Federal inspection record · CMS data as of October 1, 2026
Park Rose Care Center
3919 South 19th Street, Tacoma, WA · (253) 752-5677
- Certified beds
- 139
- Residents per day
- 97
- Ownership
- For-Profit
- Chain
- Regency Pacific Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 30, 1976
1
How this home got 3 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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Park Rose Care Center carries 79 inspection points. That is fewer than 58% 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
57 health citations on record since 2023. 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 (3)
-
G
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.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care20E
- 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 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 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
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.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
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.
Resident Assessment and Care Planning7D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service7D
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
- 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.
Resident Rights6D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Respond appropriately to all alleged violations.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services3E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
- C
Post nurse staffing information every day.
Administration1F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2026-08-03
5 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-07-02
25 health deficiencies · 29 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2024-09-18
27 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 25 min of nursing staff time a day, 1 h 2 min of it from a registered nurse.
This home
5 h 25 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 53% of registered nurses left in the past year.
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
$241,815 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-18 | Fine | $174,304 |
| 2024-01-24 | Fine | $67,511 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 1.7 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.6 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better | 98.3% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts worse | 94.2% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.2% | 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 weight3.2 pts better | 2.4% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14 pts worse | 26.5% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.3 pts worse | 15.3% | 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 worsened3.1 pts worse | 18.7% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts better | 10.9% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.8% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.9% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.9 pts better | 9.7% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts worse | 7.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 93.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts better | 6.9% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 1.9% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.7 pts worse | 82.7% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts better | 19.0% | 19.7% | 23.4% |
·
Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bd Facilities LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| Beddoe, Marvin | 5% Or Greater Indirect Ownership Interest · Individual | 99% | 21 facilities |
| Amadei Gatti, Carla | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Amadei Gatti, Carla | Adp Of The SNF · Individual | 0% | 2 facilities |
| Andree, Terri | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Andree, Terri | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bd Facilities LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Beddoe, Marvin | Operational/Managerial Control · Individual | 0% | 21 facilities |
| Beddoe, Marvin | Adp Of The SNF · Individual | 0% | 21 facilities |
| Howard, Emma | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Howard, Emma | Adp Of The SNF · Individual | 0% | 1 facilities |
| Omnicare LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Rapp, Andrew | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Rapp, Andrew | Adp Of The SNF · Individual | 0% | 13 facilities |
| Regency Pacific Management LLC | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Regency Pacific Management LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
·
Fire safety
50 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke15F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
Egress11F
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Install proper backup exit lighting.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- E
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.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install proper backup exit lighting.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
Gas, Vacuum, and Electrical Systems8F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have proper power supply for life support equipment.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness7F
- F
Provide emergency officials' contact information.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Establish policies and procedures including evacuation.
- F
Create arrangements with other facilities to receive patients.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Include a process for Emergency Preparedness collaboration.
Services6F
- F
Have properly installed electrical wiring and gas equipment.
- D
Install properly constructed and protected linen or trash chutes.
- F
Have elevators that firefighters can control in the event of a fire.
- E
Install properly constructed and protected linen or trash chutes.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
·
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