10 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Yakima, WA
3-star overall rating with 3-star inspections with $173,932 in total fines with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
505 North 40th Avenue, Yakima, WA
(509) 248-4446
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
85
Certified beds
Average residents
49
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
0.60
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.65
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.56
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,128
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.91
Composite VBP score used to determine payment impact.
Payment multiplier
0.9880
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.87
Baseline 17.75% · Performance 19.64% · Measure score 3.87 · Achievement 3.87 · Improvement 0
Healthcare-associated infections
0
Baseline 5.13% · Performance 8.41% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.97
Baseline 34.00% · Performance 31.11% · Measure score 7.97 · Achievement 7.97 · Improvement 2.66
Adjusted total nurse staffing
1.73
Baseline 3.01 hours · Performance 3.57 hours · Measure score 1.73 · Achievement 1.73 · Improvement 1.52
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.03% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 7.69% · Lower 95% interval 6.73% |
| Discharge to community | 57.99% |
50.57%
7.4 pts better
|
No Different than the National Rate · Eligible stays 69 · Observed rate 53.62% · Lower 95% interval 48.52% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 92.31% |
95.27%
3 pts worse
|
Numerator 48 · Denominator 52 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 52 |
| Discharge self-care score | 43.24% |
53.69%
10.4 pts worse
|
Numerator 16 · Denominator 37 |
| Discharge mobility score | 43.24% |
50.94%
7.7 pts worse
|
Numerator 16 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 1.92% |
2.29%
0.4 pts better
|
Numerator 1 · Denominator 52 · Adjusted rate 1.97% |
| Healthcare-associated infections requiring hospitalization | 8.41% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 49 · Observed rate 12.24% · Lower 95% interval 4.41% |
| Staff COVID-19 vaccination coverage | 8.33% |
8.2%
0.1 pts better
|
Numerator 6 · Denominator 72 |
| Staff flu vaccination coverage | 80.56% |
42%
38.6 pts better
|
Numerator 58 · Denominator 72 |
| Discharge function score | 45.95% |
56.45%
10.5 pts worse
|
Numerator 17 · Denominator 37 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 80.77% |
96.28%
15.5 pts worse
|
Numerator 21 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 24% |
25.2%
1.2 pts worse
|
Numerator 6 · Denominator 25 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.4
About the same
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
96.0%
0.6 pts worse
|
93.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 93.0% · Q3 95.7% · Q4 97.7% · 4Q avg 95.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.6% |
93.8%
0.2 pts worse
|
95.5%
1.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
2.6%
1.5 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.2% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
16.3%
13.8 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 7.5% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
5.8%
0.4 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.9% · Q3 7.9% · Q4 5.3% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% |
12.1%
1.1 pts better
|
19.6%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.8% · Q3 7.3% · Q4 14.6% · 4Q avg 11.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.9% |
15.9%
4 pts worse
|
16.7%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 16.7% · Q3 25.7% · Q4 22.2% · 4Q avg 19.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.1%
0.5 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 33.3% |
20.0%
13.3 pts worse
|
16.3%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.5% |
15.8%
11.7 pts worse
|
14.9%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 38.2% · Q3 21.6% · Q4 17.1% · 4Q avg 27.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.0% |
1.2%
4.8 pts worse
|
1.0%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 4.4% · Q3 5.1% · Q4 6.1% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
1.7%
0.7 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 4.7% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.3% |
23.5%
1.8 pts worse
|
19.8%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 30.9% · Q3 18.3% · Q4 25.9% · 4Q avg 25.3% |
| Percentage of long-stay residents with pressure ulcers | 11.1% |
4.7%
6.4 pts worse
|
5.1%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.5% · Q3 11.8% · Q4 15.4% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.0% |
87.7%
18.7 pts worse
|
81.7%
12.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 63.6% · Q3 69.7% · Q4 84.2% · 4Q avg 69.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
13.2%
0.9 pts better
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 12.1% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.4% |
1.4%
5 pts worse
|
1.6%
4.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 14.3% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.2% |
82.0%
0.8 pts worse
|
79.7%
1.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
19.9%
2.5 pts worse
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 22.4% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
15 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2026-01-06
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2026-01-06
Fire Safety
Conduct testing and exercise requirements.
Corrected 2026-01-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-01-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-06
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2026-01-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-06
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-01-06
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-01-06
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-01-06
Fire Safety
Meet other general requirements.
Corrected 2025-01-06
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-06
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 2025-01-06
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 2025-01-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-21
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-01-06
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-06
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-11-29
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-11-29
Fire Safety
Meet other general requirements.
Corrected 2023-11-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-29
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-11-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-05
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-11-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-05
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-11-29
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-11-29
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-15
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 2026-01-15
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-15
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-01-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-15
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-01-15
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2026-01-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-17
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 2025-01-17
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-01-17
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 2025-01-17
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-01-17
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-01-17
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-01-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-17
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-01-17
Health
Assess the resident when there is a significant change in condition
Corrected 2025-01-17
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-01-17
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 2025-01-17
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-01-17
Health
Provide activities to meet all resident's needs.
Corrected 2025-01-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-17
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 2025-01-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-25
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-10-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-08
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 2023-12-08
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-12-08
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-12-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-08
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 2023-12-08
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-12-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-08
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 2023-12-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-08
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 2023-12-08
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-11-10
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-10
Penalties and ownership
Fine · fine $116,471
Fine
Payment Denial · denial start 2025-03-09 · 12 days
12 day denial
Fine · fine $57,461
Fine
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Nearby options
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1-star overall rating with 1-star inspections with $132,702 in total fines with 16 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Yakima, WA
4-star overall rating with 3-star inspections with $223,288 in total fines with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Yakima, WA
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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