29 health deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Tacoma, WA
1-star overall rating with 1-star inspections with Special Focus status with $196,648 in total fines with 29 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
6220 South Alaska Street, Tacoma, WA
(253) 476-5300
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
123
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Evergreen Healthcare Group
Operator or chain grouping
Approved since
1993-08-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.35
Registered nurse staffing
LPN hours / resident day
1.22
Licensed practical nurse staffing
Aide hours / resident day
2.19
Nurse aide staffing
Weekend hours
3.37
Weekend nurse staffing
RN turnover
57%
Annual RN turnover
Total nurse turnover
55%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
96.0%
2.8 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
93.8%
3.1 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
2.6%
0.8 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 2.6% |
16.3%
13.7 pts better
|
11.4%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.9% |
5.8%
1.1 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.7% |
12.1%
1.6 pts worse
|
19.6%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.9% |
15.9%
1 pts better
|
16.7%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 35.7% |
20.0%
15.7 pts worse
|
16.3%
19.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
15.8%
2.8 pts worse
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.2%
0.1 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.7%
0.8 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.3% |
23.5%
3.8 pts worse
|
19.8%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
4.7%
0.7 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.3% |
87.7%
4.4 pts worse
|
81.7%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
13.2%
6.4 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.4%
0.6 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.8% |
82.0%
1.8 pts better
|
79.7%
4.1 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.5% |
19.9%
0.6 pts worse
|
23.9%
3.4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (11 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-07
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-06-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-27
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-27
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-27
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-04-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-17
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-05-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-23
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-05-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-05-18
Inspection history
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-10-28
Health
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.
Corrected 2025-10-28
Health
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2025-10-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-01
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-08-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-16
Health
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.
Corrected 2025-06-16
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-16
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-16
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-06-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-16
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-16
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-06-16
Health
Provide or obtain dental services for each resident.
Corrected 2025-06-16
Health
Keep all essential equipment working safely.
Corrected 2025-06-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-10
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-18
Health
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.
Corrected 2025-04-18
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-04-18
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-04-18
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-04-18
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-18
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-04-18
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-04-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-18
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-20
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-04-07
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-07
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-04-07
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-07
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-07
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-04-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-07
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-07
Health
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.
Corrected 2024-04-07
Health
Provide or obtain dental services for each resident.
Corrected 2024-04-07
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-07
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-04-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-19
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-26
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-06-08
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-06-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-08
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-06-08
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-06-08
Health
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.
Corrected 2023-06-08
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-06-08
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-06-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-08
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-06-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-06-08
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-06-08
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-06-08
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-06-08
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-06-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-06
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-04-01
Penalties and ownership
Fine · fine $12,438
Fine
Fine · fine $157,934
Fine
Fine · fine $26,276
Fine
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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1-star overall rating with 1-star inspections with 28 recent health deficiencies with 41 fire-safety deficiencies in the latest cycle
Tacoma, WA
2-star overall rating with 2-star inspections with 30 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Tacoma, WA
1-star overall rating with 1-star inspections with $101,384 in total fines with 24 recent health deficiencies with 28 fire-safety deficiencies in the latest cycle
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