20 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Des Moines, WA
4-star overall rating with 3-star inspections with 20 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
23620 Marine View Drive South, Des Moines, WA
(206) 824-4000
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
74
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Humangood
Operator or chain grouping
Approved since
1992-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 4 health / 5 staffing / 4 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
1.25
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
2.71
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.75
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
2.04
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.16
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.95
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.09
CMS adjusted RN staffing hours
Adjusted total hours
4.14
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
770
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.02
Composite VBP score used to determine payment impact.
Payment multiplier
1.0186
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 17.11% · Performance 16.26% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
4.69
Baseline 6.19% · Performance 6.43% · Measure score 4.69 · Achievement 4.69 · Improvement 0
Total nurse turnover
7.04
Baseline 44.55% · Performance 34.91% · Measure score 7.04 · Achievement 7.04 · Improvement 4.40
Adjusted total nurse staffing
3.87
Baseline 4.32 hours · Performance 4.18 hours · Measure score 3.87 · Achievement 3.87 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.42% |
10.72%
2.3 pts better
|
No Different than the National Rate · Eligible stays 333 · Observed rate 6.31% · Lower 95% interval 6.5% |
| Discharge to community | 60.61% |
50.57%
10 pts better
|
Better than the National Rate · Eligible stays 363 · Observed rate 53.99% · Lower 95% interval 53.21% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.98% |
95.27%
3.7 pts better
|
Numerator 195 · Denominator 197 |
| Falls with major injury | 0.51% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 197 |
| Discharge self-care score | 51.88% |
53.69%
1.8 pts worse
|
Numerator 83 · Denominator 160 |
| Discharge mobility score | 65% |
50.94%
14.1 pts better
|
Numerator 104 · Denominator 160 |
| Pressure ulcers or injuries, new or worsened | 2.03% |
2.29%
0.3 pts better
|
Numerator 4 · Denominator 197 · Adjusted rate 1.88% |
| Healthcare-associated infections requiring hospitalization | 6.43% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 211 · Observed rate 5.69% · Lower 95% interval 3.87% |
| Staff COVID-19 vaccination coverage | 6.67% |
8.2%
1.5 pts worse
|
Numerator 11 · Denominator 165 |
| Staff flu vaccination coverage | 30.41% |
42%
11.6 pts worse
|
Numerator 59 · Denominator 194 |
| Discharge function score | 61.88% |
56.45%
5.4 pts better
|
Numerator 99 · Denominator 160 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 92 · Denominator 92 |
| Transfer of health information to patient | 96.39% |
96.28%
0.1 pts better
|
Numerator 80 · Denominator 83 |
| Resident COVID-19 vaccinations up to date | 46.49% |
25.2%
21.3 pts better
|
Numerator 53 · Denominator 114 |
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 1.5 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.5
1.1 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.0%
4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.1% |
93.8%
2.7 pts worse
|
95.5%
4.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% |
2.6%
2.9 pts worse
|
3.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.9% · Q3 7.9% · Q4 7.0% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 39.9% |
16.3%
23.6 pts worse
|
11.4%
28.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 57.5% · Q2 60.0% · Q3 32.4% · Q4 9.8% · 4Q avg 39.9% |
| Percentage of long-stay residents who lose too much weight | 9.7% |
5.8%
3.9 pts worse
|
5.4%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 16.2% · Q3 8.6% · Q4 9.5% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.2% |
12.1%
1.9 pts better
|
19.6%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 10.5% · Q3 11.1% · Q4 11.9% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.7% |
15.9%
4.2 pts better
|
16.7%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 7.1% · Q3 9.4% · Q4 16.7% · 4Q avg 11.7% · 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 | 24.0% |
20.0%
4 pts worse
|
16.3%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.6% |
15.8%
4.8 pts worse
|
14.9%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 17.6% · Q3 15.2% · Q4 27.0% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.2%
0.7 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.7%
1.1 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
23.5%
1.6 pts better
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 12.7% · Q3 3.2% · Q4 43.6% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
4.7%
1.7 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.2% · Q3 4.3% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
87.7%
10 pts better
|
81.7%
16 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 97.3% · Q3 98.8% · Q4 96.3% · 4Q avg 97.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.4% |
13.2%
6.8 pts better
|
12.0%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 6.3% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.4%
1.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.9% |
82.0%
5.1 pts worse
|
79.7%
2.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.1% |
19.9%
6.8 pts better
|
23.9%
10.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 12.6% · Expected 22.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-10-01
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-10-01
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-10-01
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2025-10-01
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-01
Fire Safety
Install proper backup exit lighting.
Corrected 2025-10-01
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 2025-10-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-01
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-10-01
Fire Safety
Meet other general requirements.
Corrected 2025-10-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-10-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-01
Fire Safety
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.
Corrected 2025-10-01
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-06-04
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-06-04
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-06-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-04
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-06-04
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-06-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-06
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-02-06
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-02-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-06
Fire Safety
Meet other general requirements.
Corrected 2023-02-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-06
Inspection history
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 2025-10-21
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-21
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-10-21
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 2025-10-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-21
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 2025-10-21
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-10-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-21
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-10-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-21
Health
Provide activities to meet all resident's needs.
Corrected 2025-10-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-21
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-10-21
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-10-21
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 2025-10-21
Health
Provide or obtain dental services for each resident.
Corrected 2025-10-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-21
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-21
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-21
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2024-06-17
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-06-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-06-17
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 2024-06-17
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 2024-06-17
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-06-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-17
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-17
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-17
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-06-17
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-17
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 2024-06-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-25
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-25
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-02-25
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 2023-02-25
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-02-25
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 2023-02-25
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-02-25
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-02-25
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-02-25
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-02-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-02-25
Health
Assess the resident when there is a significant change in condition
Corrected 2023-02-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-02-25
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 2023-02-25
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-02-25
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-25
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-02-25
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
Des Moines, WA
2-star overall rating with 2-star inspections with 25 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Des Moines, WA
3-star overall rating with 2-star inspections with $33,540 in total fines with 21 recent health deficiencies with 3 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
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