13 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Seattle, WA
3-star overall rating with 3-star inspections with $14,888 in total fines with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1630 43rd Avenue East, Seattle, WA
(206) 329-0770
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
28
Certified beds
Average residents
20
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-08-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Weekend hours
0.00
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.6%
2.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
16.3%
13 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.8%
5.8 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 0.0% |
12.1%
12.1 pts better
|
19.6%
19.6 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 need for help with daily activities has increased | 10.0% |
15.8%
5.8 pts better
|
14.9%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 14.6% |
1.2%
13.4 pts worse
|
1.0%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0.0% |
23.5%
23.5 pts better
|
19.8%
19.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
4.7%
1.5 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
87.7%
11.2 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
13.2%
6.5 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.4%
1.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
82.0%
18 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
19.9%
About the same
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Assessment and Care Planning (7 deficiencies)
36 fire-safety deficiencies
Top issue: Emergency Preparedness (17 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-11
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-11-11
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-07-20
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-07-20
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-08-25
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-07-20
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-07-20
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-07-20
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-07-20
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-07-20
Fire Safety
Establish methods for sharing information.
Corrected 2023-08-25
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2023-07-20
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-07-20
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-07-20
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-08-25
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-08-25
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-07-20
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-07-20
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-07-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-07-20
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-25
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-07-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-20
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2023-07-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-07-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-20
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-08-25
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-07-20
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-07-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-07-20
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-05-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-05-17
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-05-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-17
Inspection history
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-10-27
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-30
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-11-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-30
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-11-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-30
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 2024-11-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-30
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 2024-11-30
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 2024-11-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-24
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-07-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-24
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-07-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-24
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-07-24
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 2023-07-24
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-07-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-24
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-24
Health
Assess the resident when there is a significant change in condition
Corrected 2023-07-24
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-07-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-24
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-07-24
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-07-24
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 2023-07-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-24
Health
Provide appropriate foot care.
Corrected 2023-07-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-07-24
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 2023-07-24
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 2023-07-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-02
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 2022-06-02
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-02
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 2022-06-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-06-02
Health
Respond appropriately to all alleged violations.
Corrected 2022-06-02
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-06-02
Health
Assess the resident when there is a significant change in condition
Corrected 2022-06-02
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-02
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 2022-06-02
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-06-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-06-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-06-02
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-06-02
Health
Post nurse staffing information every day.
Corrected 2022-06-02
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 2022-06-02
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-06-02
Penalties and ownership
Fine · fine $14,888
Fine
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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