Nursing homeActive

Avamere Rehabilitation Of Issaquah

805 Front Street, Issaquah, WA 980274253921271140 certified beds · 93 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
56
0533
Penalties · 3 yrs
$48,663
1 fine
Last survey
2025-03-27
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Washington DSHS Aging and Long-Term Support · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-03-27Standard0130CMS-2567 (Care Compare)
2024-02-06Standard0283CMS-2567 (Care Compare)
2023-11-09Complaint020CMS-2567 (Care Compare)
2022-10-12Standard0100CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Washington DSHS Aging and Long-Term Support publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-03-27Standard survey · 13 deficienciesOfficial report
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F569
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F585
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F677
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F678
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F679
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F689
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F770
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-14Record 505004-20250327-F880
2024-02-06Standard survey · 31 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-03-20Record 505004-20240206-F607
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-03-20Record 505004-20240206-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-03-20Record 505004-20240206-F697
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F554
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F558
F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F559
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F582
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F584
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F585
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F623
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F636
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F637
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F684
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F685
F688Provide 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F725
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F727
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F847
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 505004-20240206-F880
2023-11-09Complaint survey · 2 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-12Record 505004-20231109-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-12Record 505004-20231109-F677
2022-10-12Standard survey · 10 deficienciesOfficial report
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F578
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F585
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F645
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F692
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F761
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 505004-20221012-F883

Penalties & enforcement

DateActionAmountSource
2024-02-06Civil money penalty$48,663CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.59
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day4.08
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours3.65
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover42%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover47%
Facility
Washington
National
Washington 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWashingtonNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.6%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.1%2.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
12.5%15.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.9%1.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
22.3%14.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.1%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
8.1%12.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Avamere Health Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Avamere Skilled Advisors LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fanunal, Loriel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Feakin, Cody
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Feliu Vargas, Jose
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fisher, Tonya
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fowler, Katherine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Garcia, Roberto
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hobbs, Samantha
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kofstad, Mary
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Midcap Finco LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mokashi, Samiksha
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nesterenko, Oksana
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Presley, Yolanda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Reid, Misty
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ari Operations, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Ariso LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Avamere Group LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Avamere Health Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Avamere Skilled Advisors LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Cavallo, Glen
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Consolidated Billing Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Fanunal, Loriel
Individual
ADP OF THE SNFNOT APPLICABLE
Feakin, Cody
Individual
ADP OF THE SNFNOT APPLICABLE
Feakin, Cody
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Feliu Vargas, Jose
Individual
ADP OF THE SNFNOT APPLICABLE
Fowler, Katherine
Individual
ADP OF THE SNFNOT APPLICABLE
Funderberg, Michelle
Individual
ADP OF THE SNFNOT APPLICABLE
Funderberg, Michelle
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Games, Kim
Individual
ADP OF THE SNFNOT APPLICABLE
Garcia, Roberto
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Garcia, Roberto
Individual
ADP OF THE SNFNOT APPLICABLE
Hobbs, Samantha
Individual
ADP OF THE SNFNOT APPLICABLE
Hokenson, Laura
Individual
ADP OF THE SNFNOT APPLICABLE
Incovate Solutions, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Inskeep, Todd
Individual
ADP OF THE SNFNOT APPLICABLE
Inskeep, Todd
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Karl Rickard Miller Jr Revocable Trust
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Kofstad, Mary
Individual
ADP OF THE SNFNOT APPLICABLE
Kofstad, Mary
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Midcap Finco LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Miller, Karl
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mokashi, Samiksha
Individual
ADP OF THE SNFNOT APPLICABLE
Moss Adams LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Nesterenko, Oksana
Individual
ADP OF THE SNFNOT APPLICABLE
Nielson, Charles
Individual
ADP OF THE SNFNOT APPLICABLE
Pacific Medical Specialty Group
Organization
ADP OF THE SNFNOT APPLICABLE
Presley, Yolanda
Individual
ADP OF THE SNFNOT APPLICABLE
Rande Holdings, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Reid, Misty
Individual
ADP OF THE SNFNOT APPLICABLE
Reid, Misty
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Sabra Health Care Limited Partnership
Organization
ADP OF THE SNFNOT APPLICABLE
Sabra Health Care Reit Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Sabra Health Care, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Snapmedtech,Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Staples, Carolyn
Individual
ADP OF THE SNFNOT APPLICABLE
Staples, Carolyn
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Strunk, Colby
Individual
ADP OF THE SNFNOT APPLICABLE
Strunk, Colby
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Vanderzanden, Carrie
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Vanderzanden, Carrie
Individual
ADP OF THE SNFNOT APPLICABLE
Weisert, Melanie
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Avamere27 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Washington.

No county cost figures on file for King.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Briarwood At Timber Ridge
Issaquah
1.5 mi2025-12-160140
Marianwood Health And Rehabilitation
Issaquah
2.5 mi2025-11-210362
Bellevue Post Acute
Bellevue
7.7 mi2026-06-092600
Redmond Care And Rehabilitation Center
Redmond
10.5 mi2026-02-130170
Corwin Center At Emerald Heights
Redmond
11.4 mi2025-04-230332
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01