0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Tacoma, WA
5-star overall rating with 5-star inspections with $36,446 in total fines with 2 fire-safety deficiencies in the latest cycle
2102 South 96th Street, Tacoma, WA
(253) 581-2514
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
92
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1983-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.52
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
1.53
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.74
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.79
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
2.05
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.14
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
3.77
CMS adjusted total nurse staffing hours
Case-mix index
1.74
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
3,335
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9980
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.60
Baseline 22.78% · Performance 18.12% · Measure score 7.60 · Achievement 7.14 · Improvement 7.60
Healthcare-associated infections
6.10
Baseline 6.27% · Performance 6.01% · Measure score 6.10 · Achievement 6.10 · Improvement 1.53
Total nurse turnover
2.68
Baseline 63.64% · Performance 52.73% · Measure score 2.68 · Achievement 2.68 · Improvement 2.31
Adjusted total nurse staffing
1.55
Baseline 3.18 hours · Performance 3.52 hours · Measure score 1.55 · Achievement 1.55 · Improvement 0.82
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.71% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 69 · Observed rate 17.39% · Lower 95% interval 8.59% |
| Discharge to community | 44.12% |
50.57%
6.5 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 33.33% · Lower 95% interval 33.03% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 93.33% |
95.27%
1.9 pts worse
|
Numerator 56 · Denominator 60 |
| Falls with major injury | 3.33% |
0.77%
2.6 pts worse
|
Numerator 2 · Denominator 60 |
| Discharge self-care score | 34.09% |
53.69%
19.6 pts worse
|
Numerator 15 · Denominator 44 |
| Discharge mobility score | 22.73% |
50.94%
28.2 pts worse
|
Numerator 10 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 60 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.01% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 42 · Observed rate 2.38% · Lower 95% interval 3.27% |
| Staff COVID-19 vaccination coverage | 7.55% |
8.2%
0.6 pts worse
|
Numerator 12 · Denominator 159 |
| Staff flu vaccination coverage | 17.42% |
42%
24.6 pts worse
|
Numerator 23 · Denominator 132 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 22 · Denominator 44 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25.93% |
25.2%
0.7 pts better
|
Numerator 7 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.4
0.4 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.5
1.2 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · Expected 1.6 · Used in QM five-star |
| 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 · Q1 97.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% |
93.8%
1.4 pts better
|
95.5%
0.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
2.6%
About the same
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 3.8% · Q4 5.1% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 43.3% |
16.3%
27 pts worse
|
11.4%
31.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 46.4% · Q3 44.4% · Q4 47.3% · 4Q avg 43.3% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.8%
2 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.3% · Q3 2.6% · Q4 6.5% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.9% |
12.1%
1.8 pts worse
|
19.6%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 15.3% · Q3 10.4% · Q4 14.3% · 4Q avg 13.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.2% |
15.9%
8.3 pts worse
|
16.7%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 26.0% · Q3 24.5% · Q4 19.6% · 4Q avg 24.2% · 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 | 11.2% |
20.0%
8.8 pts better
|
16.3%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 20.9% · Q3 12.0% · Q4 0.0% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.4% |
15.8%
3.4 pts better
|
14.9%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 14.9% · Q3 11.1% · Q4 11.3% · 4Q avg 12.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.2%
0.8 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.3% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.4% |
23.5%
1.9 pts worse
|
19.8%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 23.4% · Q3 24.9% · Q4 19.1% · 4Q avg 25.4% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
4.7%
1.2 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.6% · Q3 4.6% · Q4 3.5% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
87.7%
7.7 pts better
|
81.7%
13.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 97.1% · Q3 97.8% · Q4 93.7% · 4Q avg 95.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
13.2%
5.7 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 8.5% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.4%
0.3 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.4% |
82.0%
7.4 pts better
|
79.7%
9.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.2% |
19.9%
5.7 pts better
|
23.9%
9.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 17.0% · Expected 28.5% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-20
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-04-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-04-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-30
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-04-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-04
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-04
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-04-04
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-04-04
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 2023-04-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-04
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-01
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 2024-05-10
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-05-10
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-10
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 2024-05-10
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-05-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-17
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-04-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-20
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-04-20
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-20
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 2023-04-20
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-04-20
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 2023-04-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-04-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-04-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-20
Health
Post nurse staffing information every day.
Corrected 2023-04-20
Penalties and ownership
Fine · fine $36,446
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Tacoma, WA
1-star overall rating with 1-star inspections with 28 recent health deficiencies with 41 fire-safety deficiencies in the latest cycle
Tacoma, WA
1-star overall rating with 1-star inspections with $293,221 in total fines with 21 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Tacoma, WA
1-star overall rating with 1-star inspections with Special Focus status with $196,648 in total fines with 29 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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