Federal inspection record · CMS data as of October 1, 2026

Woodard Creek Health & Rehabilitation

3333 Ensign Road Northeast, Olympia, WA · (360) 493-4900

  • Special Focus Facility

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
152
Residents per day
105
Ownership
For-Profit
Chain
Hill Valley Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 7, 1991

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Washington homes

Woodard Creek Health & Rehabilitation carries 453.25 inspection points. That is fewer than 2% of Washington's 192 rated homes.

5★4★3★2★1★+2 homes above 475.9105102550100200400inspection points → fewer is better on the leftThis home · 453.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–31 pts
  • 4★ 31–69 pts
  • 3★ 69–100 pts
  • 2★ 100–167 pts
  • 1★ over 167 pts

Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

115 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 1 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 67 4 pts
E 43 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (4)

  1. G

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

    August 31, 2026 · Complaint inspection · Resident Rights · F561 · Corrected October 16, 2026

  2. L

    Respond appropriately to all alleged violations.

    May 29, 2026 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected July 14, 2026

  3. G

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

    May 29, 2026 · Standard inspection · Quality of Life and Care · F686 · Corrected July 14, 2026

  4. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 2, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 24, 2026

Everything else, by area of care

Quality of Life and Care31E
  1. E

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

    August 31, 2026 · Complaint · F695 · Corrected October 16, 2026

  2. D

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

    August 31, 2026 · Complaint · F685 · Corrected October 16, 2026

  3. D

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

    August 31, 2026 · Complaint · F686 · Corrected October 16, 2026

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 31, 2026 · Complaint · F689 · Corrected October 16, 2026

  5. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    August 31, 2026 · Complaint · F745 · Corrected October 16, 2026

  6. E

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    May 29, 2026 · Standard · F690 · Corrected July 14, 2026

  7. E

    Provide enough food/fluids to maintain a resident's health.

    May 29, 2026 · Standard · F692 · Corrected July 14, 2026

  8. E

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

    May 29, 2026 · Standard · F695 · Corrected July 14, 2026

  9. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    May 29, 2026 · Standard · F677 · Corrected July 14, 2026

  10. D

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

    May 29, 2026 · Standard · F684 · Corrected July 14, 2026

  11. D

    Provide appropriate foot care.

    May 29, 2026 · Standard · F687 · Corrected July 14, 2026

  12. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 29, 2026 · Standard · F689 · Corrected July 14, 2026

  13. D

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

    May 29, 2026 · Standard · F698 · Corrected July 14, 2026

  14. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    May 29, 2026 · Standard · F744 · Corrected July 14, 2026

  15. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    March 2, 2026 · Complaint · F690 · Corrected March 24, 2026

  16. E

    Provide enough food/fluids to maintain a resident's health.

    January 7, 2026 · Complaint · F692 · Corrected February 6, 2026

  17. D

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

    January 7, 2026 · Complaint · F684 · Corrected February 6, 2026

  18. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 4, 2025 · Complaint · F689 · Corrected October 6, 2025

  19. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 24, 2025 · Complaint · F689 · Corrected August 12, 2025

  20. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    June 24, 2025 · Standard · F677 · Corrected August 12, 2025

  21. D

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

    June 24, 2025 · Standard · F684 · Corrected August 12, 2025

  22. D

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

    June 24, 2025 · Standard · F686 · Corrected August 12, 2025

  23. D

    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.

    June 24, 2025 · Standard · F688 · Corrected August 12, 2025

  24. D

    Provide enough food/fluids to maintain a resident's health.

    June 24, 2025 · Standard · F692 · Corrected August 12, 2025

  25. D

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

    June 24, 2025 · Standard · F695 · Corrected August 12, 2025

  26. D

    Provide care or services that was trauma informed and/or culturally competent.

