Cycle 1
Health 2024-10-04 · Fire 2024-10-04
29 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Auburn, WA
Canterbury House
2-star overall rating with 2-star inspections with $68,159 in total fines with 29 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
502 29th Street Southeast, Auburn, WA
(253) 939-0090
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
77
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Evergreen Healthcare Group
Operator or chain grouping
Approved since
1989-08-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
41 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.74
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
3.89
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,357
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.02
Composite VBP score used to determine payment impact.
Payment multiplier
1.0041
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.23
Baseline 18.35% · Performance 18.08% · Measure score 7.23 · Achievement 7.23 · Improvement 1.55
Healthcare-associated infections
3.61
Baseline 6.03% · Performance 6.76% · Measure score 3.61 · Achievement 3.61 · Improvement 0
Total nurse turnover
4.89
Baseline 44.62% · Performance 43.68% · Measure score 4.89 · Achievement 4.89 · Improvement 0
Adjusted total nurse staffing
4.28
Baseline 3.62 hours · Performance 4.29 hours · Measure score 4.28 · Achievement 4.28 · Improvement 2.62
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.99% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 140 · Observed rate 10% · Lower 95% interval 7.65% |
| Discharge to community | 50.84% |
50.57%
0.3 pts better
|
No Different than the National Rate · Eligible stays 142 · Observed rate 42.96% · Lower 95% interval 41.85% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 76.39% |
95.27%
18.9 pts worse
|
Numerator 55 · Denominator 72 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 72 |
| Discharge self-care score | 47.06% |
53.69%
6.6 pts worse
|
Numerator 16 · Denominator 34 |
| Discharge mobility score | 44.12% |
50.94%
6.8 pts worse
|
Numerator 15 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 1.39% |
2.29%
0.9 pts better
|
Numerator 1 · Denominator 72 · Adjusted rate 0.93% |
| Healthcare-associated infections requiring hospitalization | 6.76% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 6.56% · Lower 95% interval 3.93% |
| Staff COVID-19 vaccination coverage | 10.2% |
8.2%
2 pts better
|
Numerator 10 · Denominator 98 |
| Staff flu vaccination coverage | 78.64% |
42%
36.6 pts better
|
Numerator 81 · Denominator 103 |
| Discharge function score | 55.88% |
56.45%
0.6 pts worse
|
Numerator 19 · Denominator 34 |
| Transfer of health information to provider | 82.76% |
95.95%
13.2 pts worse
|
Numerator 24 · Denominator 29 |
| Transfer of health information to patient | 87.1% |
96.28%
9.2 pts worse
|
Numerator 27 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.0% |
96.0%
13 pts worse
|
93.4%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.1% · Q3 70.5% · Q4 68.8% · 4Q avg 83.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 62.5% |
93.8%
31.3 pts worse
|
95.5%
33 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 62.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
2.6%
1.7 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 1.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 25.5% |
16.3%
9.2 pts worse
|
11.4%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 24.5% · Q3 19.6% · Q4 31.0% · 4Q avg 25.5% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
5.8%
0.4 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 4.0% · Q3 6.1% · Q4 3.6% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.4% |
12.1%
1.7 pts better
|
19.6%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 11.5% · Q3 11.8% · Q4 10.5% · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.0% |
15.9%
1.9 pts better
|
16.7%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 16.1% · Q3 11.8% · Q4 10.8% · 4Q avg 14.0% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.1% |
20.0%
10.1 pts worse
|
16.3%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.3% |
15.8%
0.5 pts worse
|
14.9%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 14.9% · Q3 27.1% · Q4 11.5% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.2%
0.3 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 1.3% · Q4 1.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.9% |
23.5%
7.4 pts worse
|
19.8%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 36.6% · Q3 28.7% · Q4 23.6% · 4Q avg 30.9% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
4.7%
0.4 pts worse
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 6.0% · Q3 4.6% · Q4 3.8% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.0% |
87.7%
45.7 pts worse
|
81.7%
39.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.3% · Q2 50.5% · Q3 30.1% · Q4 35.2% · 4Q avg 42.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
13.2%
3.6 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 10.0% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.4%
0.2 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 2.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 44.1% |
82.0%
37.9 pts worse
|
79.7%
35.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 44.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.8% |
19.9%
4.9 pts worse
|
23.9%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 25.0% · Expected 24.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-09 · Fire 2023-08-09
12 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2022-02-11 · Fire 2022-02-11
31 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-04
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-10-25
F · Potential for more than minimal harm
2024-10-04
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-10-25
F · Potential for more than minimal harm
2024-10-04
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-10-03
E · Potential for more than minimal harm
2024-10-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-10-04
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-11
D · Potential for more than minimal harm
