13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Issaquah, WA
2-star overall rating with 2-star inspections with $70,649 in total fines with 13 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
805 Front Street, Issaquah, WA
(425) 392-1271
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
140
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.64
Registered nurse staffing
LPN hours / resident day
1.02
Licensed practical nurse staffing
Aide hours / resident day
2.74
Nurse aide staffing
Weekend hours
3.89
Weekend nurse staffing
RN turnover
55%
Annual RN turnover
Total nurse turnover
44%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.4
About the same
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
1.5
1.2 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
96.0%
1 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.2% |
93.8%
2.4 pts better
|
95.5%
0.7 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
2.6%
1.5 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 92.7% |
16.3%
76.4 pts worse
|
11.4%
81.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 7.2% |
5.8%
1.4 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.6% |
12.1%
4.5 pts better
|
19.6%
12 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.1% |
15.9%
1.8 pts better
|
16.7%
2.6 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 | 21.5% |
20.0%
1.5 pts worse
|
16.3%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.9% |
15.8%
8.1 pts worse
|
14.9%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.7%
0.6 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.0% |
23.5%
2.5 pts better
|
19.8%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
4.7%
2.1 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.0% |
87.7%
3.3 pts better
|
81.7%
9.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.8% |
13.2%
5.6 pts worse
|
12.0%
6.8 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.4%
1.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.5% |
82.0%
4.5 pts better
|
79.7%
6.8 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
19.9%
7.7 pts worse
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
25 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-04-25
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-04-25
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2025-04-25
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-25
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-25
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-02-22
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-02-22
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-02-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-02-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-02-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-22
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-02-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-29
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-02-22
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-01
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-02-29
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-02-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-02-29
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-02-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-02-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-29
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-02-29
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-02-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-02-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-29
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-02-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-07
Inspection history
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-05-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-14
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-05-14
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 2025-05-14
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-14
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 2025-05-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-14
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 2025-05-14
Health
Provide activities to meet all resident's needs.
Corrected 2025-05-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-14
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-05-14
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-20
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-20
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-03-20
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-03-20
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 2024-03-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-20
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 2024-03-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-20
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 2024-03-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-20
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-03-20
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-20
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2024-03-20
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 2024-03-20
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 2024-03-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-20
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-03-20
Health
Assess the resident when there is a significant change in condition
Corrected 2024-03-20
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-03-20
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-03-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-20
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-03-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-20
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 2024-03-20
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-03-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-05
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-06-07
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-06-07
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 2022-11-16
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 2022-11-16
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-11-16
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-11-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-11-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-11-16
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 2022-11-16
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-11-16
Penalties and ownership
Fine · fine $48,663
Fine
Fine · fine $21,986
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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