    September 3, 2024 · Complaint · F699 · Corrected September 27, 2024

  27. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    May 31, 2024 · Standard · F677 · Corrected July 1, 2024

  28. E

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

    May 31, 2024 · Standard · F684 · Corrected July 1, 2024

  29. D

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

    May 31, 2024 · Standard · F686 · Corrected July 1, 2024

  30. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    May 31, 2024 · Standard · F694 · Corrected July 1, 2024

  31. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    May 24, 2024 · Complaint · F745 · Corrected June 17, 2024

Resident Assessment and Care Planning22E
  1. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 31, 2026 · Complaint · F657 · Corrected October 16, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    August 31, 2026 · Complaint · F641 · Corrected October 16, 2026

  3. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    August 31, 2026 · Complaint · F645 · Corrected October 16, 2026

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 31, 2026 · Complaint · F842 · Corrected October 16, 2026

  5. E

    PASARR screening for Mental disorders or Intellectual Disabilities

    May 29, 2026 · Standard · F645 · Corrected July 14, 2026

  6. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 29, 2026 · Standard · F656 · Corrected July 14, 2026

  7. D

    Ensure each resident receives an accurate assessment.

    May 29, 2026 · Standard · F641 · Corrected July 14, 2026

  8. D

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

    May 29, 2026 · Standard · F658 · Corrected July 14, 2026

  9. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 29, 2026 · Complaint · F842 · Corrected July 14, 2026

  10. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 2, 2026 · Complaint · F842 · Corrected March 24, 2026

  11. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 2, 2026 · Complaint · F656 · Corrected March 24, 2026

  12. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 4, 2025 · Complaint · F657 · Corrected October 6, 2025

  13. E

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    June 24, 2025 · Standard · F640 · Corrected August 12, 2025

  14. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    June 24, 2025 · Standard · F656 · Corrected August 12, 2025

  15. E

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

    June 24, 2025 · Standard · F658 · Corrected August 12, 2025

  16. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 6, 2025 · Complaint · F656 · Corrected March 21, 2025

  17. D

    Plan the resident's discharge to meet the resident's goals and needs.

    September 3, 2024 · Complaint · F660 · Corrected September 27, 2024

  18. E

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

    May 31, 2024 · Standard · F658 · Corrected July 1, 2024

  19. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 31, 2024 · Standard · F842 · Corrected July 1, 2024

  20. D

    Ensure each resident receives an accurate assessment.

    May 31, 2024 · Standard · F641 · Corrected July 1, 2024

  21. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    May 31, 2024 · Standard · F644 · Corrected July 1, 2024

  22. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    May 31, 2024 · Standard · F645 · Corrected July 1, 2024

Resident Rights16E
  1. E

    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.

    August 31, 2026 · Complaint · F578 · Corrected October 16, 2026

  2. D

    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.

    August 31, 2026 · Complaint · F585 · Corrected October 16, 2026

  3. D

    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.

    May 29, 2026 · Standard · F578 · Corrected July 14, 2026

  4. D

    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.

    May 29, 2026 · Standard · F585 · Corrected July 14, 2026

  5. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    March 2, 2026 · Complaint · F553 · Corrected March 24, 2026

  6. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    September 4, 2025 · Complaint · F627 · Corrected October 6, 2025

  7. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    September 4, 2025 · Complaint · F628 · Corrected October 6, 2025

  8. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    June 24, 2025 · Standard · F550 · Corrected August 12, 2025

  9. D

    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.

    June 24, 2025 · Standard · F578 · Corrected August 12, 2025

  10. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    June 24, 2025 · Standard · F582 · Corrected August 12, 2025

  11. D

    Reasonably accommodate the needs and preferences of each resident.

    February 6, 2025 · Complaint · F558 · Corrected March 21, 2025

  12. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    May 31, 2024 · Standard · F550 · Corrected July 1, 2024

  13. D

    Reasonably accommodate the needs and preferences of each resident.

    May 31, 2024 · Standard · F558 · Corrected July 1, 2024

  14. D

    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.

    May 31, 2024 · Standard · F578 · Corrected July 1, 2024

  15. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    May 31, 2024 · Standard · F584 · Corrected July 1, 2024

  16. D

    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.

    May 31, 2024 · Standard · F585 · Corrected July 1, 2024

Freedom from Abuse, Neglect, and Exploitation13E
  1. E

    Respond appropriately to all alleged violations.

