Shoreline, WA

Richmond Beach Rehab

5-star overall rating with 4-star inspections with $44,753 in total fines with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

19235 - 15th Avenue Northwest, Shoreline, WA

(206) 546-2666

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

131

Certified beds

Average residents

105

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avamere

Operator or chain grouping

Approved since

1994-07-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing

LPN hours / resident day

1.06

Licensed practical nurse staffing

Aide hours / resident day

2.57

Nurse aide staffing

Weekend hours

3.37

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

35%

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 91.0%
96.0%
5 pts worse
93.4%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 79.0%
93.8%
14.8 pts worse
95.5%
16.5 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.3%
2.6%
1.7 pts worse
3.3%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 62.1%
16.3%
45.8 pts worse
11.4%
50.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.1%
5.8%
0.7 pts better
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.4%
12.1%
1.7 pts better
19.6%
9.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.9%
15.9%
1 pts worse
16.7%
0.2 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 12.4%
20.0%
7.6 pts better
16.3%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 10.3%
15.8%
5.5 pts better
14.9%
4.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
1.2%
0.5 pts better
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.9%
1.7%
0.8 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.3%
23.5%
5.8 pts worse
19.8%
9.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.4%
4.7%
2.3 pts better
5.1%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.0%
87.7%
7.3 pts better
81.7%
13.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.5%
13.2%
4.7 pts better
12.0%
3.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.4%
0.7 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.4%
82.0%
6.4 pts better
79.7%
8.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 10.0%
19.9%
9.9 pts better
23.9%
13.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-29 · Fire 2024-11-29

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

10 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 2 Health 2023-08-23 · Fire 2023-08-23

3 health deficiencies

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

12 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Cycle 3 Health 2022-05-17 · Fire 2022-05-17

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

16 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-29

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-11-29

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-11-29

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-11-29

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-11-29

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-11-29

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-11-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-11-29

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-11-29

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-12-27

E · Potential for more than minimal harm 2024-11-29

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-12-27

F · Potential for more than minimal harm 2023-08-23

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-08-23

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-08-23

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-09-26

F · Potential for more than minimal harm 2022-05-17

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2022-06-02

F · Potential for more than minimal harm 2022-05-17

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-02

F · Potential for more than minimal harm 2022-05-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-06-02

F · Potential for more than minimal harm 2022-05-17

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-06-02

F · Potential for more than minimal harm 2022-05-17

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-06-02

F · Potential for more than minimal harm 2022-05-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-06-02

F · Potential for more than minimal harm 2022-05-17

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2022-06-02

F · Potential for more than minimal harm 2022-05-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-06-02

F · Potential for more than minimal harm 2022-05-17

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2022-06-02

E · Potential for more than minimal harm 2022-05-17

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2022-06-02

E · Potential for more than minimal harm 2022-05-17

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-06-02

E · Potential for more than minimal harm 2022-05-17

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2022-06-02

E · Potential for more than minimal harm 2022-05-17

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-06-02

E · Potential for more than minimal harm 2022-05-17

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-02

E · Potential for more than minimal harm 2022-05-17

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2022-06-02

D · Potential for more than minimal harm 2022-05-17

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 2022-06-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-02-07

E · Potential for more than minimal harm 2024-11-29

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-29

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-29

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 2025-01-10

E · Potential for more than minimal harm 2024-11-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-29

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-29

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-29

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-01-10

G · Actual harm 2023-08-23

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 2023-10-04

D · Potential for more than minimal harm 2023-08-23

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-04

D · Potential for more than minimal harm 2023-07-12

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 2023-08-11

J · Immediate jeopardy 2022-05-17

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 2022-06-22

G · Actual harm 2022-05-17

F758 · Pharmacy Service Deficiencies

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 2022-06-22

E · Potential for more than minimal harm 2022-05-17

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 2022-06-22

E · Potential for more than minimal harm 2022-05-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-06-22

E · Potential for more than minimal harm 2022-05-17

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2022-06-22

E · Potential for more than minimal harm 2022-05-17

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2022-06-22

D · Potential for more than minimal harm 2022-05-17

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-06-22

D · Potential for more than minimal harm 2022-05-17

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 2022-06-22

D · Potential for more than minimal harm 2022-05-17

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-06-22

D · Potential for more than minimal harm 2022-05-17

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 2022-06-22

D · Potential for more than minimal harm 2022-05-17

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 2022-06-22

D · Potential for more than minimal harm 2022-05-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-06-22

D · Potential for more than minimal harm 2022-05-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-06-22

D · Potential for more than minimal harm 2022-05-17

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-06-22

D · Potential for more than minimal harm 2022-05-17

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 2022-06-22

D · Potential for more than minimal harm 2022-05-17

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2022-06-22

D · Potential for more than minimal harm 2022-05-17

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-06-22

Penalties and ownership

What sits behind the stars

$44,753 2023-08-23

Fine

Fine · fine $44,753

Fine

Ownership

Avamere Health Services LLC

Operational/Managerial Control · Organization

0% 16 facilities 2005-01-01
Avamere Skilled Advisors LLC

Operational/Managerial Control · Organization

0% 12 facilities 2005-01-01
Fanunal, Loriel

Operational/Managerial Control · Individual

0% 3 facilities 2023-01-02
Fowler, Katherine

Operational/Managerial Control · Individual

0% 4 facilities 2025-02-28
Kofstad, Mary

Operational/Managerial Control · Individual

0% 24 facilities 2024-02-13
Mangio, Dianne

Operational/Managerial Control · Individual

0% 1 facilities 2021-09-30
Midcap Finco LLC

Operational/Managerial Control · Organization

0% 11 facilities 2010-01-22
Midcap Finco LLC

5% Or Greater Security Interest · Organization

0% 11 facilities 2010-01-22
Mirzaie Amirabadi, Arash

Operational/Managerial Control · Individual

0% 2 facilities 2024-06-01
Munro, Jolynn

Operational/Managerial Control · Individual

0% 8 facilities 2023-09-01
Polson, Justin

Operational/Managerial Control · Individual

0% 3 facilities 2025-02-10
Powelson, Michele

Operational/Managerial Control · Individual

0% 10 facilities 2015-03-25
Presley, Yolanda

Operational/Managerial Control · Individual

0% 10 facilities 2025-01-06
Raju, Darshni

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-01
Reid, Misty

Operational/Managerial Control · Individual

0% 10 facilities 2025-01-02
Scheiderer, Alison

Operational/Managerial Control · Individual

0% 1 facilities 2023-11-01
Simpson, Andrew

Operational/Managerial Control · Individual

0% 24 facilities 2024-06-01

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