Seattle, WA

Queen Anne Healthcare

5-star overall rating with 4-star inspections with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

2717 Dexter Avenue North, Seattle, WA

(206) 284-7012

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

93

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avamere

Operator or chain grouping

Approved since

1976-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.12

Registered nurse staffing

LPN hours / resident day

0.73

Licensed practical nurse staffing

Aide hours / resident day

2.85

Nurse aide staffing

Weekend hours

4.06

Weekend nurse staffing

RN turnover

13%

Annual RN turnover

Total nurse turnover

27%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
96.0%
3.3 pts better
93.4%
5.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
2.6%
0.8 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 20.6%
16.3%
4.3 pts worse
11.4%
9.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.4%
5.8%
1.4 pts better
5.4%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.2%
12.1%
3.9 pts better
19.6%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 17.5%
15.9%
1.6 pts worse
16.7%
0.8 pts worse
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 12.5%
20.0%
7.5 pts better
16.3%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 10.2%
15.8%
5.6 pts better
14.9%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.9%
1.2%
0.7 pts worse
1.0%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.4%
1.7%
0.3 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.4%
23.5%
7.1 pts better
19.8%
3.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.8%
4.7%
2.1 pts worse
5.1%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
87.7%
12.1 pts better
81.7%
18.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 3.5%
13.2%
9.7 pts better
12.0%
8.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.1%
1.4%
0.7 pts worse
1.6%
0.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.2%
82.0%
17.2 pts better
79.7%
19.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.3%
19.9%
2.4 pts worse
23.9%
1.6 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-03 · Fire 2025-02-03

9 health deficiencies

Top issue: Infection Control (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-10-20 · Fire 2023-10-20

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-06-24 · Fire 2022-06-24

1 health deficiencies

Top issue: Quality of Life and Care (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 2025-02-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-01

F · Potential for more than minimal harm 2025-02-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-03

F · Potential for more than minimal harm 2025-02-03

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-01

F · Potential for more than minimal harm 2025-02-03

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-01

F · Potential for more than minimal harm 2025-02-03

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-03-01

D · Potential for more than minimal harm 2025-02-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-01

D · Potential for more than minimal harm 2025-02-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-01

E · Potential for more than minimal harm 2023-10-20

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-10-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-27

D · Potential for more than minimal harm 2023-10-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-02-03

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F887 · Infection Control Deficiencies

Health

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.

Corrected 2025-02-27

D · Potential for more than minimal harm 2024-05-16

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-03-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-21

E · Potential for more than minimal harm 2023-10-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-20

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-11-17

E · Potential for more than minimal harm 2023-10-20

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-20

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-20

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-20

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-20

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 2023-11-17

D · Potential for more than minimal harm 2023-10-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-14

Penalties and ownership

What sits behind the stars

Ownership

Ariso LLC

5% Or Greater Direct Ownership Interest · Organization

100% 17 facilities 2006-01-01
Ari Operations, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2006-01-01
Avamere Group LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2006-01-01
Doss, Erin

W-2 Managing Employee · Individual

0% 1 facilities 2018-12-07
Kofstad, Mary

Corporate Officer · Individual

0% 24 facilities 2024-02-13
Miller, Karl

5% Or Greater Indirect Ownership Interest · Individual

0% 25 facilities 2007-01-01
Novais, Jaime

Contracted Managing Employee · Individual

0% 1 facilities 1996-01-01
Simpson, Andrew

Corporate Officer · Individual

0% 24 facilities 2024-06-01

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Health
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Staffing
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Fines
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#3

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Health
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