12 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Stanwood, WA
5-star overall rating with 4-star inspections with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
9901 272nd Place Northwest, Stanwood, WA
(360) 629-2126
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
116
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-01-01
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
0.81
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.82
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.45
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.62
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.42
CMS adjusted total nurse staffing hours
Case-mix index
1.78
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
2,568
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.02
Composite VBP score used to determine payment impact.
Payment multiplier
1.0029
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.17
Baseline 19.95% · Performance 19.96% · Measure score 3.17 · Achievement 3.17 · Improvement 0
Healthcare-associated infections
6.87
Baseline 7.00% · Performance 5.78% · Measure score 6.87 · Achievement 6.87 · Improvement 5.58
Total nurse turnover
8.65
Baseline 41.22% · Performance 28.32% · Measure score 8.65 · Achievement 8.65 · Improvement 7.38
Adjusted total nurse staffing
0.92
Baseline 3.13 hours · Performance 3.34 hours · Measure score 0.92 · Achievement 0.92 · Improvement 0.30
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.21% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 158 · Observed rate 8.23% · Lower 95% interval 6.85% |
| Discharge to community | 56.61% |
50.57%
6 pts better
|
No Different than the National Rate · Eligible stays 157 · Observed rate 52.87% · Lower 95% interval 49.33% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.26% |
95.27%
4 pts better
|
Numerator 135 · Denominator 136 |
| Falls with major injury | 0.74% |
0.77%
About the same
|
Numerator 1 · Denominator 136 |
| Discharge self-care score | 47.06% |
53.69%
6.6 pts worse
|
Numerator 48 · Denominator 102 |
| Discharge mobility score | 57.84% |
50.94%
6.9 pts better
|
Numerator 59 · Denominator 102 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 136 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.78% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 106 · Observed rate 2.83% · Lower 95% interval 3.43% |
| Staff COVID-19 vaccination coverage | 2.44% |
8.2%
5.8 pts worse
|
Numerator 5 · Denominator 205 |
| Staff flu vaccination coverage | 33.33% |
42%
8.7 pts worse
|
Numerator 73 · Denominator 219 |
| Discharge function score | 56.86% |
56.45%
0.4 pts better
|
Numerator 58 · Denominator 102 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 82 · Denominator 82 |
| Resident COVID-19 vaccinations up to date | 14.63% |
25.2%
10.6 pts worse
|
Numerator 12 · Denominator 82 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.4
0.2 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
96.0%
3.5 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.8% · Q4 99.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
93.8%
1.2 pts better
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
2.6%
1.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.1% · Q3 1.2% · Q4 2.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 93.9% |
16.3%
77.6 pts worse
|
11.4%
82.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.0% · Q2 97.7% · Q3 98.8% · Q4 95.8% · 4Q avg 93.9% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
5.8%
0.5 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 2.3% · Q3 2.3% · Q4 5.3% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.7% |
12.1%
0.6 pts worse
|
19.6%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 11.2% · Q3 14.0% · Q4 11.5% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.7% |
15.9%
8.8 pts worse
|
16.7%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 24.0% · Q3 27.5% · Q4 25.3% · 4Q avg 24.7% · 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 | 20.2% |
20.0%
0.2 pts worse
|
16.3%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 13.6% · Q3 17.4% · Q4 28.3% · 4Q avg 20.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.5% |
15.8%
3.3 pts better
|
14.9%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 15.8% · Q3 12.7% · Q4 11.6% · 4Q avg 12.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.2%
0.2 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 1.1% · Q4 0.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.7%
1.4 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · 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 16.4% · Q2 27.8% · Q3 14.1% · Q4 23.5% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 1.2% |
4.7%
3.5 pts better
|
5.1%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.9% · Q3 1.0% · Q4 0.7% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
87.7%
10.7 pts better
|
81.7%
16.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 97.8% · Q4 97.0% · 4Q avg 98.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
13.2%
3.6 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 8.7% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.4%
1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.2% |
82.0%
5.8 pts worse
|
79.7%
3.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.2% |
19.9%
2.3 pts worse
|
23.9%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.2% · Observed 19.8% · Expected 21.3% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2025-10-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-01
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-08-02
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-08-02
Fire Safety
Establish methods for sharing information.
Corrected 2024-08-02
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-08-02
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-08-02
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-08-02
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-07-17
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-08-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-17
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-07-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-09
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-02
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-08-12
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-02
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-05-15
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-05-15
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-05-15
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-05-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-15
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-15
Inspection history
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-03-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-02
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 2025-10-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-27
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-10-27
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 2025-10-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-27
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-10-27
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-10-27
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-10-27
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-10-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-08-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-20
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 2024-08-20
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 2024-08-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-05
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 2023-06-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-05
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-06-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-05
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 2023-06-05
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-05
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-06-05
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 2023-06-05
Health
Provide or obtain dental services for each resident.
Corrected 2023-06-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-05
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-05
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
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