17 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Marysville, WA
3-star overall rating with 2-star inspections with $132,789 in total fines with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1821 Grove Street, Marysville, WA
(360) 659-3926
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
97
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1991-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
1.21
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.53
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.08
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.74
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.77
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.04
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
1,707
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.63
Composite VBP score used to determine payment impact.
Payment multiplier
1.0095
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.95
Baseline 19.00% · Performance 17.29% · Measure score 8.95 · Achievement 8.95 · Improvement 8.20
Healthcare-associated infections
4.13
Baseline 6.36% · Performance 6.60% · Measure score 4.13 · Achievement 4.13 · Improvement 0
Total nurse turnover
5.86
Baseline 59.42% · Performance 39.73% · Measure score 5.86 · Achievement 5.86 · Improvement 5.20
Adjusted total nurse staffing
2.92
Baseline 3.91 hours · Performance 3.91 hours · Measure score 2.92 · Achievement 2.92 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.89% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 230 · Observed rate 9.13% · Lower 95% interval 7.21% |
| Discharge to community | 59.08% |
50.57%
8.5 pts better
|
Better than the National Rate · Eligible stays 244 · Observed rate 53.69% · Lower 95% interval 52.74% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 133 · Denominator 133 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 133 |
| Discharge self-care score | 57.29% |
53.69%
3.6 pts better
|
Numerator 55 · Denominator 96 |
| Discharge mobility score | 61.46% |
50.94%
10.5 pts better
|
Numerator 59 · Denominator 96 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 133 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.6% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 142 · Observed rate 5.63% · Lower 95% interval 4.05% |
| Staff COVID-19 vaccination coverage | 12.61% |
8.2%
4.4 pts better
|
Numerator 15 · Denominator 119 |
| Staff flu vaccination coverage | 39.31% |
42%
2.7 pts worse
|
Numerator 57 · Denominator 145 |
| Discharge function score | 64.58% |
56.45%
8.1 pts better
|
Numerator 62 · Denominator 96 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 38 · Denominator 38 |
| Transfer of health information to patient | 98.53% |
96.28%
2.2 pts better
|
Numerator 67 · Denominator 68 |
| Resident COVID-19 vaccinations up to date | 16.9% |
25.2%
8.3 pts worse
|
Numerator 12 · Denominator 71 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
96.0%
1.2 pts better
|
93.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 92.0% · Q3 98.2% · Q4 98.4% · 4Q avg 97.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.0% |
93.8%
0.8 pts worse
|
95.5%
2.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
2.6%
1.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 42.3% |
16.3%
26 pts worse
|
11.4%
30.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 51.2% · Q2 57.8% · Q3 34.0% · Q4 30.4% · 4Q avg 42.3% |
| Percentage of long-stay residents who lose too much weight | 0.5% |
5.8%
5.3 pts better
|
5.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.5% |
12.1%
2.6 pts better
|
19.6%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.4% · Q3 7.5% · Q4 9.1% · 4Q avg 9.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.0% |
15.9%
11.9 pts better
|
16.7%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 6.1% · Q4 4.2% · 4Q avg 4.0% · 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 | 16.3% |
20.0%
3.7 pts better
|
16.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q2 19.6% · Q3 17.2% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.2% |
15.8%
7.6 pts better
|
14.9%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.4% · Q3 7.7% · Q4 13.5% · 4Q avg 8.2% · 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 | 1.9% |
1.7%
0.2 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.0% · Q3 1.9% · Q4 1.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.8% |
23.5%
11.3 pts worse
|
19.8%
15 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 36.0% · Q3 27.5% · Q4 49.2% · 4Q avg 34.8% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
4.7%
1.2 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.9% · Q3 4.8% · Q4 3.6% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.6% |
87.7%
2.9 pts better
|
81.7%
8.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.6% · Q2 87.8% · Q3 90.7% · Q4 92.8% · 4Q avg 90.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.7% |
13.2%
7.5 pts better
|
12.0%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.7% · Observed 5.6% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.4%
0.7 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.8% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.8% |
82.0%
0.2 pts worse
|
79.7%
2.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
19.9%
1.3 pts worse
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 22.2% · Expected 24.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Fire safety
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-10-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-17
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-10-27
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-11-25
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-11-25
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-27
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-10-18
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-10-18
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-10-18
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-10-18
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-10-18
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-10-18
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-10-10
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-10-10
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-10
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-10-18
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-10-10
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-10-18
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-10-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-10-18
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-29
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-11-29
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 2025-11-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-29
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-11-29
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2025-11-29
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 2025-11-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-11-29
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-11-29
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-11-29
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 2025-11-29
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-15
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-07-17
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-17
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-17
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-07
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-31
Health
Have a Compliance and Ethics Program.
Corrected 2024-10-31
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 2024-10-31
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-31
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-10-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-31
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 2024-10-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-31
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-10-31
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-10-31
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 2024-10-31
Health
Provide or obtain dental services for each resident.
Corrected 2024-10-31
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-05-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-07
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 2024-02-21
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-02-21
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-10-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-04
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 2023-10-04
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 2023-10-04
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 2023-10-04
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-31
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-31
Health
Respond appropriately to all alleged violations.
Corrected 2023-05-31
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-05-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-31
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-31
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-19
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-05-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-26
Penalties and ownership
Fine · fine $82,576
Fine
Fine · fine $50,213
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
Marysville, WA
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Everett, WA
4-star overall rating with 3-star inspections with $42,477 in total fines with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Everett, WA
5-star overall rating with 5-star inspections with $21,863 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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