Port Orchard, WA

Life Care Center Of Port Orchard

5-star overall rating with 5-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2031 Pottery Avenue, Port Orchard, WA

(360) 876-8035

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

125

Certified beds

Average residents

82

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1979-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.88

Registered nurse staffing

LPN hours / resident day

0.79

Licensed practical nurse staffing

Aide hours / resident day

1.89

Nurse aide staffing

Weekend hours

2.99

Weekend nurse staffing

RN turnover

38%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.4
0.2 pts worse
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.5
0.8 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
96.0%
1.3 pts better
93.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.1%
93.8%
1.3 pts better
95.5%
0.4 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.4%
2.6%
2.2 pts better
3.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 12.9%
16.3%
3.4 pts better
11.4%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.0%
5.8%
1.2 pts worse
5.4%
1.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.6%
12.1%
3.5 pts worse
19.6%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 12.4%
15.9%
3.5 pts better
16.7%
4.3 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 16.1%
20.0%
3.9 pts better
16.3%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 6.0%
15.8%
9.8 pts better
14.9%
8.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.2%
1.2 pts better
1.0%
1 pts better
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 24.2%
23.5%
0.7 pts worse
19.8%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.5%
4.7%
0.8 pts worse
5.1%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.0%
87.7%
2.3 pts better
81.7%
8.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.6%
13.2%
2.6 pts better
12.0%
1.4 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.4%
1.4%
About the same
1.6%
0.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.2%
82.0%
6.2 pts better
79.7%
8.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.2%
19.9%
1.7 pts better
23.9%
5.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-28 · Fire 2025-02-28

9 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-12-11 · Fire 2023-12-11

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2023-02-10 · Fire 2023-02-10

20 health deficiencies

Top issue: Resident Rights (8 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-28

K930 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper storage of liquid oxygen.

Corrected 2025-03-12

D · Potential for more than minimal harm 2025-02-28

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-12

F · Potential for more than minimal harm 2023-12-11

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-11

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-11

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-11

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-11

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-02-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-03-08

F · Potential for more than minimal harm 2023-02-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-10

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-08

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-26

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-02-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-02-28

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-02-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-02-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-02-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-02-28

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-02-28

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-02-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-03

D · Potential for more than minimal harm 2024-06-18

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-07-16

D · Potential for more than minimal harm 2024-04-23

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 2024-05-15

E · Potential for more than minimal harm 2023-12-11

F758 · Pharmacy Service Deficiencies

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 2024-01-16

D · Potential for more than minimal harm 2023-12-11

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-01-16

D · Potential for more than minimal harm 2023-12-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-12-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-12-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-12-11

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-12-11

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-01-16

E · Potential for more than minimal harm 2023-02-10

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-03-17

E · Potential for more than minimal harm 2023-02-10

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-03-17

E · Potential for more than minimal harm 2023-02-10

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 2023-03-17

E · Potential for more than minimal harm 2023-02-10

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 2023-03-17

E · Potential for more than minimal harm 2023-02-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

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 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F552 · Resident Rights Deficiencies

Health

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

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F560 · Resident Rights Deficiencies

Health

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F625 · Resident Rights Deficiencies

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 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F688 · Quality of Life and Care Deficiencies

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 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F726 · Nursing and Physician Services Deficiencies

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 2023-03-17

D · Potential for more than minimal harm 2023-02-10

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-03-17

Penalties and ownership

What sits behind the stars

Ownership

Preston, Forrest

5% Or Greater Direct Ownership Interest · Individual

74% 188 facilities 2008-09-19
Fletcher, Todd

5% Or Greater Direct Ownership Interest · Individual

25% 141 facilities 2008-09-19
Butner, Nancy

Operational/Managerial Control · Individual

0% 29 facilities 2018-09-16
Cross, Cindy

Corporate Officer · Individual

0% 181 facilities 2008-10-30
Developers Investment Company Inc

Operational/Managerial Control · Organization

0% 60 facilities 2008-09-19
Fletcher, Todd

Operational/Managerial Control · Individual

0% 141 facilities 2008-09-19
Goodin, Sarah

Operational/Managerial Control · Individual

0% 1 facilities 2020-09-08
Henry, Terry

Corporate Officer · Individual

0% 140 facilities 2008-10-30
Lay, Lisa

Corporate Director · Individual

0% 141 facilities 2017-04-24
Lay, Lisa

Corporate Officer · Individual

0% 141 facilities 2018-02-09
Life Care Centers Of America, Inc.

Operational/Managerial Control · Organization

0% 194 facilities 2008-10-30
Miller, Jacob

Operational/Managerial Control · Individual

0% 1 facilities 2021-05-03
Preston, Aubrey

Operational/Managerial Control · Individual

0% 135 facilities 2024-11-27
Preston, Forrest

Operational/Managerial Control · Individual

0% 188 facilities 2008-09-18
Sekeramayi, Floyd

Operational/Managerial Control · Individual

0% 4 facilities 2023-10-02
Swanker, Richard

Corporate Director · Individual

0% 143 facilities 2022-01-01
Swanker, Richard

Corporate Officer · Individual

0% 143 facilities 2011-04-01
Thurmond, Joan

Corporate Officer · Individual

0% 191 facilities 2008-10-30
Ziegler, James

Corporate Director · Individual

0% 140 facilities 2008-10-30
Ziegler, James

Corporate Officer · Individual

0% 140 facilities 2008-10-30

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Overall
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Health
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Staffing
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Fines
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