10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Centralia, WA
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1509 Harrison Avenue, Centralia, WA
(360) 736-0112
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
42
Certified beds
Average residents
33
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Regency Pacific Management
Operator or chain grouping
Approved since
1992-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
27 facilities
Chain averages 4 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
1.29
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.31
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
5.55
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
2.23
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.86
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.88
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.90
CMS adjusted RN staffing hours
Adjusted total hours
3.88
CMS adjusted total nurse staffing hours
Case-mix index
1.95
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,308
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9876
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.85% · Performance 21.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.85
Baseline 8.27% · Performance 7.50% · Measure score 1.85 · Achievement 1.11 · Improvement 1.85
Total nurse turnover
4.76
Baseline 50.00% · Performance 44.23% · Measure score 4.76 · Achievement 4.76 · Improvement 1.79
Adjusted total nurse staffing
6.73
Baseline 4.43 hours · Performance 4.99 hours · Measure score 6.73 · Achievement 6.73 · Improvement 3.65
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.52% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 258 · Observed rate 8.14% · Lower 95% interval 6.89% |
| Discharge to community | 67.66% |
50.57%
17.1 pts better
|
Better than the National Rate · Eligible stays 277 · Observed rate 62.82% · Lower 95% interval 60.51% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.7% |
95.27%
3.4 pts better
|
Numerator 152 · Denominator 154 |
| Falls with major injury | 1.3% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 154 |
| Discharge self-care score | 36.94% |
53.69%
16.8 pts worse
|
Numerator 41 · Denominator 111 |
| Discharge mobility score | 51.35% |
50.94%
0.4 pts better
|
Numerator 57 · Denominator 111 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 154 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.5% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 173 · Observed rate 6.94% · Lower 95% interval 4.96% |
| Staff COVID-19 vaccination coverage | 1.75% |
8.2%
6.4 pts worse
|
Numerator 2 · Denominator 114 |
| Staff flu vaccination coverage | 25.25% |
42%
16.8 pts worse
|
Numerator 25 · Denominator 99 |
| Discharge function score | 44.14% |
56.45%
12.3 pts worse
|
Numerator 49 · Denominator 111 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 99.06% |
96.28%
2.8 pts better
|
Numerator 105 · Denominator 106 |
| Resident COVID-19 vaccinations up to date | 26.87% |
25.2%
1.7 pts better
|
Numerator 18 · Denominator 67 |
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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
2.6%
0.8 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 70.6% |
16.3%
54.3 pts worse
|
11.4%
59.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 70.6% |
| Percentage of long-stay residents who lose too much weight | 11.1% |
5.8%
5.3 pts worse
|
5.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.2% |
12.1%
10.1 pts worse
|
19.6%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 40.6% |
15.9%
24.7 pts worse
|
16.7%
23.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.6% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
15.8%
1.5 pts better
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.2%
1.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 41.3% |
23.5%
17.8 pts worse
|
19.8%
21.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.3% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
4.7%
0.9 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.7%
12.3 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.0% |
13.2%
1.2 pts better
|
12.0%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 10.9% · Expected 10.1% · 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 1.1% · Q2 1.1% · Q3 0.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.0% |
82.0%
16 pts better
|
79.7%
18.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
19.9%
6.9 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 24.0% · Expected 21.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Resident Rights (7 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-10-14
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-10-14
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-10-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-10-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-14
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-10-14
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 2025-10-14
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-10-14
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-10-14
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-10-02
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-10-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-10-11
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2024-10-14
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 2024-10-14
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-06
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-10-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-06
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-12-06
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-08-18
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-08-04
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-08-04
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-08-04
Fire Safety
Meet other general requirements.
Corrected 2023-07-28
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-08-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-07-28
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-27
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-10-27
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-10-27
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-10-27
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 2025-10-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-27
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-10-27
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-10-27
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-10-27
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 2024-10-18
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-10-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-18
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-10-18
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-18
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-09-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-05
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-09-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-05
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 2023-09-05
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-09-05
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 2023-09-05
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-09-05
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-09-05
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-09-05
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 2023-09-05
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-09-05
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 2023-09-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-05
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 2023-09-05
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-09-05
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
General Partnership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
General Partnership Interest · Individual
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