12 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Renton, WA
3-star overall rating with 2-star inspections with $74,815 in total fines with 12 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
17420 106th Pl Se, Renton, WA
(425) 362-6200
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2019-04-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.91
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
1.62
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.76
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
5.28
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
2.53
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.51
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.58
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.25
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.80
CMS adjusted RN staffing hours
Adjusted total hours
4.65
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
2,108
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.70
Composite VBP score used to determine payment impact.
Payment multiplier
1.0061
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 18.55% · Performance 15.68% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
4.26
Baseline 4.62% · Performance 6.56% · Measure score 4.26 · Achievement 4.26 · Improvement 0
Total nurse turnover
2.69
Baseline 32.07% · Performance 52.70% · Measure score 2.69 · Achievement 2.69 · Improvement 0
Adjusted total nurse staffing
3.73
Baseline 4.70 hours · Performance 4.14 hours · Measure score 3.73 · Achievement 3.73 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.13% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 390 · Observed rate 7.95% · Lower 95% interval 7.82% |
| Discharge to community | 70.19% |
50.57%
19.6 pts better
|
Better than the National Rate · Eligible stays 403 · Observed rate 69.98% · Lower 95% interval 65.54% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 77.13% |
95.27%
18.1 pts worse
|
Numerator 226 · Denominator 293 |
| Falls with major injury | 0.68% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 293 |
| Discharge self-care score | 49.78% |
53.69%
3.9 pts worse
|
Numerator 114 · Denominator 229 |
| Discharge mobility score | 47.16% |
50.94%
3.8 pts worse
|
Numerator 108 · Denominator 229 |
| Pressure ulcers or injuries, new or worsened | 1.02% |
2.29%
1.3 pts better
|
Numerator 3 · Denominator 293 · Adjusted rate 1.09% |
| Healthcare-associated infections requiring hospitalization | 6.56% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 269 · Observed rate 4.83% · Lower 95% interval 4.15% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 125 |
| Staff flu vaccination coverage | 82.64% |
42%
40.6 pts better
|
Numerator 119 · Denominator 144 |
| Discharge function score | 50.22% |
56.45%
6.2 pts worse
|
Numerator 115 · Denominator 229 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 59 · Denominator 59 |
| Transfer of health information to patient | 98.59% |
96.28%
2.3 pts better
|
Numerator 210 · Denominator 213 |
| Resident COVID-19 vaccinations up to date | 27.86% |
25.2%
2.7 pts better
|
Numerator 39 · Denominator 140 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.0%
4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.3% |
16.3%
2 pts better
|
11.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.3% |
| Percentage of long-stay residents who lose too much weight | 19.0% |
5.8%
13.2 pts worse
|
5.4%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.1% |
12.1%
3 pts better
|
19.6%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
15.9%
15.9 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.0% |
15.8%
4.2 pts worse
|
14.9%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.2%
1.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
23.5%
1 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 9.7% |
4.7%
5 pts worse
|
5.1%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
87.7%
7.5 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 95.3% · Q3 97.2% · Q4 96.0% · 4Q avg 95.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
13.2%
2.4 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 9.7% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.4%
0.8 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.5% · Q3 0.5% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
82.0%
7.3 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% |
19.9%
0.1 pts better
|
23.9%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 17.2% · Expected 20.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-06-20
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-06-20
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2025-05-15
Fire Safety
Establish methods for sharing information.
Corrected 2025-05-15
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2025-05-15
Fire Safety
Provide family notifications of emergency plan.
Corrected 2025-06-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-15
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-06-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-05-15
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 2025-05-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-05
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-04-05
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-03-30
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-03-30
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-03-30
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-03-30
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-03-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-03-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-03-30
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-03-30
Fire Safety
Meet other general requirements.
Corrected 2023-03-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-30
Inspection history
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-05-23
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-05-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-23
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-23
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-05-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-23
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-23
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-23
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 2025-05-23
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-05-23
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-09-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-13
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-09-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-13
Health
Respond appropriately to all alleged violations.
Corrected 2024-09-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-13
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-04-30
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 2024-04-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-30
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 2024-04-30
Health
Assess the resident when there is a significant change in condition
Corrected 2024-04-30
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-04-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-03
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 2023-04-03
Penalties and ownership
Fine · fine $74,815
Fine
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