Cycle 1
Health 2025-01-13 · Fire 2025-01-13
20 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Gig Harbor, WA
Cottesmore Of Life Care
3-star overall rating with 2-star inspections with $18,233 in total fines with 20 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
2909 14th Avenue Northwest, Gig Harbor, WA
(253) 851-5433
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
Facility snapshot
Beds
108
Certified beds
Average residents
101
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1996-12-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
1.09
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.44
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.32
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.58
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.96
CMS adjusted RN staffing hours
Adjusted total hours
3.83
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,155
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.70
Baseline 16.42% · Performance 20.64% · Measure score 1.70 · Achievement 1.70 · Improvement 0
Healthcare-associated infections
2.94
Baseline 4.00% · Performance 6.96% · Measure score 2.94 · Achievement 2.94 · Improvement 0
Total nurse turnover
2.89
Baseline 51.04% · Performance 51.88% · Measure score 2.89 · Achievement 2.89 · Improvement 0
Adjusted total nurse staffing
2.32
Baseline 3.98 hours · Performance 3.74 hours · Measure score 2.32 · Achievement 2.32 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.58% |
10.72%
3.1 pts better
|
Better than the National Rate · Eligible stays 454 · Observed rate 5.51% · Lower 95% interval 5.85% |
| Discharge to community | 68.84% |
50.57%
18.3 pts better
|
Better than the National Rate · Eligible stays 481 · Observed rate 62.99% · Lower 95% interval 65.08% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 92.62% |
95.27%
2.6 pts worse
|
Numerator 301 · Denominator 325 |
| Falls with major injury | 0.92% |
0.77%
0.2 pts worse
|
Numerator 3 · Denominator 325 |
| Discharge self-care score | 79.49% |
53.69%
25.8 pts better
|
Numerator 155 · Denominator 195 |
| Discharge mobility score | 75.38% |
50.94%
24.4 pts better
|
Numerator 147 · Denominator 195 |
| Pressure ulcers or injuries, new or worsened | 1.85% |
2.29%
0.4 pts better
|
Numerator 6 · Denominator 324 · Adjusted rate 1.81% |
| Healthcare-associated infections requiring hospitalization | 6.96% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 312 · Observed rate 6.73% · Lower 95% interval 5.04% |
| Staff COVID-19 vaccination coverage | 6.56% |
8.2%
1.6 pts worse
|
Numerator 16 · Denominator 244 |
| Staff flu vaccination coverage | 43.36% |
42%
1.4 pts better
|
Numerator 147 · Denominator 339 |
| Discharge function score | 84.1% |
56.45%
27.6 pts better
|
Numerator 164 · Denominator 195 |
| Transfer of health information to provider | 96% |
95.95%
About the same
|
Numerator 72 · Denominator 75 |
| Transfer of health information to patient | 99.52% |
96.28%
3.2 pts better
|
Numerator 207 · Denominator 208 |
| Resident COVID-19 vaccinations up to date | 52.2% |
25.2%
27 pts better
|
Numerator 83 · Denominator 159 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.4
0.6 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.0 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.0% |
96.0%
3 pts worse
|
93.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.5% · Q3 92.9% · Q4 82.8% · 4Q avg 93.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
93.8%
3.5 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.6% |
2.6%
4 pts worse
|
3.3%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 7.5% · Q3 7.1% · Q4 6.9% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.4% |
16.3%
6.9 pts better
|
11.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 9.8% · Q3 5.8% · Q4 9.1% · 4Q avg 9.4% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
5.8%
2.5 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.7% · Q3 1.9% · Q4 7.5% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% |
12.1%
1.3 pts better
|
19.6%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 10.9% · Q3 12.5% · Q4 13.0% · 4Q avg 10.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.0% |
15.9%
0.9 pts better
|
16.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 13.7% · Q3 12.8% · Q4 16.7% · 4Q avg 15.0% · 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 | 11.3% |
20.0%
8.7 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% |
15.8%
10.3 pts better
|
14.9%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.3% · Q3 6.0% · Q4 6.4% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.2%
0.9 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.7%
1.3 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.5% |
23.5%
3 pts better
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 15.1% · Q3 28.3% · Q4 28.5% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
4.7%
2 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.5% · Q3 2.3% · Q4 2.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
87.7%
9.8 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 98.8% · Q3 96.5% · Q4 96.4% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
13.2%
3 pts better
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 9.4% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.4%
1.1 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.6% · Q3 2.4% · Q4 3.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.3% |
82.0%
15.3 pts better
|
79.7%
17.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
19.9%
4.7 pts worse
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 22.3% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-08 · Fire 2024-02-08
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2023-01-11 · Fire 2023-01-11
24 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-13
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-02-12
F · Potential for more than minimal harm
2025-01-13
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-02-12
F · Potential for more than minimal harm
2025-01-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-12
F · Potential for more than minimal harm
2025-01-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-12
F · Potential for more than minimal harm
2025-01-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-12
E · Potential for more than minimal harm
2025-01-13
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-12
D · Potential for more than minimal harm
2025-01-13
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-02-12
D · Potential for more than minimal harm
2025-01-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-12
F · Potential for more than minimal harm
2024-02-08
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-07
F · Potential for more than minimal harm
2024-02-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-07
F · Potential for more than minimal harm
2024-02-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-07
F · Potential for more than minimal harm
2024-02-08
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-03-07
F · Potential for more than minimal harm
