13 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Burien, WA
2-star overall rating with 2-star inspections with $59,485 in total fines with 13 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
1031 Southwest 130th Street, Burien, WA
(206) 242-3213
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
140
Certified beds
Average residents
81
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1983-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.72
Registered nurse staffing
LPN hours / resident day
0.94
Licensed practical nurse staffing
Aide hours / resident day
2.52
Nurse aide staffing
Weekend hours
3.62
Weekend nurse staffing
RN turnover
23%
Annual RN turnover
Total nurse turnover
27%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.4
0.7 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
96.0%
2.6 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
93.8%
5 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
2.6%
0.8 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
16.3%
14.3 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 13.8% |
5.8%
8 pts worse
|
5.4%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.6% |
12.1%
8.5 pts better
|
19.6%
16 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| 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 | 31.2% |
20.0%
11.2 pts worse
|
16.3%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
15.8%
2.5 pts worse
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.2%
0.2 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.7%
0.1 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.1% |
23.5%
3.6 pts worse
|
19.8%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
4.7%
2 pts worse
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.7% |
87.7%
4 pts better
|
81.7%
10 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
13.2%
3.8 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.4%
0.7 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.4% |
82.0%
9.4 pts better
|
79.7%
11.7 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.4% |
19.9%
6.5 pts worse
|
23.9%
2.5 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (11 deficiencies)
24 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-06-16
Fire Safety
Meet other general requirements.
Corrected 2025-06-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-06-17
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 2025-06-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-17
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-08-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-07
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-17
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-17
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-03-27
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-03-27
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-03-27
Fire Safety
Develop a communication plan.
Corrected 2024-03-27
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-03-27
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-03-27
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-03-27
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-03-27
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-03-27
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-03-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-09
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-03-27
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-03-27
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-03-27
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-03-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-27
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-03-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-03-27
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-03-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-27
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-03-27
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-12-15
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-12-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-12-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-12-15
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-12-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-12-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-15
Inspection history
Health
Provide or obtain dental services for each resident.
Corrected 2025-06-18
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 2025-06-18
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-06-18
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 2025-06-18
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 2025-06-18
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-06-18
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 2025-06-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-18
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-06-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-18
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-18
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 2025-06-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-01
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-05-01
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-01
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-05-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-11
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 2024-04-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-11
Health
Keep all essential equipment working safely.
Corrected 2024-04-11
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-11
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 2024-04-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-11
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-11
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 2024-04-11
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-11
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-11
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 2024-04-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-11
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-04-11
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-11
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 2024-04-11
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-11
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-04-11
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-04-11
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-04-11
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2024-04-11
Health
Dispose of garbage and refuse properly.
Corrected 2024-04-11
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-04-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-11
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-20
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-12-20
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 2022-12-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-12-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-12-20
Penalties and ownership
Fine · fine $59,485
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
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