Medical Lake, WA

Lakeland Village Nursing Facility

4-star overall rating with 2-star inspections with abuse icon flag with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

State Highway 902 & Salnave Road, Medical Lake, WA

(509) 299-1800

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-05-23

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.55

Registered nurse staffing · state 0.88 · national 0.68

LPN hours / resident day

0.44

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

7.41

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

9.40

All reported nurse hours · state 4.39 · national 3.89

Licensed hours

1.99

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

8.55

Weekend nurse staffing · state 3.79 · national 3.43

Weekend RN hours

1.12

Weekend registered nurse coverage · state 0.63 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.49

CMS adjusted RN staffing hours

Adjusted total hours

9.07

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 47% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.4 0.5 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 0.9 · Expected 0.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.5 0.6 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.3 · 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	100.0%	93.8% 6.2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.3%	2.6% 2.3 pts better	3.3% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	16.3% 16.3 pts better	11.4% 11.4 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 who lose too much weight	0.7%	5.8% 5.1 pts better	5.4% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.3% · 4Q avg 0.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.9%	12.1% 8.8 pts worse	19.6% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 19.2% · Q3 21.6% · Q4 22.7% · 4Q avg 20.9%
Percentage of long-stay residents who received an antipsychotic medication	21.7%	15.9% 5.8 pts worse	16.7% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 19.7% · Q3 23.2% · Q4 23.6% · 4Q avg 21.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	10.1%	0.1% 10 pts worse	0.1% 10 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 11.0% · Q3 10.8% · Q4 10.7% · 4Q avg 10.1%
Percentage of long-stay residents whose ability to walk independently worsened	4.6%	20.0% 15.4 pts better	16.3% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.8%	15.8% 10 pts better	14.9% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 7.0% · Q3 2.3% · Q4 2.3% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.0%	1.2% 0.8 pts worse	1.0% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 2.6% · Q4 2.5% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	13.9%	1.7% 12.2 pts worse	1.7% 12.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 13.7% · Q3 10.8% · Q4 16.0% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	7.9%	23.5% 15.6 pts better	19.8% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 4.9% · Q3 9.2% · Q4 7.9% · 4Q avg 7.9%
Percentage of long-stay residents with pressure ulcers	0.5%	4.7% 4.2 pts better	5.1% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	55.0%	87.7% 32.7 pts worse	81.7% 26.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 55.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-10-27 · Fire 2025-10-27

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-09-27 · Fire 2024-09-27

12 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-10-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-11-03

F · Potential for more than minimal harm 2025-10-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-11-28

F · Potential for more than minimal harm 2025-10-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-11-28

F · Potential for more than minimal harm 2025-10-27

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2025-11-28

D · Potential for more than minimal harm 2025-10-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-11-03

D · Potential for more than minimal harm 2025-10-27

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-11-06

D · Potential for more than minimal harm 2025-10-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-11-28

F · Potential for more than minimal harm 2024-09-27

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-09-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-09-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-09-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-09-27

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-25

F · Potential for more than minimal harm 2023-03-16

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-04-10

E · Potential for more than minimal harm 2023-03-16

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2023-04-10

E · Potential for more than minimal harm 2023-03-16

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-04-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-10-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-10-27

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-10-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-10-27

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-07-07

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-07-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-03-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-01-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-14

K · Immediate jeopardy 2024-09-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-09-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-09-27

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-27

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-10-10

D · Potential for more than minimal harm 2024-09-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-10-10

D · Potential for more than minimal harm 2024-06-20

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-22

D · Potential for more than minimal harm 2024-06-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-22

D · Potential for more than minimal harm 2024-06-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-07-22

D · Potential for more than minimal harm 2024-02-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-15

D · Potential for more than minimal harm 2023-04-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-03-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-16

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-16