Federal inspection record · CMS data as of October 1, 2026
North Auburn Care
2830 I Street Northeast, Auburn, WA · (253) 561-8100
- Certified beds
- 125
- Residents per day
- 74
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1983
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
North Auburn Care carries 224 inspection points. That is fewer than 8% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
106 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
G
Provide appropriate foot care.
-
K
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
K
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.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care30E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate foot care.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
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.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide or obtain dental services for each resident.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide or obtain dental services for each resident.
Resident Assessment and Care Planning21E
- E
Ensure each resident receives an accurate assessment.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure each resident receives an accurate assessment.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Plan the resident's discharge to meet the resident's goals and needs.
- D
Assess the resident when there is a significant change in condition
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights21E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- E
Assure the security of all personal funds of residents deposited with the facility.
- E
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.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
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.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Assure the security of all personal funds of residents deposited with the facility.
Pharmacy Service8E
- E
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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Nursing and Physician Services5F
- F
Observe each nurse aide's job performance and give regular training.
- E
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.
- E
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nutrition and Dietary5F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Implement a program that monitors antibiotic use.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration3D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspection history
2025-04-21
36 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (14 deficiencies)
2024-03-22
28 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2022-12-12
42 health deficiencies · 26 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 1 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
4 h 1 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 60% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$12,035 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-14 | Fine | $12,035 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts worse | 89.7% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.3 pts better | 94.6% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.4% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.1 pts better | 3.8% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 5.4% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts better | 8.9% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.8 pts better | 10.2% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.1 pts better | 13.5% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts better | 6.5% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.3% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts worse | 25.1% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers6.9 pts worse | 11.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.4 pts worse | 65.3% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better | 9.7% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.3% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine29.5 pts worse | 54.9% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.5 pts worse | 23.2% | 19.7% | 23.4% |
·
Fire safety
56 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness21F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for medical documentation.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish policies and procedures including evacuation.
- F
Develop a communication plan.
- F
Provide a means of sharing information on occupancy/needs.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Develop a communication plan.
- F
Provide primary/alternate means for communication.
- F
Establish methods for sharing information.
- F
Provide family notifications of emergency plan.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
Smoke14F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Have an enclosure around a vertical opening shaft.
Gas, Vacuum, and Electrical Systems7F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous7F
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
- F
Provide a written emergency evacuation plan.
- D
Have restrictions on the use of flammable curtains.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress3F
- F
Install resident room doors of proper design and width.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Install proper backup exit lighting.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Construction1D
- D
Meet other general requirements.
·
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