Nursing homeActive

Avamere Rehabilitation At Park West

1703 California Avenue Southwest, Seattle, WA 981162069379750137 certified beds · 89 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
55
0532
Penalties · 3 yrs
$29,820
1 fine · 1 action
Last survey
2026-03-09
Complaint
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
2026-03-09Complaint010CMS-2567 (Care Compare)
2025-07-29Standard0200CMS-2567 (Care Compare)
2024-10-07Complaint001CMS-2567 (Care Compare)
2024-04-22Standard0220CMS-2567 (Care Compare)
2024-02-06Complaint001CMS-2567 (Care Compare)
2023-10-20Complaint020CMS-2567 (Care Compare)
2023-02-03Standard080CMS-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.

2026-03-09Complaint survey · 1 deficiencyOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 505270-20260309-F628
2025-07-29Standard survey · 20 deficienciesOfficial report
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 2025-09-11Record 505270-20250729-F558
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 2025-09-11Record 505270-20250729-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 2025-09-11Record 505270-20250729-F585
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 505270-20250729-F604
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 505270-20250729-F605
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 505270-20250729-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 505270-20250729-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 505270-20250729-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 2025-09-11Record 505270-20250729-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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 505270-20250729-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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 505270-20250729-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 2025-09-11Record 505270-20250729-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 2025-09-11Record 505270-20250729-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 2025-09-11Record 505270-20250729-F684
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 2025-09-11Record 505270-20250729-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 2025-09-11Record 505270-20250729-F689
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 2025-09-11Record 505270-20250729-F692
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 2025-09-11Record 505270-20250729-F761
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 2025-09-11Record 505270-20250729-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 505270-20250729-F881
2024-10-07Complaint survey · 1 deficiencyOfficial report
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 2024-10-29Record 505270-20241007-F686
2024-04-22Standard survey · 22 deficienciesOfficial report
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 2024-06-01Record 505270-20240422-F550
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 2024-06-01Record 505270-20240422-F584
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 2024-06-01Record 505270-20240422-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 2024-06-01Record 505270-20240422-F625
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F640
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-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 2024-06-01Record 505270-20240422-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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-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 2024-06-01Record 505270-20240422-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 2024-06-01Record 505270-20240422-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 EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F689
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F693
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F726
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F757
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F758
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 2024-06-01Record 505270-20240422-F761
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F791
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 2024-06-01Record 505270-20240422-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 505270-20240422-F881
2024-02-06Complaint survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity KHarm
Infection control
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-24Record 505270-20240206-F880
2023-10-20Complaint survey · 2 deficienciesOfficial report
F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-30Record 505270-20231020-F571
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-30Record 505270-20231020-F835
2023-02-03Standard survey · 8 deficienciesOfficial report
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 2023-03-03Record 505270-20230203-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 2023-03-03Record 505270-20230203-F625
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 2023-03-03Record 505270-20230203-F644
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 2023-03-03Record 505270-20230203-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-03Record 505270-20230203-F689
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 505270-20230203-F790
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 2023-03-03Record 505270-20230203-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 505270-20230203-F881

Penalties & enforcement

DateActionAmountSource
2025-08-19Denial of payment for new admissions
Payment denial for 33 days, from 2025-11-19
CMS · Penalties
2024-02-06Civil money penalty$29,820CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.63
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day4.07
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours3.71
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover54%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover59%
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
5.6%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.5%2.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
17.5%15.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.3%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
14.6%14.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.3%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
8.4%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
Ascencio, Ignacio
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Avamere Health Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Avamere Skilled Advisors LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Chairez, Juanita
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Chu, Caleb
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
Fowler, Katherine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Garcia, Roberto
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kofstad, Mary
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
Simpson, Andrew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ari Operations, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Ariso LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Ascencio, Ignacio
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
Chairez, Juanita
Individual
ADP OF THE SNFNOT APPLICABLE
Chu, Caleb
Individual
ADP OF THE SNFNOT APPLICABLE
Fanunal, Loriel
Individual
ADP OF THE SNFNOT APPLICABLE
Feakin, Cody
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Feakin, Cody
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
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
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Kofstad, Mary
Individual
ADP OF THE SNFNOT APPLICABLE
Midcap Finco LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Miller, Karl
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Minhas, Kamaljit
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 Reit Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Simpson, Andrew
Individual
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
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Strunk, Colby
Individual
ADP OF THE SNFNOT APPLICABLE
Vahora, Rehanaben
Individual
ADP OF THE SNFNOT APPLICABLE
Vanderzanden, Carrie
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Vanderzanden, Carrie
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.

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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