9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Shoreline, WA
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
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
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
Chain footprint
33 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.31
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.57
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.94
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.29
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,311
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9900
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.22
Baseline 18.76% · Performance 19.48% · Measure score 4.22 · Achievement 4.22 · Improvement 0
Healthcare-associated infections
3.46
Baseline 4.23% · Performance 6.80% · Measure score 3.46 · Achievement 3.46 · Improvement 0
Total nurse turnover
6.19
Baseline 43.48% · Performance 38.38% · Measure score 6.19 · Achievement 6.19 · Improvement 2.23
Adjusted total nurse staffing
0.79
Baseline 3.71 hours · Performance 3.30 hours · Measure score 0.79 · Achievement 0.79 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.45% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 140 · Observed rate 7.86% · Lower 95% interval 6.89% |
| Discharge to community | 46.52% |
50.57%
4 pts worse
|
No Different than the National Rate · Eligible stays 153 · Observed rate 43.79% · Lower 95% interval 39.72% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 88 · Denominator 88 |
| Falls with major injury | 1.14% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 88 |
| Discharge self-care score | 29.73% |
53.69%
24 pts worse
|
Numerator 22 · Denominator 74 |
| Discharge mobility score | 36.49% |
50.94%
14.4 pts worse
|
Numerator 27 · Denominator 74 |
| Pressure ulcers or injuries, new or worsened | 2.27% |
2.29%
About the same
|
Numerator 2 · Denominator 88 · Adjusted rate 2.08% |
| Healthcare-associated infections requiring hospitalization | 6.8% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 83 · Observed rate 4.82% · Lower 95% interval 4.07% |
| Staff COVID-19 vaccination coverage | 20.9% |
8.2%
12.7 pts better
|
Numerator 28 · Denominator 134 |
| Staff flu vaccination coverage | 26.28% |
42%
15.7 pts worse
|
Numerator 36 · Denominator 137 |
| Discharge function score | 32.43% |
56.45%
24 pts worse
|
Numerator 24 · Denominator 74 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 63 · Denominator 63 |
| Resident COVID-19 vaccinations up to date | 32.56% |
25.2%
7.4 pts better
|
Numerator 14 · Denominator 43 |
Quality measures
| 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 · Q1 90.7% · Q2 92.1% · Q3 88.5% · Q4 93.0% · 4Q avg 91.0% |
| 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 · 4Q avg 79.0% |
| 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 · Q1 5.3% · Q2 6.6% · Q3 3.4% · Q4 2.3% · 4Q avg 4.3% · Used in QM five-star |
| 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 · Q1 51.4% · Q2 73.0% · Q3 61.9% · Q4 61.7% · 4Q avg 62.1% |
| 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 · Q1 4.2% · Q2 5.8% · Q3 5.1% · Q4 5.1% · 4Q avg 5.1% |
| 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 · Q1 7.0% · Q2 7.2% · Q3 11.5% · Q4 15.2% · 4Q avg 10.4% |
| 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 · Q1 16.0% · Q2 14.3% · Q3 17.2% · Q4 19.7% · 4Q avg 16.9% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| 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 · Q1 12.1% · Q2 16.9% · Q3 6.5% · Q4 14.7% · 4Q avg 12.4% · Used in QM five-star |
| 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 · Q1 9.5% · Q2 14.8% · Q3 6.8% · Q4 10.7% · 4Q avg 10.3% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 2.3% · 4Q avg 0.9% · Used in QM five-star |
| 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 · Q1 37.0% · Q2 23.4% · Q3 19.2% · Q4 38.0% · 4Q avg 29.3% |
| 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 · Q1 3.1% · Q2 2.8% · Q3 1.9% · Q4 2.0% · 4Q avg 2.4% · Used in QM five-star |
| 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 · Q1 94.1% · Q2 95.2% · Q3 97.6% · Q4 93.9% · 4Q avg 95.0% |
| 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 · Adjusted 8.5% · Observed 7.5% · Expected 9.9% · Used in QM five-star |
| 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 · Q1 0.8% · Q2 0.9% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| 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 · 4Q avg 88.4% |
| 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 · Adjusted 10.0% · Observed 8.6% · Expected 20.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-12-27
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-12-27
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-12-27
Fire Safety
Develop a communication plan.
Corrected 2024-12-27
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-12-27
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-12-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-27
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-12-27
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-12-27
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-09-26
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-09-26
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-09-26
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-09-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-26
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-09-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-26
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-09-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-09-26
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-06-02
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-06-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-06-02
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-06-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-06-02
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-06-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-02
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-06-02
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2022-06-02
Fire Safety
Install proper backup exit lighting.
Corrected 2022-06-02
Fire Safety
Construct fire resistant interior walls.
Corrected 2022-06-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-02
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-06-02
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2022-06-02
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
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-07
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-01-10
Health
Post nurse staffing information every day.
Corrected 2025-01-10
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
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-10
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
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-10
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
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-01-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-04
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-06-22
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
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
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-22
Health
Implement a program that monitors antibiotic use.
Corrected 2022-06-22
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
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
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
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-06-22
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
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-06-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-22
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
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
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
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-06-22
Penalties and ownership
Fine · fine $44,753
Fine
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Shoreline, WA
3-star overall rating with 3-star inspections with $12,735 in total fines with 10 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
Seattle, WA
2-star overall rating with 1-star inspections with $16,981 in total fines with 44 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Edmonds, WA
3-star overall rating with 3-star inspections with $16,445 in total fines with 18 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Jump out