Cycle 1
Health 2025-08-04 · Fire 2025-08-04
10 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
19 fire-safety deficiencies
Top issue: Emergency Preparedness (11 deficiencies)
Shoreline, WA
Bridges To Home
3-star overall rating with 3-star inspections with $12,735 in total fines with 10 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
18904 Burke Ave N, Shoreline, WA
(206) 629-5878
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
12
Certified beds
Average residents
6
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2024-08-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
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
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-08 · Fire 2024-08-08
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-04
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-10-13
F · Potential for more than minimal harm
2025-08-04
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-10-13
F · Potential for more than minimal harm
2025-08-04
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-09-08
F · Potential for more than minimal harm
2025-08-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-11-07
F · Potential for more than minimal harm
2025-08-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-18
F · Potential for more than minimal harm
2025-08-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-02
F · Potential for more than minimal harm
2025-08-04
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-10-13
F · Potential for more than minimal harm
2025-08-04
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-10-13
F · Potential for more than minimal harm
2025-08-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-13
F · Potential for more than minimal harm
2025-08-04
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-10-13
F · Potential for more than minimal harm
2024-08-08
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-30
F · Potential for more than minimal harm
2024-08-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-30
Inspection history
Recent health citations
G · Actual harm
2025-08-04
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-04
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-04
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-04
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-11-03
E · Potential for more than minimal harm
2025-08-04
F761 · Pharmacy Service Deficiencies
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 2025-09-18
E · Potential for more than minimal harm
2025-08-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-18
D · Potential for more than minimal harm
2025-08-04
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-18
D · Potential for more than minimal harm
2025-08-04
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-18
D · Potential for more than minimal harm
2025-08-04
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-18
D · Potential for more than minimal harm
2025-08-04
F887 · Infection Control Deficiencies
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 2025-09-18
Penalties and ownership
What sits behind the stars
$0
2025-08-18
Payment Denial
Payment Denial · denial start 2025-11-18 · 21 days
21 day denial
$12,735
2025-08-04
Fine
Fine · fine $12,735
Fine
$0
2025-08-04
Payment Denial
Payment Denial · denial start 2025-11-04 · 3 days
3 day denial
Ownership
Freeborn, Stephen
Corporate Officer · Individual
Grady, Cindy
Corporate Officer · Individual
Henson, Jefferson
W-2 Managing Employee · Individual
Maaz, Ken
Operational/Managerial Control · Individual
Maaz, Ken
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Richmond Beach Rehab
Shoreline, WA
5-star overall rating with 4-star inspections with $44,753 in total fines with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Fircrest Nursing Facility
Seattle, WA
5-star overall rating with 4-star inspections with 11 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
#3
Avamere Rehabilitation Of Shoreline
Seattle, WA
1-star overall rating with 1-star inspections with 40 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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