Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Queen Anne Healthcare during CMS and state inspections, most recent first.
A resident with COPD, dyspnea, and OSA kept an albuterol inhaler at bedside and self-administered it without a documented self-administration evaluation or physician order to keep the inhaler in the room. The TAR listed an SMP for the inhaler, but the EHR had no evaluation, and staff confirmed the resident was not supposed to have the inhaler at bedside without the required assessment and order.
Failure to Process Grievance for Missing Personal Property: A resident reported a missing blue sweater and wanted to speak with SW about missing laundry items, but no grievance was logged or completed. The NP documented the resident’s concern, yet the grievance log did not reflect it, and the Social Services Director stated they were not notified and no grievance form was completed.
Inaccurate MDS Coding for Turning/Repositioning Program: A resident reviewed for pressure ulcers had an admission MDS that coded a turning/repositioning program, and the care plan included q2h repositioning with specific positioning instructions. However, the EHR did not show documentation that the resident was repositioned every 2 hours or that the program was monitored or reassessed, and staff interviews showed uncertainty about whether the resident was actually on the program. The MDS Coordinator stated the admission MDS was inaccurate because the program had been discontinued and was not restarted.
Failure to develop a comprehensive care plan for a resident with DM and insulin use was identified. The resident’s admission MDS showed DM and insulin administration, but the care plan had no documented plan for the diagnosis or insulin use. The RCM stated a care plan should have been initiated, and the DON stated they expected one to be in place.
Medication labeling and storage were not maintained on two medication carts. An Ozempic pen remained in a cart after its discard date, and opened liquid ferrous sulfate plus two opened amantadine oral solution bottles were found without open dates. An LPN, RN, RCM, and DON all acknowledged the labeling and discard expectations for these medications.
Staff failed to perform hand hygiene before and after setting up resident meals and after touching a resident’s wheelchair/equipment, and a CNA delivered a meal tray with an uncovered food item after walking down the hallway to another dining area. The DON, RN, RCM, Kitchen Manager, and Administrator all acknowledged that hand hygiene was expected and that food should be covered when trays are transported a distance.
Inaccurate documentation for a resident’s albuterol inhaler SMP was found when the MAR showed the inhaler ordered TID at 8:00 AM, 2:00 PM, and 9:00 PM, but the TAR was charted as if the SMP occurred every 4 hours. An RN, RCM, and DON all stated the SMP order should have matched the inhaler schedule, and the DON also noted the TAR incorrectly marked the resident as hospitalized when the resident was not in the hospital.
A RN failed to follow EBP while providing feeding tube care to a resident with an order for EBP related to tube feeding. The resident’s care plan required staff and visitors to follow EBP, including gown and glove use for direct care, and the facility policy called for EBP during high-contact care activities. During observation, the RN wore gloves but did not wear a gown while disconnecting the feeding tube and handling the resident’s tube, and later stated a gown should have been worn. The RCM and DON both stated gown and glove use was expected for tube feeding care.
A resident with a sacral pressure ulcer that had undergone failed flap surgery was inaccurately coded on the MDS as having a stage 4 pressure ulcer instead of a surgical wound, as required by the RAI manual. Both the MDS nurse and DON confirmed the incorrect coding during interviews, and the error was identified through review of medical records and assessment documentation.
Two residents were found self-administering medications without proper assessments or physician orders. One resident had Vitamin A & D and Turmeric supplements at their bedside, while another had Terbinafine cream, which they used more frequently than prescribed. The facility's policy requires an interdisciplinary team assessment and physician orders for self-administration, which were not completed for these residents.
The facility inaccurately assessed two residents' MDS, leading to incorrect documentation. One resident's discharge was incorrectly coded as to an acute hospital instead of the community, while another resident's insulin administration was over-reported. The errors were identified during joint record reviews with the MDS Coordinator and confirmed by the DON.
A facility failed to notify the PASARR Coordinator after a resident with serious mental illness and other conditions experienced a significant change in status by enrolling in hospice. Despite the requirement for a new Level I PASARR and referral for Level II evaluation, the facility did not complete these steps, risking unmet care needs for the resident.
The facility failed to ensure proper physician's orders for oxygen therapy for two residents, leading to a deficiency in respiratory care. One resident with sarcoidosis and chronic respiratory failure was receiving continuous oxygen without documented orders, while another resident with COPD was observed receiving continuous oxygen despite orders for as-needed use. Staff interviews and record reviews confirmed the lack of appropriate documentation and adherence to physician's orders.