2024-10-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-03
D · Potential for more than minimal harm
2024-10-04
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-10-04
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-10-18
F · Potential for more than minimal harm
2023-08-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-08
F · Potential for more than minimal harm
2023-08-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-08
E · Potential for more than minimal harm
2023-08-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-08
D · Potential for more than minimal harm
2023-08-09
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-09-08
D · Potential for more than minimal harm
2023-08-09
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-17
D · Potential for more than minimal harm
2023-08-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-08
D · Potential for more than minimal harm
2023-08-09
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-09-08
E · Potential for more than minimal harm
2022-02-11
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-02-10
D · Potential for more than minimal harm
2022-02-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-02-10
D · Potential for more than minimal harm
2022-02-11
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-02-10
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-12-12
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-14
E · Potential for more than minimal harm
2024-12-12
F758 · Pharmacy Service Deficiencies
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 2025-01-14
D · Potential for more than minimal harm
2024-12-12
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-01-14
G · Actual harm
2024-10-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-10-04
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 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-10-04
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 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F758 · Pharmacy Service Deficiencies
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 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-10-04
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 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-10-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F585 · Resident Rights Deficiencies
Health
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.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F625 · Resident Rights Deficiencies
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 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-04
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-09
E · Potential for more than minimal harm
2024-09-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-22
E · Potential for more than minimal harm
2024-09-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-22
D · Potential for more than minimal harm
2024-05-21
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-17
G · Actual harm
2024-02-02
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-27
E · Potential for more than minimal harm
2024-02-02
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-27
E · Potential for more than minimal harm
2023-08-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-09-07
E · Potential for more than minimal harm
2023-08-09
F625 · Resident Rights Deficiencies
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 2023-09-07
E · Potential for more than minimal harm
2023-08-09
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 2023-09-07
E · Potential for more than minimal harm
2023-08-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-07
D · Potential for more than minimal harm
2023-08-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-07
D · Potential for more than minimal harm
2023-08-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-07
G · Actual harm
2022-02-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-03-24
G · Actual harm
2022-02-11
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-24
G · Actual harm
2022-02-11
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F758 · Pharmacy Service Deficiencies
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 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-24
E · Potential for more than minimal harm
2022-02-11
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F585 · Resident Rights Deficiencies
Health
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.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
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 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-03-24
D · Potential for more than minimal harm
2022-02-11
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-24
Penalties and ownership
What sits behind the stars
$68,159
2024-02-02
Fine
Fine · fine $68,159
Fine
Ownership
Ch Pacific Northwest Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Couve Financial Services LLC
Operational/Managerial Control · Organization
Couve Healthcare Consulting LLC
Operational/Managerial Control · Organization
Odenthal, Jason
Operational/Managerial Control · Individual
Pacific Northwest Opco Management LLC
Operational/Managerial Control · Organization
Panlasigui, Leonico
Operational/Managerial Control · Individual
Pierce, Mary
Operational/Managerial Control · Individual
Spielman, Shimon
Operational/Managerial Control · Individual
Washington SNF Consulting LLC
Operational/Managerial Control · Organization
Wright, Robert
Operational/Managerial Control · Individual
Yenowitz, Yitzchok
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Auburn Post Acute
Auburn, WA
1-star overall rating with 1-star inspections with $392,410 in total fines with 21 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
#2
Lea Hill Rehabilitation And Care Center
Auburn, WA
5-star overall rating with 4-star inspections with $30,258 in total fines with 14 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
#3
North Auburn Rehab & Health Center
Auburn, WA
3-star overall rating with 2-star inspections with $54,002 in total fines with 26 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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