2024-02-08
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-03-07
F · Potential for more than minimal harm
2024-02-08
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-07
F · Potential for more than minimal harm
2024-02-08
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-02-08
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-02-08
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-03-07
D · Potential for more than minimal harm
2024-02-08
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-07
F · Potential for more than minimal harm
2023-01-11
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-01-19
F · Potential for more than minimal harm
2023-01-11
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-01-19
F · Potential for more than minimal harm
2023-01-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-19
F · Potential for more than minimal harm
2023-01-11
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-01-19
F · Potential for more than minimal harm
2023-01-11
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-19
F · Potential for more than minimal harm
2023-01-11
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-01-19
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-09
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 2026-01-28
G · Actual harm
2025-08-18
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-02
F · Potential for more than minimal harm
2025-01-13
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 2025-02-27
E · Potential for more than minimal harm
2025-01-13
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 2025-02-27
E · Potential for more than minimal harm
2025-01-13
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 2025-02-27
E · Potential for more than minimal harm
2025-01-13
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-02-27
E · Potential for more than minimal harm
2025-01-13
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 2025-02-27
E · Potential for more than minimal harm
2025-01-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-27
E · Potential for more than minimal harm
2025-01-13
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 2025-02-27
D · Potential for more than minimal harm
2025-01-13
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 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-01-13
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 2025-02-27
D · Potential for more than minimal harm
2024-05-30
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-21
E · Potential for more than minimal harm
2024-02-08
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 2024-03-14
E · Potential for more than minimal harm
2024-02-08
F808 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-08
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-08
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-08
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-03-14
B · Minimal harm
2024-02-08
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-03-14
G · Actual harm
2023-10-26
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-21
D · Potential for more than minimal harm
2023-08-30
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 2023-09-30
D · Potential for more than minimal harm
2023-08-30
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-30
D · Potential for more than minimal harm
2023-06-21
F678 · Quality of Life and Care Deficiencies
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 2023-07-12
E · Potential for more than minimal harm
2023-01-11
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 2023-02-14
E · Potential for more than minimal harm
2023-01-11
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 2023-02-14
E · Potential for more than minimal harm
2023-01-11
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2023-02-14
E · Potential for more than minimal harm
2023-01-11
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 2023-02-14
E · Potential for more than minimal harm
2023-01-11
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-02-14
E · Potential for more than minimal harm
2023-01-11
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 2023-02-14
E · Potential for more than minimal harm
2023-01-11
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-11
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-11
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 2023-02-14
D · Potential for more than minimal harm
2023-01-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-11
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 2023-02-14
D · Potential for more than minimal harm
2023-01-11
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 2023-02-14
D · Potential for more than minimal harm
2023-01-11
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 2023-02-14
D · Potential for more than minimal harm
2023-01-11
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-11
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-11
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 2023-02-14
D · Potential for more than minimal harm
2023-01-11
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-02-14
D · Potential for more than minimal harm
2023-01-11
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 2023-02-14
C · Minimal harm
2023-01-11
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-02-14
Penalties and ownership
What sits behind the stars
$18,233
2023-10-26
Fine
Fine · fine $18,233
Fine
Ownership
Fletcher, Todd
5% Or Greater Direct Ownership Interest · Individual
Preston, Forrest
5% Or Greater Direct Ownership Interest · Individual
Butner, Nancy
Operational/Managerial Control · Individual
Cross, Cindy
Corporate Officer · Individual
Developers Investment Company Inc
Operational/Managerial Control · Organization
Fletcher, Todd
Operational/Managerial Control · Individual
Gig Harbor Operations, LLC
Operational/Managerial Control · Organization
Henry, Terry
Corporate Officer · Individual
Lay, Lisa
Corporate Officer · Individual
Life Care Centers Of America, Inc.
Operational/Managerial Control · Organization
Lockwood, Ryan
Operational/Managerial Control · Individual
Preston, Aubrey
Operational/Managerial Control · Individual
Preston, Forrest
Operational/Managerial Control · Individual
Sekeramayi, Maggie
Operational/Managerial Control · Individual
Swanker, Richard
Corporate Officer · Individual
Thurmond, Joan
Corporate Officer · Individual
Verlinda, Cathy
Operational/Managerial Control · Individual
Ziegler, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Gig Harbor Health And Rehabilitation
Gig Harbor, WA
2-star overall rating with 1-star inspections with $115,343 in total fines with 35 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Eliseo
Tacoma, WA
3-star overall rating with 2-star inspections with 20 recent health deficiencies with 33 fire-safety deficiencies in the latest cycle
#3
Avamere Transitional Care Of Puget Sound
Tacoma, WA
5-star overall rating with 4-star inspections with 13 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
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