A resident received an incorrect dosage of Ferrous Sulfate due to a failure to verify and clarify a physician's order. An LPN administered 325 mg instead of the prescribed 324 mg delayed release, without confirming the medication's label. The error was documented, and the provider was notified.
The facility failed to follow infection control protocols, including Enhanced Barrier Precautions for a resident requiring oral hygiene, proper hand hygiene between glove changes for a resident with a pressure wound, and correct transport of clean linens for a resident receiving wound care. Staff did not adhere to PPE requirements, neglected hand hygiene between glove changes, and improperly carried clean linens against their body.
A resident at the facility did not receive the influenza vaccine despite consent being given by their representative. The facility's policy required the vaccine to be offered and administered between October and March. The Infection Preventionist and Director of Nursing acknowledged the oversight, as there was no documentation or order for the vaccine, placing the resident at risk.
A resident did not receive the COVID-19 vaccine despite consent being obtained, as the facility failed to order and document the administration of the vaccine. The Infection Preventionist acknowledged missing the order, and the DON expected the vaccine to be available within days of consent.
The facility failed to ensure proper labeling, dating, and monitoring of food stored in residents' personal refrigerators and a common resident refrigeration unit. Expired and unlabeled food items were found, and internal thermometers were missing. Staff admitted to not following the facility's policy, placing residents at risk for foodborne illness.
Missing Self-Administration Evaluation and Order for Bedside Inhaler
Penalty
Summary
The facility failed to ensure a self-administration of medication evaluation and physician order were obtained for Resident 103 before the resident kept and used an albuterol sulfate inhaler at bedside. Resident 103 had diagnoses including COPD, dyspnea, and obstructive sleep apnea. Review of the EHR showed no self-administration evaluation in the evaluations tab, and review of physician orders showed no documentation that the albuterol inhaler was ordered to be kept at bedside. The April 2026 TAR, however, listed an SMP order for albuterol sulfate with prompts to document whether the resident could administer the medication, ask for the inhaler at the right time, know the dosage, and know what the medication was for. Observation showed a red inhaler on the bedside table within the resident’s reach, and later the resident stated the inhaler had been brought from home and had been used since admission, with self-administration of two puffs three to four times a day depending on how the resident was feeling. Staff E initially stated the inhaler was kept in the medication cart and then observed the inhaler at bedside and removed it, stating the resident was not supposed to keep it in the room. Staff H, Staff D, and the DON stated that residents who self-administer medications should have a prior evaluation, an order, and a lockbox, and they confirmed that Resident 103 did not have a self-administration evaluation before keeping the inhaler at bedside.
Failure to Process Grievance for Missing Personal Property
Penalty
Summary
The facility failed to initiate and resolve a grievance for one resident regarding a missing blue sweater. The resident stated that the sweater went missing in January 2026 and that staff did not put the resident’s name on it when it was taken to laundry. The resident also stated that the sweater had not been found or replaced, and a progress note from the Nurse Practitioner documented that the resident wanted to speak with Social Work about missing items in the laundry. The facility’s January 2026 grievance log did not show a grievance for the missing items. During interviews, the Nurse Practitioner could not remember whether the Social Worker had been notified, and the Social Services Director stated that they were not notified in January 2026 that the resident wanted to discuss the missing item. The Social Services Director also stated that no grievance form had been completed for the resident in January 2026. The Administrator stated that grievances would have been expected if staff knew a resident was missing personal items that could not be found right away.
Inaccurate MDS Coding for Turning/Repositioning Program
Penalty
Summary
The facility failed to ensure an accurate resident assessment for one resident reviewed for pressure ulcers and a turning/repositioning program. The admission MDS marked Section M1200C for a turning/repositioning program, and the resident’s skin impairment care plan included a repositioning/off-loading program requiring repositioning every 2 hours in bed, with specific positioning instructions for supine, right-side, and left-side positions. However, review of the resident’s electronic health record did not show documentation that the resident was repositioned every 2 hours or that the turning/repositioning program was monitored or reassessed for effectiveness. During interviews, a CNA stated the resident was not known to be on a turning/repositioning program, and an RN stated they were not sure whether the resident was on such a program, though the resident had a wound on the back and was being repositioned side to side. The MDS Coordinator stated the admission MDS was inaccurate, noting the turning/repositioning program had been discontinued on 04/03/2026 and had not been restarted, despite being coded on the admission MDS. The DON stated the MDS was expected to be completed accurately.
