Federal inspection record · CMS data as of October 1, 2026
Bailey-Boushay House
2720 East Madison, Seattle, WA · (206) 322-5300
- Certified beds
- 35
- Residents per day
- 33
- Ownership
- Non-Profit
- Chain
- Commonspirit Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 25, 1992
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Bailey-Boushay House carries 96 inspection points. That is fewer than 47% 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
48 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning16E
- E
Ensure each resident receives an accurate assessment.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Assess the resident when there is a significant change in condition
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights7E
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
Quality of Life and Care6D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide activities to meet all resident's needs.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control5E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Pharmacy Service4E
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- E
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.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
- 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 Exploitation4D
- 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.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services2E
- E
Post nurse staffing information every day.
- D
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspection history
2025-05-05
17 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2024-05-20
20 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2023-03-01
11 health deficiencies · 19 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 10 h 1 min of nursing staff time a day, 5 h 24 min of it from a registered nurse.
This home
10 h 1 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 100.0% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts better | 100.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 2.7% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.8 pts better | 1.1% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts worse | 7.3% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.9 pts worse | 28.4% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication22.7 pts worse | 37.7% | 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 worsened6.2 pts worse | 21.8% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts worse | 14.1% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better | 17.5% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.9 pts worse | 9.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3 pts worse | 85.7% | 88.7% | 82.3% |
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Who owns and runs it
32 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 |
|---|---|---|---|
| Commonspirit Health | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 18 facilities |
| Virginia Mason Health System | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 1 facilities |
| Carlile, Robert | Corporate Director · Individual | 0% | 1 facilities |
| Chi, Uli | Corporate Director · Individual | 0% | 1 facilities |
| Corvi, Carolyn | Corporate Officer · Individual | 0% | 1 facilities |
| Goodrich, Craig | Corporate Director · Individual | 0% | 1 facilities |
| Goodrich, Craig | Corporate Officer · Individual | 0% | 1 facilities |
| Goodwin, Ruth | Corporate Director · Individual | 0% | 1 facilities |
| Green, Joshua | Corporate Officer · Individual | 0% | 1 facilities |
| Griffin, Michelle | Corporate Officer · Individual | 0% | 1 facilities |
| Hamachek, Tod | Corporate Officer · Individual | 0% | 1 facilities |
| Hoffman, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Hunthausen, Dennis | Corporate Director · Individual | 0% | 1 facilities |
| Kaplan, Gary | Corporate Officer · Individual | 0% | 2 facilities |
| Knowles, Brian | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Knowles, Brian | Corporate Director · Individual | 0% | 1 facilities |
| Knowles, Brian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lemon, Robert | Corporate Officer · Individual | 0% | 1 facilities |
| Lopus, Alfred | Corporate Officer · Individual | 0% | 1 facilities |
| Mann, Dorothy | Corporate Officer · Individual | 0% | 1 facilities |
| Mcwilliams, Mary | Corporate Officer · Individual | 0% | 2 facilities |
| Meyer, Gregg | Corporate Officer · Individual | 0% | 1 facilities |
| Morath, Julianne | Corporate Officer · Individual | 0% | 1 facilities |
| O'quinn, Marvin | Corporate Director · Individual | 0% | 14 facilities |
| Oppenheimer, John | Corporate Officer · Individual | 0% | 2 facilities |
| Orlikoff, James | Corporate Officer · Individual | 0% | 1 facilities |
| Pangrazio, Kristi | Corporate Officer · Individual | 0% | 1 facilities |
| Puls, Diann | Corporate Director · Individual | 0% | 1 facilities |
| Rasco, Patricia | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Rasco, Patricia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Virignia Mason Franciscan Health | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Young, James | Corporate Officer · Individual | 0% | 1 facilities |
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Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness15F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
Provide emergency officials' contact information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Meet the requirements of an integrated health system.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
- F
Include a process for Emergency Preparedness collaboration.
Gas, Vacuum, and Electrical Systems9F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- 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.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 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
Have proper medical gas storage and administration areas.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- 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
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous3F
- 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.
Egress1F
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Services1F
- F
Have elevators that firefighters can control in the event of a fire.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 12 min
- Fines
- $66,173
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