Federal inspection record · CMS data as of October 1, 2026
Benson Heights Rehabilitation Center
22410 Benson Road Se, Kent, WA · (253) 852-7755
- Certified beds
- 91
- Residents per day
- 86
- Ownership
- For-Profit
- Chain
- Avalon Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 10, 2008
1
How this home got 4 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
★★★★★+1 star
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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Benson Heights Rehabilitation Center carries 105 inspection points. That is fewer than 40% 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
46 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 (2)
-
G
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.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Nutrition and Dietary12F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Quality of Life and Care12E
- 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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 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, 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 appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights8F
- 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 the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- F
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.
- 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.
Resident Assessment and Care Planning8E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 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.
- E
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 each resident receives an accurate assessment.
- 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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Administration1E
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Environmental1B
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Inspection history
2026-05-06
10 health deficiencies · 20 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2025-02-25
14 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-11-20
22 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 17 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
4 h 17 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 11% 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
$38,422 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-06 | Fine | $9,347 |
| 2023-10-30 | Fine | $29,075 |
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 days0.9 pts better | 0.6 | 1.5 | 1.7 |
| 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 injury2.3 pts better | 0.3% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.1 pts better | 0.8% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.6 pts better | 0.0% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication19.8 pts worse | 32.3% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication47.5 pts worse | 62.5% | 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 worsened9 pts better | 6.6% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts worse | 14.4% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.6% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.3% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.3 pts worse | 32.9% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts worse | 6.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts better | 97.8% | 88.7% | 82.3% |
| 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 vaccine15.6 pts better | 100.0% | 84.4% | 80.1% |
·
Who owns and runs it
36 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 |
|---|---|---|---|
| Avalon Care LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 8 facilities |
| Ahmad, Atique | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Ahmad, Atique | Adp Of The SNF · Individual | 0% | 3 facilities |
| Avalon Health Care Inc | Indirect Ownership Interest · Organization | 0% | 14 facilities |
| Avalon Health Care Inc | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Avalon Health Care Inc | Adp Of The SNF · Organization | 0% | 14 facilities |
| Avalon Health Care Management Inc | Operational/Managerial Control · Organization | 0% | 16 facilities |
| Avalon Health Care Management Inc | Adp Of The SNF · Organization | 0% | 16 facilities |
| Avalon Holding Inc | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Avalon Of Washington LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Dangerfield, David | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Dangerfield, David | Corporate Director · Individual | 0% | 15 facilities |
| Harris, Bradford | Corporate Officer · Individual | 0% | 10 facilities |
| Harris, Bradford | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Harris, Bradford | Adp Of The SNF · Individual | 0% | 10 facilities |
| Hash, Alan | Corporate Officer · Individual | 0% | 17 facilities |
| Hash, Alan | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Hash, Alan | Adp Of The SNF · Individual | 0% | 17 facilities |
| Kirton, Byron | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Byron | Corporate Director · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Corporate Director · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Corporate Officer · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Adp Of The SNF · Individual | 0% | 15 facilities |
| Kirton, Spencer | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Spencer | Corporate Director · Individual | 0% | 15 facilities |
| Robinson, Kenyardar | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Robinson, Kenyardar | Adp Of The SNF · Individual | 0% | 1 facilities |
| Smith, Nicole | Corporate Officer · Individual | 0% | 16 facilities |
| Smith, Nicole | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Smith, Nicole | Adp Of The SNF · Individual | 0% | 16 facilities |
| Winstead, Constance | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Winstead, Constance | Adp Of The SNF · Individual | 0% | 1 facilities |
| Woltil, Robert | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Woltil, Robert | Corporate Director · Individual | 0% | 15 facilities |
·
Fire safety
49 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness17F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
Provide emergency officials' contact information.
- F
Establish methods for sharing information.
- F
Establish emergency prep training and testing.
- 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
Include a process for Emergency Preparedness collaboration.
- D
List the names and contact information of those in the facility.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for medical documentation.
- F
Establish policies and procedures for volunteers.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
Smoke10F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- 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
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
Egress9F
- F
Install proper backup exit lighting.
- F
Have properly located and lighted "Exit" signs.
- E
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
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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
Install resident room doors of proper design and width.
- D
Have properly located and lighted "Exit" signs.
- F
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems8F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 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.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of flammable curtains.
Construction1D
- D
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
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Cedar River Healthcare Center
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Puget Sound Transitional Care
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