Nursing homeActive
Life Care Center Of Skagit Valley
1462 West State Route 20, Sedro Woolley, WA 982843608566869150 certified beds · 78 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
12
since 2023
Deficiencies
52
● 0● 51● 1
Penalties · 3 yrs
$32,646
1 fine
Last survey
2026-05-15
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-15 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2026-05-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-02-23 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-12-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-06-18 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2024-09-13 | Standard | 0200 | CMS-2567 (Care Compare) | — |
| 2024-08-27 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-08 | Complaint | 010 | CMS-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.
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 2026-06-11Record 505318-20260515-F550
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 505318-20260515-F565
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 505318-20260515-F605
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 505318-20260515-F628
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 2026-06-11Record 505318-20260515-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 505318-20260515-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 505318-20260515-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 2026-06-11Record 505318-20260515-F688
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 505318-20260515-F760
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 2026-06-11Record 505318-20260515-F880
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 505318-20260501-F645
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 2026-03-26Record 505318-20260223-F686
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 505318-20260223-F921
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 2026-01-22Record 505318-20251223-F745
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 2025-10-09Record 505318-20250904-F657
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-09Record 505318-20250904-F842
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 505318-20250618-F561
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 2025-07-24Record 505318-20250618-F584
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 505318-20250618-F610
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 505318-20250618-F641
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 2025-07-24Record 505318-20250618-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 2025-07-24Record 505318-20250618-F688
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 505318-20250618-F804
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 505318-20250618-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 505318-20250618-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 505318-20250618-F813
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 2025-07-24Record 505318-20250618-F880
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 2024-10-16Record 505318-20240913-F578
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 2024-10-16Record 505318-20240913-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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-16Record 505318-20240913-F585
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 2024-10-16Record 505318-20240913-F637
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 2024-10-16Record 505318-20240913-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 2024-10-16Record 505318-20240913-F657
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-16Record 505318-20240913-F661
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 2024-10-16Record 505318-20240913-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 2024-10-16Record 505318-20240913-F688
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 2024-10-16Record 505318-20240913-F692
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 2024-10-16Record 505318-20240913-F693
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 2024-10-16Record 505318-20240913-F695
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-16Record 505318-20240913-F697
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 EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-16Record 505318-20240913-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 2024-10-16Record 505318-20240913-F745
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-16Record 505318-20240913-F755
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 2024-10-16Record 505318-20240913-F812
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-16Record 505318-20240913-F835
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 2024-10-16Record 505318-20240913-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-16Record 505318-20240913-F881
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 2024-09-12Record 505318-20240827-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-30Record 505318-20240702-F755
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 2024-05-30Record 505318-20240508-F684
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 2024-04-04Record 505318-20240312-F686
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 2023-12-07Record 505318-20231108-F656
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-02-23 | Civil money penalty | $32,646 | CMS · Penalties |
| 2023-08-22 | Civil money penalty | $35,997 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.87
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day4.20
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours3.52
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover39%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover43%
Facility
Washington
National
Washington 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Washington | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.4% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.1% | 2.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.6% | 15.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.1% | 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 | 4.3% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.7% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.8% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Butner, Nancy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Developers Investment Company Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dhaliwal, Navdeep Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fletcher, Todd Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nekuda, Vanessa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Preston, Aubrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Savela, Heather Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Skagit Valley Operations, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ziegler, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Butner, Nancy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cross, Cindy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Developers Investment Company Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dhaliwal, Navdeep Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Henry, Terry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lay, Lisa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lay, Lisa Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nekuda, Vanessa Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Savela, Heather Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Savela, Heather Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Skagit Valley Operations, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Swanker, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Swanker, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Thurmond, Joan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Life Care Centers Of America — 194 facilities
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 Skagit.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Mira Vista Care Center Mount Vernon | 6.6 mi | 2026-05-15 | 0370 |
| Life Care Center Of Mount Vernon Mount Vernon | 7.2 mi | 2026-04-23 | 0678 |
| Josephine Caring Community Stanwood | 18.7 mi | 2026-01-22 | 0181 |
| Highland Health And Rehabilitation Of Cascadia Bellingham | 17.2 mi | 2026-02-13 | 0314 |
| Mt Baker Care Center Bellingham | 17.9 mi | 2026-05-12 | 0150 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |