CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 505387
- Facility type
- Nursing home
- Certified beds
- 152
- Ownership
- For profit - Limited Liability company
- County or equivalent
- Thurston
- CMS area classification
- Urban
- Phone
- (360) 493-4900
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 1 of 5
- Health inspection
- 1 of 5
- Staffing
- 2 of 5
- Quality measures
- 4 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2026-05-29. Health deficiencies: 43.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- CMS lists 43 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
- CMS lists 2 fines. What were they for, and where can we read the related records?Why this question: CMS number of fines · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2026-05-29. Health deficiencies: 43.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0578 Resident Rights Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0585 Resident Rights Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS requirement: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS requirement: Respond appropriately to all alleged violations.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: L
CMS tag 0641 Resident Assessment and Care Planning Deficiencies
CMS requirement: Ensure each resident receives an accurate assessment.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
Show 21 more citations from this date
CMS tag 0645 Resident Assessment and Care Planning Deficiencies
CMS requirement: PASARR screening for Mental disorders or Intellectual Disabilities
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0656 Resident Assessment and Care Planning Deficiencies
CMS requirement: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS requirement: Ensure services provided by the nursing facility meet professional standards of quality.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0677 Quality of Life and Care Deficiencies
CMS requirement: Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0684 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0686 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: G
CMS tag 0687 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate foot care.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0689 Quality of Life and Care Deficiencies
CMS requirement: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0690 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0692 Quality of Life and Care Deficiencies
CMS requirement: Provide enough food/fluids to maintain a resident's health.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0695 Quality of Life and Care Deficiencies
CMS requirement: Provide safe and appropriate respiratory care for a resident when needed.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0698 Quality of Life and Care Deficiencies
CMS requirement: Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0725 Nursing and Physician Services Deficiencies
CMS requirement: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0744 Quality of Life and Care Deficiencies
CMS requirement: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0757 Pharmacy Service Deficiencies
CMS requirement: Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0760 Pharmacy Service Deficiencies
CMS requirement: Ensure that residents are free from significant medication errors.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0761 Pharmacy Service Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0812 Nutrition and Dietary Deficiencies
CMS requirement: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0835 Administration Deficiencies
CMS requirement: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: E
CMS tag 0842 Resident Assessment and Care Planning Deficiencies
CMS requirement: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
CMS tag 0849 Administration Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-07-14 · CMS scope/severity code: D
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
From the CMS citation file
CMS citation tags seen on multiple survey dates
These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.
Topics in citations from multiple survey dates
These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.
- Assessment and care planning 4 CMS tags · 6 survey dates Tags 0641, 0645, 0656, 0684 · Most recent citation date
- Medication services 4 CMS tags · 3 survey dates Tags 0757, 0759, 0760, 0761 · Most recent citation date
- Food service 2 CMS tags · 4 survey dates Tags 0692, 0812 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0578 Resident Rights Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: , ,
-
CMS tag 0585 Resident Rights Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
-
CMS tag 0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Respond appropriately to all alleged violations.
Survey dates: , , , ,
-
CMS tag 0641 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Ensure each resident receives an accurate assessment.
Survey dates: ,
Show 22 more tags seen on multiple dates
CMS tag 0645 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: PASARR screening for Mental disorders or Intellectual Disabilities
Survey dates: ,
CMS tag 0656 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Survey dates: , , ,
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Ensure services provided by the nursing facility meet professional standards of quality.
Survey dates: , ,
CMS tag 0677 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide care and assistance to perform activities of daily living for any resident who is unable.
Survey dates: , ,
CMS tag 0684 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Survey dates: , , ,
CMS tag 0686 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Survey dates: , ,
CMS tag 0689 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Survey dates: , , ,
CMS tag 0690 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Survey dates: ,
CMS tag 0692 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide enough food/fluids to maintain a resident's health.
Survey dates: , ,
CMS tag 0695 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide safe and appropriate respiratory care for a resident when needed.
Survey dates: ,
CMS tag 0725 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Survey dates: ,
CMS tag 0757 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Survey dates: ,
CMS tag 0760 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure that residents are free from significant medication errors.
Survey dates: ,
CMS tag 0761 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
CMS tag 0812 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Survey dates: , ,
CMS tag 0842 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Survey dates: , ,
CMS tag 0849 Administration Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
CMS tag 0759 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure medication error rates are not 5 percent or greater.
Survey dates: ,
CMS tag 0880 Infection Control Deficiencies
CMS describes the regulatory requirement as: Provide and implement an infection prevention and control program.
Survey dates: ,
CMS tag 0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Survey dates: , , , ,
CMS tag 0550 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Survey dates: ,
CMS tag 0558 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Reasonably accommodate the needs and preferences of each resident.
Survey dates: ,
Questions you could ask on a visit
- For CMS tag 0641 listed on 2026-05-29, 2024-05-31, could you show us the relevant inspection reports and explain how the facility handles resident assessment and care planning today?
These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.
Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.
Enforcement record
Fines: 2 ($189,638.00 total). Payment denials: 0.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-22
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.