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
Staffing
RN hours / resident day
1.21
Registered nurse staffing
LPN hours / resident day
0.53
Licensed practical nurse staffing
Aide hours / resident day
2.34
Nurse aide staffing
Weekend hours
3.34
Weekend nurse staffing
RN turnover
47%
Annual RN turnover
Total nurse turnover
48%
Annual nurse turnover
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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 | 16.3% |
20.0%
3.7 pts better
|
16.3%
About the same
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| 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 | 1.9% |
1.7%
0.2 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
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
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Everett, WA
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