Failure to Develop Diabetes Care Plan
Penalty
Summary
Failure to develop a comprehensive care plan for diabetes mellitus was identified for one resident who was admitted with diagnoses that included diabetes mellitus and whose admission MDS showed the resident had diabetes mellitus and was receiving insulin during the assessment period. Review of the facility policy titled, Care Plans, Comprehensive Person-Centered, showed that a comprehensive, person-centered care plan with measurable objectives and timetables is to be developed and implemented for each resident within seven days of the completion of the required MDS assessment and no more than 21 days after admission. Review of the resident’s comprehensive care plan printed on 05/01/2026 showed that no care plan had been developed for the resident’s diagnosis of diabetes or insulin use. During a joint record review, the RCM stated that a resident with diabetes mellitus and receiving insulin would have a comprehensive care plan developed, and that no care plan had been initiated for the resident’s diabetes or insulin use and it should have been initiated. The DON also stated that they expected that care plan to be initiated for the diagnosis of diabetes mellitus and insulin use.
Medication Labeling and Storage Deficiencies
Penalty
Summary
Medication labeling and storage were not maintained in accordance with accepted professional principles on two medication carts. On the Second Floor Medication Cart 1, an observation with Staff F, LPN, showed Resident 26’s Ozempic pen labeled as first used on 02/14/2026 and still stored in the cart on 05/01/2026. The pen’s instructions stated it should be discarded 56 days after first use, and Staff F stated it should have been discarded on 04/11/2026. On the First Floor Medication Cart 2, an observation with Staff E, RN, found one opened liquid ferrous sulfate bottle with the date-opened sticker field blank and unlabeled, and two opened amantadine hydrochloride oral solution bottles without open dates. Staff E stated these medications should have been labeled with an open date. Staff C, RCM, stated liquid medications would be labeled when opened and discarded based on pharmacy instruction, and Staff B, DON, stated staff were expected to label medications with an open date and that any medication requiring an open date must be labeled at the time it was opened.
Food Safety and Hand Hygiene Lapses During Meal Service
Penalty
Summary
The facility failed to follow and maintain food safety and service practices in accordance with professional standards for two staff members involved in meal service. During observation in the Dynasty Dining Room, a CNA took meal trays from the cart, set them up for two residents, adjusted one resident’s wheelchair to keep the resident upright, and then assisted that resident with the meal without performing hand hygiene before or after setting up the meals or after touching the resident’s equipment. The CNA later stated that hand hygiene was expected before and after setting up residents’ meals and after adjusting the wheelchair, and the RN and DON stated that staff were expected to perform hand hygiene before and after setting up meals and after touching residents’ equipment. The facility also failed to maintain proper food coverage during meal delivery. A CNA took a meal tray with an uncovered fruit crisp from a cart parked in front of a room, walked down the hallway, handed the tray to another CNA, and the tray was then delivered to a resident in the Gardenview Dining Room with the fruit crisp still uncovered. The CNA stated the item was not covered and that none of those items were covered in the trays, while the RCM, Kitchen Manager, and Administrator each stated that food should be covered when traveling a distance or when walking down the hallway to deliver meal trays.
Inaccurate documentation for albuterol inhaler SMP
Penalty
Summary
The facility failed to ensure Resident 103’s clinical records were accurate for the resident’s albuterol sulfate inhaler use. The April 2026 MAR and May 2026 MAR showed an order for albuterol sulfate inhaler three times a day at 8:00 AM, 2:00 PM, and 9:00 PM, and the medication was documented as administered daily during the reviewed periods. However, the April 2026 TAR and May 2026 TAR showed an SMP order for albuterol sulfate that was documented as administered at 00:00 AM, 4:00 AM, 8:00 AM, 12:00 PM, 4:00 PM, and 8:00 PM from 04/28/2026 through 05/05/2026. During joint record review and interview, Staff E, RN, stated they gave Resident 103 the inhaler at 8:00 AM and 2:00 PM during their shift and documented SMP at 8:00 AM and 12:00 PM, explaining that the 12:00 PM entry was the only second time they could document SMP during the morning shift. Staff E stated the order was confusing and should have been updated to match the inhaler schedule of 8:00 AM, 2:00 PM, and 9:00 PM. Staff D, RCM, and Staff B, DON, also stated the SMP order should have been updated to reflect the inhaler schedule. The May 2026 TAR also showed the SMP for albuterol inhaler was marked as hospitalized on 05/03/2026 at 8:00 PM, and Staff B stated the resident was not in the hospital at that time.
