21 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Seattle, WA
2-star overall rating with 1-star inspections with $8,278 in total fines with 21 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
4416 South Brandon Street, Seattle, WA
(206) 721-3630
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
91
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
Staffing
RN hours / resident day
1.18
Registered nurse staffing
LPN hours / resident day
0.61
Licensed practical nurse staffing
Aide hours / resident day
2.53
Nurse aide staffing
Weekend hours
3.75
Weekend nurse staffing
RN turnover
43%
Annual RN turnover
Total nurse turnover
43%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% |
96.0%
5.5 pts worse
|
93.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
93.8%
5.2 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
2.6%
0.6 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
16.3%
16 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 11.6% |
5.8%
5.8 pts worse
|
5.4%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.3% |
12.1%
9.8 pts better
|
19.6%
17.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.9% |
15.9%
3 pts better
|
16.7%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.4% |
20.0%
4.6 pts better
|
16.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
15.8%
2.5 pts worse
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
1.7%
1.5 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
23.5%
1 pts better
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
4.7%
3.2 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.1% |
87.7%
8.6 pts worse
|
81.7%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.4%
1.4 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| 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 |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
38 fire-safety deficiencies
Top issue: Emergency Preparedness (18 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-04-30
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-04-30
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-04-30
Fire Safety
Establish methods for sharing information.
Corrected 2025-03-28
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-03-28
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2025-03-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-28
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-03-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-09
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-02-29
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-02-29
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-01-29
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-01-29
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-01-29
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-01-29
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-01-29
Fire Safety
Develop a communication plan.
Corrected 2024-02-29
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-01-29
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-01-29
Fire Safety
Establish methods for sharing information.
Corrected 2024-01-29
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-01-29
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-01-29
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-02-29
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-02-29
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-01-29
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-01-29
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-02-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-29
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-01-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-29
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-01-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-29
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-02-29
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-01-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-29
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-01-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-01-29
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-03-26
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-02-29
Fire Safety
Meet other general requirements.
Corrected 2024-01-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-02-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-29
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-30
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-30
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-04-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-07
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-04-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-07
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 2025-04-07
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 2025-04-07
Health
Post nurse staffing information every day.
Corrected 2025-04-07
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-07
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 2025-04-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-07
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-07
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 2025-04-07
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-07
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-04-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-07
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 2025-04-07
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-28
Health
Respond appropriately to all alleged violations.
Corrected 2024-09-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-05
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 2024-02-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-05
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-02-05
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 2024-02-05
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-05
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-02-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-05
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 2024-02-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-05
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 2024-02-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-05
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-02-05
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 2024-02-05
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-02-05
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 2022-11-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-11-11
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-10-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-11
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-11-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-11-11
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2022-10-03
Penalties and ownership
Fine · fine $8,278
Fine
Payment Denial · denial start 2024-02-17 · 38 days
38 day denial
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
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