22 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Sequim, WA
2-star overall rating with 2-star inspections with $20,075 in total fines with 22 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1000 5th Avenue South, Sequim, WA
(360) 582-3900
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1989-01-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.23
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.03
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
5.06
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
2.03
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.35
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.03
CMS adjusted RN staffing hours
Adjusted total hours
4.23
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
9,064
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.52
Baseline 17.56% · Performance 19.80% · Measure score 3.52 · Achievement 3.52 · Improvement 0
Healthcare-associated infections
0.55
Baseline 5.83% · Performance 7.67% · Measure score 0.55 · Achievement 0.55 · Improvement 0
Total nurse turnover
4.40
Baseline 47.78% · Performance 45.71% · Measure score 4.40 · Achievement 4.40 · Improvement 0.4
Adjusted total nurse staffing
1.47
Baseline 3.98 hours · Performance 3.50 hours · Measure score 1.47 · Achievement 1.47 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.93% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 398 · Observed rate 7.54% · Lower 95% interval 6.93% |
| Discharge to community | 61.35% |
50.57%
10.8 pts better
|
Better than the National Rate · Eligible stays 406 · Observed rate 58.37% · Lower 95% interval 56.04% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.19% |
95.27%
1.9 pts better
|
Numerator 242 · Denominator 249 |
| Falls with major injury | 0.8% |
0.77%
About the same
|
Numerator 2 · Denominator 249 |
| Discharge self-care score | 47.85% |
53.69%
5.8 pts worse
|
Numerator 89 · Denominator 186 |
| Discharge mobility score | 62.9% |
50.94%
12 pts better
|
Numerator 117 · Denominator 186 |
| Pressure ulcers or injuries, new or worsened | 1.2% |
2.29%
1.1 pts better
|
Numerator 3 · Denominator 249 · Adjusted rate 0.96% |
| Healthcare-associated infections requiring hospitalization | 7.67% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 257 · Observed rate 7% · Lower 95% interval 4.96% |
| Staff COVID-19 vaccination coverage | 7.32% |
8.2%
0.9 pts worse
|
Numerator 9 · Denominator 123 |
| Staff flu vaccination coverage | 28.83% |
42%
13.2 pts worse
|
Numerator 47 · Denominator 163 |
| Discharge function score | 65.05% |
56.45%
8.6 pts better
|
Numerator 121 · Denominator 186 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 47 · Denominator 47 |
| Transfer of health information to patient | 97.56% |
96.28%
1.3 pts better
|
Numerator 160 · Denominator 164 |
| Resident COVID-19 vaccinations up to date | 42.24% |
25.2%
17 pts better
|
Numerator 49 · Denominator 116 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.4
0.3 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.3 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.5
0.3 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
96.0%
3 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
93.8%
4.5 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
2.6%
0.9 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.6% · Q3 4.3% · Q4 2.2% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.5% |
16.3%
8.8 pts better
|
11.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 10.0% · Q3 4.7% · Q4 9.5% · 4Q avg 7.5% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
5.8%
2.4 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.7% · Q3 2.5% · Q4 0.0% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9% |
12.1%
0.8 pts worse
|
19.6%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 13.0% · Q3 10.0% · Q4 13.6% · 4Q avg 12.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.2% |
15.9%
9.7 pts better
|
16.7%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 10.0% · Q3 3.1% · Q4 6.2% · 4Q avg 6.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.3% |
20.0%
5.3 pts worse
|
16.3%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.7% |
15.8%
1.9 pts worse
|
14.9%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 16.7% · Q3 18.4% · Q4 11.9% · 4Q avg 17.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.2%
0.5 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.7%
0.2 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 2.2% · Q4 2.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% |
23.5%
4.5 pts worse
|
19.8%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 36.6% · Q3 24.9% · Q4 25.0% · 4Q avg 28.0% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
4.7%
1.3 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 6.2% · Q3 6.1% · Q4 5.3% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
87.7%
8.7 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 97.5% · Q3 97.9% · Q4 93.2% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.6% |
13.2%
8.4 pts worse
|
12.0%
9.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 18.1% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.4%
0.4 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.1% · Q3 0.0% · Q4 0.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.1% |
82.0%
14.1 pts better
|
79.7%
16.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.2% |
19.9%
0.3 pts worse
|
23.9%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 16.7% · Expected 19.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-23
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-01
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-09-08
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-09-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-08
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-09-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-08
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-09-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-08
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-09-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-08
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-08-02
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-08-02
Fire Safety
Establish methods for sharing information.
Corrected 2022-08-02
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-08-02
Fire Safety
Provide family notifications of emergency plan.
Corrected 2022-08-02
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-08-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-08-02
Fire Safety
Install proper backup exit lighting.
Corrected 2022-08-02
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-08-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-08-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-08-02
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-08-02
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-08-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-02
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-08-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-08-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-08-02
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-08-02
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-08-02
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2022-08-02
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-24
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-11-15
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-11-15
Health
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.
Corrected 2024-11-15
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 2024-11-15
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 2024-11-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-15
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-11-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-11-15
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 2024-11-15
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-11-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-15
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-15
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-11-15
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-11-15
Health
Keep all essential equipment working safely.
Corrected 2024-11-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-15
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-29
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-09-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-08
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 2023-09-08
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-09-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-08
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 2023-09-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-22
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2022-07-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-07-22
Penalties and ownership
Fine · fine $20,075
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Sequim, WA
3-star overall rating with 3-star inspections with $61,263 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Port Angeles, WA
1-star overall rating with 1-star inspections with $35,997 in total fines with 38 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Port Townsend, WA
5-star overall rating with 4-star inspections with $34,808 in total fines with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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