Failure to Follow EBP During Feeding Tube Care
Penalty
Summary
The facility failed to follow Enhanced Barrier Precautions for one staff member while providing care to Resident 43, who had an order for EBP related to tube feeding. The resident’s comprehensive care plan stated that direct care staff and visitors were to follow EBP and that direct care staff were to use gowns and gloves for all personal care. The facility policy stated that EBP included mask, gown, and gloves for residents with an MDRO during high-contact care activities and for residents with wounds requiring dressing changes or indwelling medical devices. On observation, Staff E, a registered nurse, entered another resident’s room wearing gloves, then turned off Resident 43’s feeding pump and disconnected the feeding tube. Staff E placed the feeding tube inside the resident’s shirt and covered the chest with a towel, removed gloves, and performed hand hygiene, but did not wear a gown while providing feeding tube care. Staff E stated that a gown should have been worn. The Resident Care Manager and DON both stated that staff were expected to wear gown and gloves for tube feeding care, and the DON stated that staff were expected to follow CDC guidance for residents on EBP.
Inaccurate MDS Coding of Surgical Wound
Penalty
Summary
The facility failed to accurately assess a resident's surgical wound during the Minimum Data Set (MDS) process. According to the RAI 3.0 User's Manual, a pressure ulcer that has been surgically closed with a flap or graft should be coded as a surgical wound, even if the flap fails, until it is healed. Record review showed that the resident had a sacral pressure ulcer that underwent a failed flap surgery, as well as an unstageable pressure ulcer on the left ischium. Despite this, the significant change and discharge MDS assessments coded the sacral wound as a stage 4 pressure ulcer rather than as a surgical wound, contrary to the RAI manual's guidance. Interviews with the MDS nurse and the Director of Nursing confirmed that the sacral wound was not coded correctly on the MDS. The MDS nurse acknowledged following the RAI manual but admitted to inaccurately coding the wound as a pressure ulcer instead of a surgical wound. The Director of Nursing also confirmed the incorrect coding and stated an expectation for accurate MDS assessments. This failure to accurately assess and code the resident's wound was identified through both record review and staff interviews.
Failure to Assess and Authorize Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that residents were properly evaluated and assessed for self-administration of medications, and did not obtain necessary physician orders for two residents. This deficiency was identified during observations, interviews, and record reviews. The facility's policy requires an interdisciplinary team to assess each resident's cognitive and physical abilities to determine if self-administration is safe and appropriate, and mandates that unauthorized medications found at the bedside be returned to the nurse in charge. Resident 30, who was cognitively intact, was observed with Vitamin A & D and Turmeric supplements at their bedside, which they self-administered without a physician's order. The resident's Medication Administration Record (MAR) did not include these supplements, although there was an order for Vitamin D3. No self-medication program was completed for Resident 30, and staff were unaware of the resident's self-administration practices. Resident 48 was observed with Terbinafine cream at their bedside, which they used more frequently than prescribed. Although there was an order for the cream, no self-medication program was completed. Staff interviews revealed that medications should not be kept at the bedside without a physician's order and a completed self-medication program. The Director of Nursing expected staff to ensure a safe environment by securing medications and completing necessary assessments and orders for self-administration.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to accurately assess two residents, leading to incorrect documentation in their Minimum Data Set (MDS) assessments. Resident 89 was discharged from the facility to the community against medical advice, but their discharge MDS inaccurately indicated a discharge to an acute hospital. This discrepancy was identified during a joint record review with the MDS Coordinator, who acknowledged the error and confirmed that the discharge should have been coded as to the community. Resident 190's MDS was also inaccurately coded. The resident's Medication Administration Record showed that insulin was administered on five specific days during the look-back period. However, the admission MDS inaccurately recorded six insulin injections. Upon review, it was found that insulin was held and not given on one of the days, leading to the incorrect coding. The Director of Nursing confirmed the expectation for accurate MDS completion and acknowledged the inaccuracies in both residents' assessments.