    August 31, 2026 · Complaint · F610 · Corrected October 16, 2026

  2. E

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    May 29, 2026 · Standard · F600 · Corrected July 14, 2026

  3. D

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

    January 7, 2026 · Complaint · F609 · Corrected February 6, 2026

  4. E

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

    September 4, 2025 · Complaint · F609 · Corrected October 6, 2025

  5. D

    Respond appropriately to all alleged violations.

    September 4, 2025 · Complaint · F610 · Corrected October 6, 2025

  6. E

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    June 24, 2025 · Standard · F605 · Corrected August 12, 2025

  7. D

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

    June 24, 2025 · Standard · F609 · Corrected August 12, 2025

  8. D

    Respond appropriately to all alleged violations.

    June 24, 2025 · Standard · F610 · Corrected August 12, 2025

  9. D

    Respond appropriately to all alleged violations.

    November 8, 2024 · Complaint · F610 · Corrected December 20, 2024

  10. D

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

    September 3, 2024 · Complaint · F609 · Corrected September 27, 2024

  11. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    May 31, 2024 · Standard · F604 · Corrected July 1, 2024

  12. E

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

    May 24, 2024 · Complaint · F609 · Corrected June 17, 2024

  13. E

    Respond appropriately to all alleged violations.

    May 24, 2024 · Complaint · F610 · Corrected June 17, 2024

Pharmacy Service9E
  1. E

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

    May 29, 2026 · Standard · F757 · Corrected July 14, 2026

  2. E

    Ensure that residents are free from significant medication errors.

    May 29, 2026 · Standard · F760 · Corrected July 14, 2026

  3. D

    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.

    May 29, 2026 · Standard · F761 · Corrected July 14, 2026

  4. E

    Ensure medication error rates are not 5 percent or greater.

    March 2, 2026 · Complaint · F759 · Corrected March 24, 2026

  5. D

    Ensure that residents are free from significant medication errors.

    March 2, 2026 · Complaint · F760 · Corrected March 24, 2026

  6. E

    Ensure medication error rates are not 5 percent or greater.

    June 24, 2025 · Standard · F759 · Corrected August 12, 2025

  7. D

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

    June 24, 2025 · Standard · F757 · Corrected August 12, 2025

  8. D

    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.

    June 24, 2025 · Standard · F761 · Corrected August 12, 2025

  9. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    May 31, 2024 · Standard · F755 · Corrected July 1, 2024

Administration6F
  1. F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    August 31, 2026 · Complaint · F835 · Corrected October 16, 2026

  2. D

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    August 31, 2026 · Complaint · F838 · Corrected October 16, 2026

  3. E

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    May 29, 2026 · Standard · F835 · Corrected July 14, 2026

  4. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    May 29, 2026 · Standard · F849 · Corrected July 14, 2026

  5. D

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    February 6, 2025 · Complaint · F838 · Corrected March 21, 2025

  6. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    May 31, 2024 · Standard · F849 · Corrected July 1, 2024

Nursing and Physician Services5E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    August 31, 2026 · Complaint · F725 · Corrected October 16, 2026

  2. E

    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.

    August 31, 2026 · Complaint · F726 · Corrected October 16, 2026

  3. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    May 29, 2026 · Standard · F725 · Corrected July 14, 2026

  4. E

    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.

    June 30, 2025 · Complaint · F726 · Corrected August 12, 2025

  5. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    June 24, 2025 · Standard · F725 · Corrected August 12, 2025

Nutrition and Dietary5E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 29, 2026 · Standard · F812 · Corrected July 14, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 24, 2025 · Standard · F812 · Corrected August 12, 2025

  3. D

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    June 24, 2025 · Standard · F804 · Corrected August 12, 2025

  4. E

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    May 31, 2024 · Standard · F800 · Corrected July 1, 2024

  5. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 31, 2024 · Standard · F812 · Corrected July 1, 2024

Infection Control4E
  1. E

    Provide and implement an infection prevention and control program.

