18 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Seattle, WA
3-star overall rating with 3-star inspections with 18 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2720 East Madison, Seattle, WA
(206) 322-5300
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
35
Certified beds
Average residents
29
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Commonspirit Health
Operator or chain grouping
Approved since
1992-06-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Weekend hours
0.00
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
96.0%
2.1 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.8%
6.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.6%
2.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 4.0% |
16.3%
12.3 pts better
|
11.4%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 2.9% |
5.8%
2.9 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.6% |
12.1%
15.5 pts worse
|
19.6%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 30.5% |
15.9%
14.6 pts worse
|
16.7%
13.8 pts worse
|
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 | 23.4% |
15.8%
7.6 pts worse
|
14.9%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.2%
0.1 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.4% |
23.5%
10.1 pts better
|
19.8%
6.4 pts better
|
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 | 76.1% |
87.7%
11.6 pts worse
|
81.7%
5.6 pts worse
|
Short Stay · 2024Q4-2025Q3 |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Resident Assessment and Care Planning (7 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
19 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-04
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-04
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-06-04
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-07-11
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-07-11
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-07-11
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-07-11
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-11
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-07-11
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-07-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-11
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-07-11
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-07-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-11
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-07-11
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-05-16
Fire Safety
Develop a communication plan.
Corrected 2023-04-25
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-03-28
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-04-25
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2023-03-28
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-04-25
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-03-28
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-03-28
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-03-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-16
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-03-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-16
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-05-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-28
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-03-28
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-29
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-06-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-18
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-06-18
Health
Post nurse staffing information every day.
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-18
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-18
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-06-18
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-18
Health
Assess the resident when there is a significant change in condition
Corrected 2025-06-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 activities to meet all resident's needs.
Corrected 2025-06-18
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-06-18
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-06-18
Health
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.
Corrected 2025-06-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-01
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-06-24
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-06-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-24
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-24
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-06-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-24
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-06-24
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 2024-06-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-06-24
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-06-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-24
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 2024-06-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-24
Health
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.
Corrected 2024-06-24
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 2024-06-24
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-06-24
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-04-14
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-04-14
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-04-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-14
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 2023-04-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-14
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-04-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-14
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2023-04-14
Health
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.
Corrected 2023-04-14
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
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