Redmond, WA

Redmond Care And Rehabilitation Center

5-star overall rating with 5-star inspections with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

7900 Willows Road Northeast, Redmond, WA

(425) 885-0808

Compare this facility

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

139

Certified beds

Average residents

82

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1968-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.88

Registered nurse staffing

LPN hours / resident day

0.66

Licensed practical nurse staffing

Aide hours / resident day

2.03

Nurse aide staffing

Weekend hours

3.17

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.4
0.1 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.5
0.8 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
96.0%
3.4 pts better
93.4%
6 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 0.6%
2.6%
2 pts better
3.3%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 3.2%
16.3%
13.1 pts better
11.4%
8.2 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 6.7%
12.1%
5.4 pts better
19.6%
12.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.9%
15.9%
5 pts better
16.7%
5.8 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 ability to walk independently worsened 16.2%
20.0%
3.8 pts better
16.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 15.0%
15.8%
0.8 pts better
14.9%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
1.2%
0.7 pts better
1.0%
0.5 pts better
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 31.9%
23.5%
8.4 pts worse
19.8%
12.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.5%
4.7%
3.2 pts better
5.1%
3.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.9%
87.7%
8.2 pts better
81.7%
14.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.0%
13.2%
5.2 pts better
12.0%
4 pts better
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.5%
82.0%
8.5 pts better
79.7%
10.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.9%
19.9%
4 pts better
23.9%
8 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-13 · Fire 2025-06-13

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2024-06-12 · Fire 2024-06-12

8 health deficiencies

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

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-05-21 · Fire 2023-05-21

9 health deficiencies

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

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-13

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-13

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-13

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-13

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-13

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-06-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-15

F · Potential for more than minimal harm 2024-06-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-07-16

F · Potential for more than minimal harm 2024-06-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-16

F · Potential for more than minimal harm 2023-05-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-22

F · Potential for more than minimal harm 2023-05-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-22

F · Potential for more than minimal harm 2023-05-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-22

F · Potential for more than minimal harm 2023-05-21

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 2023-06-22

F · Potential for more than minimal harm 2023-05-21

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-06-22

F · Potential for more than minimal harm 2023-05-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-06-22

F · Potential for more than minimal harm 2023-05-21

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-21

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-22

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-13

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 2025-07-23

D · Potential for more than minimal harm 2025-06-13

F578 · Resident Rights Deficiencies

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 2025-07-23

D · Potential for more than minimal harm 2025-06-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-06-13

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 2025-07-23

D · Potential for more than minimal harm 2025-06-13

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-06-13

F761 · Pharmacy Service Deficiencies

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 2025-07-23

D · Potential for more than minimal harm 2025-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-03-18

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 2025-04-09

E · Potential for more than minimal harm 2024-06-12

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 2024-07-23

E · Potential for more than minimal harm 2024-06-12

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-06-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-23

D · Potential for more than minimal harm 2024-06-12

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 2024-07-23

D · Potential for more than minimal harm 2024-06-12

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-07-23

D · Potential for more than minimal harm 2024-06-12

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 2024-07-23

D · Potential for more than minimal harm 2024-06-12

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-23

D · Potential for more than minimal harm 2024-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-23

E · Potential for more than minimal harm 2023-05-21

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 2023-06-28

D · Potential for more than minimal harm 2023-05-21

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-21

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 2023-06-28

D · Potential for more than minimal harm 2023-05-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-21

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 2023-06-28

D · Potential for more than minimal harm 2023-05-21

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-21

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-21

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-06-28

Penalties and ownership

What sits behind the stars

Ownership

Pennant Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

100% 30 facilities 2013-02-19
The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2006-01-30
Burnam, Soon

Corporate Officer · Individual

0% 323 facilities 2013-02-19
Farnsworth, Stephen

Corporate Director · Individual

0% 25 facilities 2025-01-01
Holmes, Nathan

Operational/Managerial Control · Individual

0% 4 facilities 2017-07-21
Holmes, Nathan

Corporate Officer · Individual

0% 4 facilities 2025-01-01
Keetch, Chad

Corporate Officer · Individual

0% 176 facilities 2011-03-01
Sato, Ami

Corporate Officer · Individual

0% 101 facilities 2024-09-09
Taleghani, Masoud

Operational/Managerial Control · Individual

0% 4 facilities 2023-07-01

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