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleSince
HOON, KELLYIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 05/18/2018
HOON, MICHAELIndividualCORPORATE DIRECTORsince 05/21/2025
PASCUA, REYNALDOIndividualCORPORATE DIRECTORsince 12/10/2003
BONUS, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
EMMANS, PAULIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/04/2014

CMS files one row per role, so the 8 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$9.9M
Net patient revenuemost recent cost report
-2.1%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 88%Medicare 4%Other / private 8%

About 88% 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.

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

$371per resident / day
operating cost
$11,291per month
≈ monthly operating cost
$364per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WA

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 505265. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-30, 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