    February 5, 2026 · Complaint · F880 · Corrected March 6, 2026

  2. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    June 30, 2025 · Complaint · F883 · Corrected August 12, 2025

  3. D

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    June 30, 2025 · Complaint · F887 · Corrected August 12, 2025

  4. E

    Provide and implement an infection prevention and control program.

    May 31, 2024 · Standard · F880 · Corrected July 1, 2024

Inspection history

  1. 2026-05-29

    54 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (19 deficiencies)

  2. 2025-06-24

    35 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

  3. 2024-05-31

    26 health deficiencies · 3 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 4 h of nursing staff time a day, 45 min of it from a registered nurse.

This home

4 h

Washington average

4 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 68% of nursing staff and 81% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$189,769 in federal fines on record over the past three years.

DatePenaltyAmount
2026-05-29Fine$181,360
2026-01-07Fine$8,409

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts worse1.41.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.31.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts worse90.0%96.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts worse93.9%94.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better2.5%2.6%3.2%
Percentage of long-stay residents who have depressive symptoms2.9 pts worse20.8%17.9%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts worse7.0%5.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better11.1%12.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication3 pts better12.0%15.0%15.4%
Percentage of long-stay residents who were physically restrained1 pts worse1.1%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.7 pts worse20.3%15.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts worse18.7%13.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse1.5%0.8%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better1.1%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse30.7%21.6%18.3%
Percentage of long-stay residents with pressure ulcers1.8 pts worse6.2%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts worse82.2%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts better10.3%13.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse1.6%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7 pts better91.4%84.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better19.1%19.7%23.4%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Erickson, ChristineOperational/Managerial Control · Individual0%1 facilities
Erickson, ChristineAdp Of The SNF · Individual0%1 facilities
Idels, ShimonOperational/Managerial Control · Individual0%49 facilities
Idels, ShimonAdp Of The SNF · Individual0%49 facilities
Jones, JillOperational/Managerial Control · Individual0%1 facilities
Jones, JillAdp Of The SNF · Individual0%1 facilities
Lion 26 Holdings LLCIndirect Ownership Interest · Organization0%8 facilities
Lion 26 Holdings LLCOperational/Managerial Control · Organization0%8 facilities
Lion 26 Holdings LLCAdp Of The SNF · Organization0%8 facilities
Sabrina 1818 Holdings LLCIndirect Ownership Interest · Organization0%8 facilities
Sabrina 1818 Holdings LLCOperational/Managerial Control · Organization0%8 facilities
Sabrina 1818 Holdings LLCAdp Of The SNF · Organization0%8 facilities
Saessy Irrevocable TrustIndirect Ownership Interest · Organization0%7 facilities
Saessy Irrevocable TrustOperational/Managerial Control · Organization0%7 facilities
Tatiriq Irrevocable TrustIndirect Ownership Interest · Organization0%7 facilities
Tatiriq Irrevocable TrustOperational/Managerial Control · Organization0%7 facilities
Woodard Operations Holdings LLCDirect Ownership Interest · Organization0%1 facilities
Woodard Operations Holdings LLCOperational/Managerial Control · Organization0%1 facilities
Woodard Operations Holdings LLCAdp Of The SNF · Organization0%1 facilities

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Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 29, 2026 · K321 · Corrected June 15, 2026

  2. F

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

    June 24, 2025 · K345 · Corrected July 21, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 24, 2025 · K353 · Corrected July 21, 2025

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 31, 2024 · K353 · Corrected June 24, 2024

  5. D

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

    May 31, 2024 · K345 · Corrected June 20, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    June 24, 2025 · K926 · Corrected July 21, 2025

  2. D

    Ensure proper usage of power strips and extension cords.

    June 24, 2025 · K920 · Corrected July 21, 2025

  3. F

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

    May 31, 2024 · K918 · Corrected June 24, 2024

Emergency Preparedness2F
  1. F

    Create arrangements with other facilities to receive patients.

    June 24, 2025 · E25 · Corrected July 21, 2025

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    June 24, 2025 · E4 · Corrected July 21, 2025

Miscellaneous1F
  1. F

    Have restrictions on the use of highly flammable decorations.

    May 29, 2026 · K753 · Corrected June 15, 2026

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