Cycle 1
Health 2025-03-28 · Fire 2025-03-28
4 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Walla Walla, WA
Park Manor Rehabilitation Ctr
5-star overall rating with 5-star inspections with $28,106 in total fines with 4 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1710 Plaza Way, Walla Walla, WA
(509) 529-4218
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
99
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1972-11-01
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
Hours and turnover
RN hours / resident day
1.13
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.54
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.61
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.28
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.55
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
0.20
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.09
CMS adjusted RN staffing hours
Adjusted total hours
4.13
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
435
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
69.99
Composite VBP score used to determine payment impact.
Payment multiplier
1.0224
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.36
Baseline 17.17% · Performance 17.09% · Measure score 9.36 · Achievement 9.36 · Improvement 4.93
Healthcare-associated infections
9.07
Baseline 5.97% · Performance 5.12% · Measure score 9.07 · Achievement 9.07 · Improvement 8.18
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.56
Baseline 3.67 hours · Performance 3.81 hours · Measure score 2.56 · Achievement 2.56 · Improvement 0.15
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.44% |
10.72%
3.3 pts better
|
Better than the National Rate · Eligible stays 281 · Observed rate 4.27% · Lower 95% interval 5.17% |
| Discharge to community | 60.42% |
50.57%
9.9 pts better
|
Better than the National Rate · Eligible stays 274 · Observed rate 55.84% · Lower 95% interval 52.78% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.18% |
95.27%
2.9 pts better
|
Numerator 162 · Denominator 165 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 165 |
| Discharge self-care score | 63.82% |
53.69%
10.1 pts better
|
Numerator 97 · Denominator 152 |
| Discharge mobility score | 67.11% |
50.94%
16.2 pts better
|
Numerator 102 · Denominator 152 |
| Pressure ulcers or injuries, new or worsened | 0.61% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 165 · Adjusted rate 0.67% |
| Healthcare-associated infections requiring hospitalization | 5.12% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 189 · Observed rate 2.65% · Lower 95% interval 2.84% |
| Staff COVID-19 vaccination coverage | 15.04% |
8.2%
6.8 pts better
|
Numerator 20 · Denominator 133 |
| Staff flu vaccination coverage | 43.24% |
42%
1.2 pts better
|
Numerator 64 · Denominator 148 |
| Discharge function score | 63.16% |
56.45%
6.7 pts better
|
Numerator 96 · Denominator 152 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 117 · Denominator 117 |
| Resident COVID-19 vaccinations up to date | 27.59% |
25.2%
2.4 pts better
|
Numerator 24 · Denominator 87 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.4 |
1.4
1 pts better
|
1.9
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.5 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.5
0.9 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.0%
4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.8%
6.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.9% |
2.6%
4.3 pts worse
|
3.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 8.3% · Q3 9.3% · Q4 5.2% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.2% |
16.3%
11.1 pts better
|
11.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 4.3% · Q3 7.5% · Q4 1.7% · 4Q avg 5.2% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
5.8%
0.9 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 6.5% · Q3 6.0% · Q4 3.8% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% |
12.1%
9.4 pts worse
|
19.6%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 20.8% · Q3 21.6% · Q4 20.4% · 4Q avg 21.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
15.9%
3.9 pts better
|
16.7%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 9.4% · Q3 13.9% · Q4 10.3% · 4Q avg 12.0% · 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 | 35.9% |
20.0%
15.9 pts worse
|
16.3%
19.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.5% |
15.8%
9.7 pts worse
|
14.9%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 34.9% · Q3 23.9% · Q4 18.4% · 4Q avg 25.5% · 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 | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 31.5% |
23.5%
8 pts worse
|
19.8%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 33.1% · Q3 33.2% · Q4 35.5% · 4Q avg 31.5% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
4.7%
2.2 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 2.4% · Q4 3.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
87.7%
9.8 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 96.3% · Q3 99.3% · Q4 100.0% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.8% |
13.2%
4.6 pts worse
|
12.0%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 16.5% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.4%
0.2 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 2.1% · Q4 1.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% |
82.0%
12.8 pts better
|
79.7%
15.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.2% |
19.9%
2.7 pts better
|
23.9%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 15.7% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-28 · Fire 2024-02-28
1 health deficiencies
Top issue: Environmental (1 deficiency)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Cycle 3
Health 2023-03-30 · Fire 2023-03-30
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-28
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2025-04-28
F · Potential for more than minimal harm
2025-03-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-28
F · Potential for more than minimal harm
2025-03-28
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-02
F · Potential for more than minimal harm
2025-03-28
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-02
F · Potential for more than minimal harm
2025-03-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-28
E · Potential for more than minimal harm
2025-03-28
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-28
D · Potential for more than minimal harm
2025-03-28
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-04-10
D · Potential for more than minimal harm
2025-03-28
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-04-10
D · Potential for more than minimal harm
2025-03-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-10
D · Potential for more than minimal harm
2025-03-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-10
F · Potential for more than minimal harm
2024-02-28
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-04-01
F · Potential for more than minimal harm
2024-02-28
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-04-01
F · Potential for more than minimal harm
2024-02-28
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-04-24
F · Potential for more than minimal harm
2024-02-28
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-04-01
F · Potential for more than minimal harm
2024-02-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-24
F · Potential for more than minimal harm
2024-02-28
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-01
F · Potential for more than minimal harm
2024-02-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-01
F · Potential for more than minimal harm
2024-02-28
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-02-28
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-02-28
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-02-28
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-02-28
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-02-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-01
Inspection history
Recent health citations
G · Actual harm
2025-03-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-30
E · Potential for more than minimal harm
2025-03-28
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 2025-04-30
D · Potential for more than minimal harm
2025-03-28
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-30
D · Potential for more than minimal harm
2025-03-28
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-30
D · Potential for more than minimal harm
2024-02-28
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-15
F · Potential for more than minimal harm
2023-03-30
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2023-04-21
F · Potential for more than minimal harm
2023-03-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-21
Penalties and ownership
What sits behind the stars
$28,106
2025-03-28
Fine
Fine · fine $28,106
Fine
Ownership
The Ensign Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Burnam, Soon
Corporate Officer · Individual
Ctr Partnership LP
5% Or Greater Direct Ownership Interest · Organization
Flinders, Ben
Operational/Managerial Control · Individual
Jenkins, Christopher
Operational/Managerial Control · Individual
Keetch, Chad
Corporate Officer · Individual
Mansbach Health Tools LLC
Operational/Managerial Control · Organization
Pennant Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Regency At The Park
College Place, WA
3-star overall rating with 3-star inspections with $148,838 in total fines with 10 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
#2
Washington Odd Fellows Home
Walla Walla, WA
3-star overall rating with 3-star inspections with $67,616 in total fines with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Washington State Walla Walla Veterans Home
Walla Walla, WA
5-star overall rating with 4-star inspections with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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