Federal inspection record · CMS data as of October 1, 2026
Avamere Rehabilitation Of Issaquah
805 Front Street, Issaquah, WA · (425) 392-1271
- Certified beds
- 140
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- Avamere
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Avamere Rehabilitation Of Issaquah carries 109.75 inspection points. That is fewer than 36% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
62 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Resident Assessment and Care Planning17E
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assess the resident when there is a significant change in condition
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care14E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
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.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights14E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
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.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
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.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
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.
- D
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.
Nursing and Physician Services3F
- E
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- F
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.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary3E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration2D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspection history
2026-07-02
16 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2025-03-27
13 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-02-06
33 health deficiencies · 25 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 15 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
4 h 15 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$48,663 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-06 | Fine | $48,663 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 0.9 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts worse | 89.4% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 96.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.1% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms74.6 pts worse | 92.5% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 3.3% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts better | 7.7% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2 pts better | 13.0% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.9 pts worse | 18.5% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts worse | 18.8% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.5% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 2.1% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts better | 20.2% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 3.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts worse | 87.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts worse | 13.6% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.9 pts worse | 82.5% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.7 pts worse | 24.4% | 19.7% | 23.4% |
·
Who owns and runs it
62 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ari Operations, LLC | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Ariso LLC | Direct Ownership Interest · Organization | 0% | 11 facilities |
| Avamere Group LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Avamere Health Services LLC | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Avamere Health Services LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Avamere Skilled Advisors LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Avamere Skilled Advisors LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Cavallo, Glen | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Consolidated Billing Services Inc | Adp Of The SNF · Organization | 0% | 10 facilities |
| Fanunal, Loriel | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Fanunal, Loriel | Adp Of The SNF · Individual | 0% | 9 facilities |
| Feakin, Cody | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Feakin, Cody | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Feakin, Cody | Adp Of The SNF · Individual | 0% | 17 facilities |
| Feliu Vargas, Jose | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Feliu Vargas, Jose | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fisher, Tonya | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Fowler, Katherine | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Fowler, Katherine | Adp Of The SNF · Individual | 0% | 10 facilities |
| Funderberg, Michelle | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Funderberg, Michelle | Adp Of The SNF · Individual | 0% | 17 facilities |
| Games, Kim | Adp Of The SNF · Individual | 0% | 17 facilities |
| Garcia, Roberto | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Garcia, Roberto | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Garcia, Roberto | Adp Of The SNF · Individual | 0% | 6 facilities |
| Hobbs, Samantha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hobbs, Samantha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hokenson, Laura | Adp Of The SNF · Individual | 0% | 1 facilities |
| Incovate Solutions, LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Inskeep, Todd | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Inskeep, Todd | Adp Of The SNF · Individual | 0% | 17 facilities |
| Karl Rickard Miller Jr Revocable Trust | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Kofstad, Mary | Managing Control - Governing Body · Individual | 0% | 22 facilities |
| Kofstad, Mary | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Kofstad, Mary | Adp Of The SNF · Individual | 0% | 22 facilities |
| Midcap Finco LLC | 5% Or Greater Security Interest · Organization | 0% | 19 facilities |
| Midcap Finco LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Miller, Karl | Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Mokashi, Samiksha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mokashi, Samiksha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Moss Adams Llp | Adp Of The SNF · Organization | 0% | 32 facilities |
| Nesterenko, Oksana | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Nesterenko, Oksana | Adp Of The SNF · Individual | 0% | 3 facilities |
| Nielson, Charles | Adp Of The SNF · Individual | 0% | 3 facilities |
| Pacific Medical Specialty Group | Adp Of The SNF · Organization | 0% | 6 facilities |
| Presley, Yolanda | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Presley, Yolanda | Adp Of The SNF · Individual | 0% | 17 facilities |
| Rande Holdings, LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Reid, Misty | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Reid, Misty | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Reid, Misty | Adp Of The SNF · Individual | 0% | 17 facilities |
| Sabra Health Care Limited Partnership | Adp Of The SNF · Organization | 0% | 15 facilities |
| Sabra Health Care Reit Inc | Adp Of The SNF · Organization | 0% | 35 facilities |
| Sabra Health Care, LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Snapmedtech,inc. | Adp Of The SNF · Organization | 0% | 8 facilities |
| Staples, Carolyn | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Staples, Carolyn | Adp Of The SNF · Individual | 0% | 16 facilities |
| Strunk, Colby | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Strunk, Colby | Adp Of The SNF · Individual | 0% | 17 facilities |
| Vanderzanden, Carrie | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Vanderzanden, Carrie | Adp Of The SNF · Individual | 0% | 17 facilities |
| Weisert, Melanie | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
45 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems10F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Ensure proper usage of power strips and extension cords.
Emergency Preparedness8F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for medical documentation.
- F
Conduct testing and exercise requirements.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
Miscellaneous7F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress4F
- F
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.
- E
Have exits that are accessible at all times.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
Services4F
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have elevators that firefighters can control in the event of a fire.
- E
Have properly installed electrical wiring and gas equipment.
·
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-
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