16 health deficiencies
Top issue: Resident Rights (6 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Lynnwood, WA
4-star overall rating with 3-star inspections with 16 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
5821 188th Street Southwest, Lynnwood, WA
(425) 776-5512
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
67
Certified beds
Average residents
61
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1992-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
329 facilities
Chain averages 3 overall / 3 health / 3 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
0.81
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.90
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.46
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
0.11
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
3.97
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,517
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.20
Baseline 19.54% · Performance 19.95% · Measure score 3.20 · Achievement 3.20 · Improvement 0
Healthcare-associated infections
0
Baseline 7.48% · Performance 8.59% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.34
Baseline 58.49% · Performance 58.21% · Measure score 1.34 · Achievement 1.34 · Improvement 0
Adjusted total nurse staffing
3.49
Baseline 3.74 hours · Performance 4.07 hours · Measure score 3.49 · Achievement 3.49 · Improvement 1.10
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.38% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 138 · Observed rate 7.25% · Lower 95% interval 6.15% |
| Discharge to community | 53.16% |
50.57%
2.6 pts better
|
No Different than the National Rate · Eligible stays 156 · Observed rate 46.15% · Lower 95% interval 44.98% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.37% |
95.27%
2.1 pts better
|
Numerator 111 · Denominator 114 |
| Falls with major injury | 0.88% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 114 |
| Discharge self-care score | 65.67% |
53.69%
12 pts better
|
Numerator 44 · Denominator 67 |
| Discharge mobility score | 59.7% |
50.94%
8.8 pts better
|
Numerator 40 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 2.63% |
2.29%
0.3 pts worse
|
Numerator 3 · Denominator 114 · Adjusted rate 2.48% |
| Healthcare-associated infections requiring hospitalization | 8.59% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 11.49% · Lower 95% interval 5.13% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 102 |
| Staff flu vaccination coverage | 38.28% |
42%
3.7 pts worse
|
Numerator 49 · Denominator 128 |
| Discharge function score | 64.18% |
56.45%
7.7 pts better
|
Numerator 43 · Denominator 67 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 31 · Denominator 31 |
| Transfer of health information to patient | 98.28% |
96.28%
2 pts better
|
Numerator 57 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 35.48% |
25.2%
10.3 pts better
|
Numerator 22 · Denominator 62 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.4
0.5 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.4 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.5
0.1 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.0 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.8% |
96.0%
21.2 pts worse
|
93.4%
18.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 60.5% · Q2 62.9% · Q3 86.8% · Q4 88.9% · 4Q avg 74.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 75.0% |
93.8%
18.8 pts worse
|
95.5%
20.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 75.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.6%
2.6 pts better
|
3.3%
3.3 pts better
|
Long 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 long-stay residents who have depressive symptoms | 4.4% |
16.3%
11.9 pts better
|
11.4%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 2.8% · Q4 12.1% · 4Q avg 4.4% |
| Percentage of long-stay residents who lose too much weight | 11.3% |
5.8%
5.5 pts worse
|
5.4%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 11.4% · Q3 8.3% · Q4 11.4% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 1.4% |
12.1%
10.7 pts better
|
19.6%
18.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.1% |
15.9%
8.8 pts better
|
16.7%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 10.7% · Q3 6.9% · Q4 7.4% · 4Q avg 7.1% · 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 | 10.0% |
20.0%
10 pts better
|
16.3%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.2% |
15.8%
3.4 pts worse
|
14.9%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 13.8% · Q3 18.8% · Q4 28.1% · 4Q avg 19.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.7%
0.3 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.3% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.3% |
23.5%
3.2 pts better
|
19.8%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 24.4% · Q3 36.2% · Q4 9.0% · 4Q avg 20.3% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
4.7%
0.2 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.0% · Q3 5.1% · Q4 0.0% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.4% |
87.7%
0.3 pts worse
|
81.7%
5.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 82.4% · Q3 90.9% · Q4 94.8% · 4Q avg 87.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
13.2%
6.2 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 8.3% · Expected 13.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.4%
0.8 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.5% |
82.0%
7.5 pts better
|
79.7%
9.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.1% |
19.9%
3.8 pts better
|
23.9%
7.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 18.3% · Expected 27.1% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (6 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-07-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-31
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-08-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-20
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-05-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-10
Fire Safety
Meet other general requirements.
Corrected 2023-05-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-10
Inspection history
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-08-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-20
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 2025-08-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-20
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-08-20
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 2025-08-20
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-08-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-20
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-08-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-20
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-08-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-20
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-08-20
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-04-21
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-13
Health
Post nurse staffing information every day.
Corrected 2024-09-04
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-04
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 2024-09-04
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-04
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 2024-09-04
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 2024-09-04
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-09-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-04
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-09-04
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 2024-09-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-04
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-04
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-09-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-07
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-12-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-14
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-27
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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
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
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-06-05
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 2023-06-05
Health
Assess the resident when there is a significant change in condition
Corrected 2023-06-05
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-05
Health
Post nurse staffing information every day.
Corrected 2023-06-05
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-06-05
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-06-05
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Lynnwood, WA
2-star overall rating with 1-star inspections with abuse icon flag with $103,091 in total fines with 41 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Edmonds, WA
2-star overall rating with 2-star inspections with $26,520 in total fines with 36 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Edmonds, WA
3-star overall rating with 3-star inspections with $16,445 in total fines with 18 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Jump out