Failure to Notify PASARR Coordinator After Significant Change in Resident's Status
Penalty
Summary
The facility failed to notify the State Pre-Admission Screening and Resident Review (PASARR) Coordinator after a significant change in status occurred for a resident who was reviewed for PASARR. The resident, who had diagnoses including depression, paranoid personality disorder, and unspecified psychosis, was admitted to the facility and had a Level I PASARR updated, indicating the need for a Level II PASARR evaluation. However, after the resident was certified with a terminal illness and enrolled in hospice services, which constituted a significant change in status, the facility did not complete a new Level I PASARR or notify the PASARR coordinator for a Level II evaluation. Interviews with the Social Services Director and the Administrator revealed that the facility's process required a new Level I PASARR and a referral for Level II evaluation upon a significant change in status, such as hospice enrollment. Despite this, the facility did not follow through with the necessary notifications and evaluations, as evidenced by the lack of documentation in the resident's Electronic Health Record. This oversight placed the resident at risk for unmet care needs and a diminished quality of life.
Deficiency in Oxygen Therapy Orders for Two Residents
Penalty
Summary
The facility failed to ensure that physician's orders for oxygen were in place and followed according to professional standards of practice for two residents, leading to a deficiency in respiratory care. Resident 85, who was admitted with sarcoidosis of the lungs and chronic respiratory failure with hypoxia, was observed receiving oxygen at a rate of two and a half liters per minute via nasal cannula. However, there were no physician's orders for continuous oxygen upon admission, despite the hospital discharge summary indicating a need for continuous oxygen at two to three liters per minute. Staff interviews revealed that there was an expectation for oxygen orders to be in place, but they were not documented until later. Resident 12, admitted with chronic obstructive pulmonary disease and chronic respiratory failure, was observed receiving continuous oxygen at two and a half liters per minute, although the physician's order was for oxygen at two liters per minute as needed for shortness of breath or cyanosis. Staff interviews confirmed that Resident 12 had been using oxygen continuously, yet the orders did not reflect this practice. The facility's records did not document any instances of Resident 12's oxygen saturation dropping below 90 percent, which was the condition for administering oxygen as per the existing order. The deficiency in respiratory care was identified through observations, interviews, and record reviews, highlighting a lack of proper documentation and adherence to physician's orders for oxygen therapy. The facility's failure to have appropriate oxygen orders in place for both residents placed them at risk for unmet care needs and potential respiratory complications.
Medication Administration Error Due to Unverified Physician Order
Penalty
Summary
The facility failed to ensure a physician's order was followed and/or clarified for a resident regarding medication administration. Specifically, the resident had a physician's order for Ferrous Sulfate oral tablet delayed release 324 mg to be given once a day every other day. However, during an observation, a Licensed Practical Nurse (LPN) administered Ferrous Sulfate 325 mg instead of the prescribed 324 mg delayed release. The LPN admitted to administering the iron supplement they had in supply without confirming if it was delayed release, as it was not labeled on the bottle. The LPN acknowledged that they should have confirmed the order, read it, and clarified it with the provider if it did not match the medication available. Further review and interviews revealed that the LPN documented the error in a nursing progress note and notified the provider. The Resident Care Manager confirmed that the LPN should have checked the resident's name, medication, dose, and route prior to administration and should have clarified the order with the provider. The Director of Nursing reiterated the expectation for nursing staff to verify the correct medication order, patient, dose, route, and strength, and stated that the LPN should have clarified the order with the provider.
Infection Control Deficiencies in PPE, Hand Hygiene, and Linen Transport
Penalty
Summary
The facility failed to adhere to Enhanced Barrier Precautions (EBP) for Resident 72, who required substantial assistance for oral hygiene and was on EBP due to infection control needs. During an observation, a Speech Therapist entered Resident 72's room wearing only gloves and provided oral care without a gown or mask, despite the EBP signage indicating the need for full PPE during personal hygiene activities. Interviews with the Infection Preventionist and Director of Nursing confirmed that oral care is considered personal hygiene, and staff should wear a gown, gloves, and mask. For Resident 12, who had a pressure wound and required daily dressing changes, the facility failed to ensure proper hand hygiene and glove use. During observations, a Licensed Practical Nurse (LPN) did not perform hand hygiene between glove changes while assisting with Resident 12's wound care and changing briefs. The LPN acknowledged the oversight, and both the Infection Preventionist and Director of Nursing stated that hand hygiene should be performed between glove changes, as per facility policy. Additionally, the facility did not follow proper procedures for transporting clean linens for Resident 6, who had wounds and was receiving wound care treatments. A Certified Nursing Assistant was observed carrying clean linens against their chest, contrary to the facility's policy that requires linens to be carried away from the body. Interviews with nursing staff confirmed that clean linens should not touch the body, and the expectation is to carry them away from the uniform to prevent contamination.
