Nursing homeActive

Avamere Rehabilitation of Burien

1031 Southwest 130th Street, Burien, WA 981462062423213140 certified beds · 80 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
54
0486
Penalties · 3 yrs
$59,485
1 fine
Last survey
2025-05-19
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
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
2025-05-19Standard0130CMS-2567 (Care Compare)
2024-03-27Complaint013CMS-2567 (Care Compare)
2024-02-28Standard0283CMS-2567 (Care Compare)
2022-11-17Standard060CMS-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.

2025-05-19Standard survey · 13 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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-18Record 505252-20250519-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-18Record 505252-20250519-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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-18Record 505252-20250519-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 2025-06-18Record 505252-20250519-F585
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-18Record 505252-20250519-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 2025-06-18Record 505252-20250519-F657
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 2025-06-18Record 505252-20250519-F677
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 2025-06-18Record 505252-20250519-F685
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 2025-06-18Record 505252-20250519-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-18Record 505252-20250519-F690
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 2025-06-18Record 505252-20250519-F761
F791Provide or obtain dental services for each resident.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-18Record 505252-20250519-F791
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 2025-06-18Record 505252-20250519-F880
2024-03-27Complaint survey · 4 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-01Record 505252-20240327-F600
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-01Record 505252-20240327-F622
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-01Record 505252-20240327-F760
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 2024-05-01Record 505252-20240327-F770
2024-02-28Standard survey · 31 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-11Record 505252-20240228-F684
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 2024-04-11Record 505252-20240228-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-11Record 505252-20240228-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F550
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 2024-04-11Record 505252-20240228-F578
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 2024-04-11Record 505252-20240228-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F610
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 2024-04-11Record 505252-20240228-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-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 2024-04-11Record 505252-20240228-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 2024-04-11Record 505252-20240228-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 2024-04-11Record 505252-20240228-F677
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 DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F688
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F695
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F699
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F700
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 FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F725
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F745
F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F807
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F814
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F842
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 2024-04-11Record 505252-20240228-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 2024-04-11Record 505252-20240228-F880
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505252-20240228-F908
2022-11-17Standard survey · 6 deficienciesOfficial report
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 2022-12-20Record 505252-20221117-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-20Record 505252-20221117-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-20Record 505252-20221117-F692
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-20Record 505252-20221117-F698
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 2022-12-20Record 505252-20221117-F880
F886Perform COVID19 testing on residents and staff.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-20Record 505252-20221117-F886

Penalties & enforcement

DateActionAmountSource
2024-02-28Civil money penalty$59,485CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.76
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 hours3.62
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover24%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover27%
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
7.6%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.6%2.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
5.1%15.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.8%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
12.4%14.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
12.2%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
2.6%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
Armstrong, Dennis
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Avamere Health Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Avamere Skilled Advisors LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Chand, Vineeta
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fanunal, Loriel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Feakin, Cody
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fisher, Tonya
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Garcia, Roberto
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kofstad, Mary
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mercado, Neriza
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Midcap Finco LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Presley, Yolanda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Reid, Misty
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Tyler, Kensie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ari Operations, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Ariso LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Armstrong, Dennis
Individual
ADP OF THE SNFNOT APPLICABLE
Aronson, Leslie
Individual
ADP OF THE SNFNOT 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
Chand, Vineeta
Individual
ADP OF THE SNFNOT 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
Fowler, Katherine
Individual
ADP OF THE SNFNOT APPLICABLE
Funderberg, Michelle
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Funderberg, Michelle
Individual
ADP OF THE SNFNOT APPLICABLE
Games, Kim
Individual
ADP OF THE SNFNOT APPLICABLE
Garcia, Roberto
Individual
ADP OF THE SNFNOT APPLICABLE
Garcia, Roberto
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Incovate Solutions, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Inskeep, Todd
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Inskeep, Todd
Individual
ADP OF THE SNFNOT 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
Mercado, Neriza
Individual
ADP OF THE SNFNOT APPLICABLE
Midcap Finco LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Miller, Karl
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Moss Adams LLP
Organization
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
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Reid, Misty
Individual
ADP OF THE SNFNOT 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
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Staples, Carolyn
Individual
ADP OF THE SNFNOT APPLICABLE
Strunk, Colby
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Strunk, Colby
Individual
ADP OF THE SNFNOT APPLICABLE
Tyler, Kensie
Individual
ADP OF THE SNFNOT APPLICABLE
Vanderzanden, Carrie
Individual
ADP OF THE SNFNOT APPLICABLE
Vanderzanden, Carrie
Individual
MANAGING CONTROL - GOVERNING BODYNOT 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.

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5.2 mi2026-04-130614
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5.6 mi2026-02-120310
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5.0 mi2026-05-280320
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5.7 mi2026-05-270512
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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