16 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
19 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Federal Way, WA
5-star overall rating with 3-star inspections with 16 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
491 South 338th Street, Federal Way, WA
(253) 661-2226
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
61
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
2003-06-12
CMS approved date
Coverage
Medicare
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
RN hours / resident day
1.51
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.99
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
5.41
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
2.43
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.61
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
1.10
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.20
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.36
CMS adjusted RN staffing hours
Adjusted total hours
4.88
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
1,162
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.31
Composite VBP score used to determine payment impact.
Payment multiplier
1.0145
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.19
Baseline 17.36% · Performance 17.64% · Measure score 8.19 · Achievement 8.19 · Improvement 0
Healthcare-associated infections
5.51
Baseline 6.08% · Performance 6.19% · Measure score 5.51 · Achievement 5.51 · Improvement 0
Total nurse turnover
5.09
Baseline 50.91% · Performance 42.86% · Measure score 5.09 · Achievement 5.09 · Improvement 2.59
Adjusted total nurse staffing
4.92
Baseline 4.40 hours · Performance 4.48 hours · Measure score 4.92 · Achievement 4.92 · Improvement 0.05
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.95% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 532 · Observed rate 9.4% · Lower 95% interval 7.83% |
| Discharge to community | 70.52% |
50.57%
19.9 pts better
|
Better than the National Rate · Eligible stays 564 · Observed rate 64.54% · Lower 95% interval 67.01% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.1% |
95.27%
3.8 pts better
|
Numerator 331 · Denominator 334 |
| Falls with major injury | 0.3% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 334 |
| Discharge self-care score | 60.87% |
53.69%
7.2 pts better
|
Numerator 168 · Denominator 276 |
| Discharge mobility score | 59.42% |
50.94%
8.5 pts better
|
Numerator 164 · Denominator 276 |
| Pressure ulcers or injuries, new or worsened | 0.9% |
2.29%
1.4 pts better
|
Numerator 3 · Denominator 334 · Adjusted rate 0.75% |
| Healthcare-associated infections requiring hospitalization | 6.19% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 349 · Observed rate 5.73% · Lower 95% interval 4.19% |
| Staff COVID-19 vaccination coverage | 0.8% |
8.2%
7.4 pts worse
|
Numerator 1 · Denominator 125 |
| Staff flu vaccination coverage | 35.4% |
42%
6.6 pts worse
|
Numerator 57 · Denominator 161 |
| Discharge function score | 71.38% |
56.45%
14.9 pts better
|
Numerator 197 · Denominator 276 |
| Transfer of health information to provider | 93.94% |
95.95%
2 pts worse
|
Numerator 62 · Denominator 66 |
| Transfer of health information to patient | 96.89% |
96.28%
0.6 pts better
|
Numerator 249 · Denominator 257 |
| Resident COVID-19 vaccinations up to date | 50.56% |
25.2%
25.4 pts better
|
Numerator 90 · Denominator 178 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
87.7%
10.6 pts better
|
81.7%
16.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 97.7% · Q3 98.6% · Q4 98.4% · 4Q avg 98.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
13.2%
0.6 pts better
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 11.5% · Expected 10.1% · 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 0.6% · Q2 1.0% · Q3 0.7% · 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 | 89.1% |
82.0%
7.1 pts better
|
79.7%
9.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
19.9%
0.8 pts worse
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 19.6% · Expected 22.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
19 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-07-14
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-07-14
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-07-14
Fire Safety
Develop a communication plan.
Corrected 2025-07-14
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-07-14
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-07-14
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2025-07-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-07-14
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2025-07-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-05
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-07-14
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-14
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 2025-07-14
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-07-14
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-07-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-14
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-14
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-05-14
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-04-18
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-04-06
Fire Safety
Establish methods for sharing information.
Corrected 2023-04-06
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-04-18
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-04-18
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-04-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-18
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-18
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-04-18
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-04-18
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-04-18
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-18
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-04-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-18
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-04
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-04
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-08-04
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 2025-08-04
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 2025-08-04
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-04
Health
Provide activities to meet all resident's needs.
Corrected 2025-08-04
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-04
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-08-04
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 2025-08-04
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-08-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-26
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-23
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 2024-05-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-23
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-23
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-23
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-23
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-23
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 2024-05-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-23
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-05-23
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 2024-05-23
Health
Dispose of garbage and refuse properly.
Corrected 2024-05-23
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-05-23
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-23
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-25
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 2023-04-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-25
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 2023-04-25
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-25
Penalties and ownership
Payment Denial · denial start 2025-09-16 · 35 days
35 day denial
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Federal Way, WA
4-star overall rating with 3-star inspections with 12 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Federal Way, WA
3-star overall rating with 3-star inspections with $32,175 in total fines with 19 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
Federal Way, WA
2-star overall rating with 2-star inspections with $98,970 in total fines with 29 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Jump out