Failure to Administer Influenza Vaccine to Resident
Penalty
Summary
The facility failed to ensure that the influenza vaccine was provided to a resident, identified as Resident 10, who was reviewed for immunizations. The facility's policy required that the influenza vaccine be offered to residents and employees between October 1st and March 31st each year, unless medically contraindicated or already immunized. Resident 10 was admitted to the facility, and their representative consented to receive the influenza vaccine. However, there was no documentation in the electronic health record indicating that Resident 10 received the influenza vaccination. During an interview and joint record review, the Infection Preventionist, Staff D, acknowledged that the influenza vaccine was offered to residents upon admission. Despite the consent being signed, there was no order placed for the vaccine, and it was not administered to Resident 10. Staff D admitted to missing this case, and the Assistant Director of Nursing, Staff C, stated that the vaccine should have been given within a week of consent. The Director of Nursing, Staff B, confirmed that the vaccine should be ordered immediately after consent and expected to be administered within three to four days. This oversight placed Resident 10 at risk of acquiring and transmitting influenza.
Failure to Administer COVID-19 Vaccine to Resident
Penalty
Summary
The facility failed to ensure that a COVID-19 vaccine was provided to a resident, identified as Resident 10, who was reviewed for immunizations. The resident's representative had consented to the COVID-19 vaccination, but there was no documentation in the resident's electronic health record indicating that the vaccine was administered. This oversight placed the resident at risk for contracting COVID-19 and related complications. During interviews and record reviews, it was revealed that the facility's process involved offering the COVID-19 vaccine to residents upon admission. Staff D, the Infection Preventionist, acknowledged that they missed ordering the vaccine for Resident 10 after receiving consent. Staff C, the Assistant Director of Nursing, confirmed that the consent form was received, and the vaccine should have been administered within a week. Staff B, the Director of Nursing, stated that the vaccine is typically ordered immediately after consent is obtained and should be available within 3-4 days. However, in this case, the vaccine was not ordered or documented as administered.
Failure to Ensure Proper Food Storage and Monitoring
Penalty
Summary
The facility failed to ensure proper labeling, dating, and monitoring of food stored in residents' personal refrigerators and a common resident refrigeration unit. Specifically, Resident 1's personal refrigerator contained expired deli meats that were not discarded after their use-by dates, and the refrigerator lacked an internal thermometer. Staff responsible for monitoring these items admitted to missing the inspection and discarding of expired food. Similarly, Resident 2's personal refrigerator contained unlabeled chicken salad sandwiches and also lacked an internal thermometer. The dietary staff failed to label the food items with the resident's name and use-by date, and the refrigerator's temperature was not recorded for an entire month. Additionally, the first-floor resident refrigeration unit contained unlabeled and expired food items, and it did not have an internal thermometer or a temperature log. Staff acknowledged that the food items should have been labeled with the resident's name and the date received, and expired items should have been discarded. The facility's policy required that all refrigeration units have internal thermometers and that food items be labeled and monitored for expiration, but these procedures were not followed. Interviews with various staff members, including the Director of Nursing and the Administrator, confirmed that the facility's policy on personal food storage was not adhered to. The staff admitted that they were responsible for checking the food items and monitoring the temperatures in residents' personal refrigerators and the common refrigeration unit but failed to do so. This lack of compliance with the facility's policy placed residents at risk for foodborne illness and diminished their quality of life.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Seattle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Columbia Lutheran Home | 1.3 mi | ★★★★★ | 1 | 0 |
| Mirabella | 2 mi | ★★★★★ | 2 | 0 |
| Hearthstone, The | 2.5 mi | — | 0 | 0 |
| Bailey-boushay House | 2.8 mi | ★★★★★ | 0 | 0 |
| The Terraces At Skyline | 2.8 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.