Federal inspection record · CMS data as of October 1, 2026
Cedar River Healthcare Center
17420 106th Pl Se, Renton, WA · (425) 362-6200
- Certified beds
- 60
- Residents per day
- 53
- Ownership
- For-Profit
- Chain
- Pacs Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 25, 2019
1
How this home got 3 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.
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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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Cedar River Healthcare Center carries 131.75 inspection points. That is fewer than 27% 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
33 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)
-
L
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Everything else, by area of care
Resident Assessment and Care Planning11E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- 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
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care9E
- E
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
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.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
Resident Rights4E
- E
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
Administration2F
- D
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nursing and Physician Services2F
- F
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2025-04-21
16 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-03-22
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2023-02-24
9 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 40 min of nursing staff time a day, 1 h 14 min of it from a registered nurse.
This home
4 h 40 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 15% 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
$74,815 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-13 | Fine | $74,815 |
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. |
|---|---|---|---|
| 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 experiencing one or more falls with major injury2.6 pts better | 0.0% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.9 pts better | 0.0% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight10.5 pts worse | 16.1% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.7 pts worse | 24.2% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts worse | 20.6% | 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 need for help with daily activities has increased5 pts worse | 18.8% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.2 pts worse | 3.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts worse | 2.9% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts worse | 21.9% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers6 pts worse | 10.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better | 95.9% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 9.8% | 13.0% | 11.8% |
| 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 vaccine10.1 pts better | 94.5% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 23.4% | 19.7% | 23.4% |
·
Who owns and runs it
16 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 |
|---|---|---|---|
| Apt, Frederick | Corporate Officer · Individual | 0% | 258 facilities |
| Branch Banking & Trust Company | 5% Or Greater Security Interest · Organization | 0% | 13 facilities |
| Brucell, Zoee | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Brucell, Zoee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brucell, Zoee | Adp Of The SNF · Individual | 0% | 1 facilities |
| James, Beth | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Jergensen, Joshua | Corporate Officer · Individual | 0% | 262 facilities |
| Malone, Tyrone | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mercado, Neriza | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Mercado, Neriza | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Mercado, Neriza | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mitchell, John | Corporate Officer · Individual | 0% | 276 facilities |
| Providence Administrative Consulting Services Inc | Adp Of The SNF · Organization | 0% | 71 facilities |
| Rosal, Patrick | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Sichel, Terra | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Truist Bank | 5% Or Greater Security Interest · Organization | 0% | 77 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness11F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Establish policies and procedures for medical documentation.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install corridor and hallway doors that block smoke.
Miscellaneous4F
- F
Provide a written emergency evacuation plan.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- 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.
Services1D
- D
Install properly constructed and protected linen or trash chutes.
Construction1D
- D
Meet other general requirements.
·
Other homes nearby
-
Valley View Skilled Nursing And Rehabilitation
Renton, WA · Vertical Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
Renton Health & Rehabilitation
Renton, WA · Vertical Health Services
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 10 min
- Fines
- $77,066
-
Benson Heights Rehabilitation Center
Kent, WA · Avalon Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 17 min
- Fines
- $38,422