Alaska Gardens Health and RehabilitationCMS ratings, inspections and fines
- Address
- 6220 South Alaska Street, Tacoma, WA 98408
- CCN
- 505483
- Ownership type
- For-profit, individual
- Certified beds
- 123
- Residents per day
- 110
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Alaska Gardens Health and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 7 May 2026. The latest survey cycle has 17 health citations. The median for nursing homes in Washington is 14. CMS lists 2 fines with a total of $170,372 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Washington (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Pierce County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 21 homes in the county, 193 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 7 May 2026 | 17 | 14 |
| Cycle 2 | 23 May 2025 | 30 | 17 |
| Cycle 3 | No date | 18 | 13 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Jun 2026 |
| 15 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 19 Jun 2026 |
| 7 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0761 | Ensure 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. | E | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 19 Jun 2026 |
| 9 Oct 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 28 Oct 2025 |
| 9 Oct 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 28 Oct 2025 |
| 9 Oct 2025 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint investigation | 28 Oct 2025 |
Survey cycle 2: 30 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 1 Aug 2025 |
| 24 Jul 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 1 Aug 2025 |
| 23 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 16 Jun 2025 |
| 23 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 16 Jun 2025 |
| 23 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Jun 2025 |
| 23 May 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 16 Jun 2025 |
| 23 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Jun 2025 |
| 23 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 16 Jun 2025 |
| 23 May 2025 | F0761 | Ensure 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. | E | Standard survey | 16 Jun 2025 |
| 23 May 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 16 Jun 2025 |
| 23 May 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 16 Jun 2025 |
| 23 May 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 16 Jun 2025 |
| 29 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 May 2025 |
| 19 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 10 Apr 2025 |
| 19 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | F | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 10 Apr 2025 |
| 19 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | K | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0758 | Implement 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. | G | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Complaint investigation | 18 Apr 2025 |
| 19 Mar 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Complaint investigation | 10 Apr 2025 |
| 31 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 12 Feb 2025 |
| 22 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Apr 2025 |
| 22 Jan 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 18 Apr 2025 |
| 12 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Aug 2024 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Apr 2024 |
| 15 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 7 Apr 2024 |
| 15 Mar 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0625 | Notify 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. | B | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0758 | Implement 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. | D | Standard survey | 7 Apr 2024 |
| 15 Mar 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 7 Apr 2024 |
| 7 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 19 Mar 2024 |
| 17 Aug 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | G | Complaint investigation | 15 Sep 2023 |
| 17 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 15 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 29 Apr 2025 | Fine | $12,438 | |
| 22 Jan 2025 | Fine | $157,934 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Washington median | Washington average (CMS) |
|---|---|---|---|
| All nurse staff | 3.90 | 4.10 | 4.37 |
| Registered nurses (RN) | 0.56 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 1.03 | 0.77 | |
| Nurse aides | 2.30 | 2.66 | |
| All nurse staff, weekends | 3.53 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 50.0%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.2% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.1% | 14.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
- Chain
- Evergreen Healthcare Group (44 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Alaska Gardens SNF Operations Holdings LLC | Direct ownership interest | 1 Jul 2021 | |
| CH Alaska Gardens Holdings LLC | Indirect ownership interest | 1 Jul 2021 | |
| CW Alaska Gardens Holdings LLC | Indirect ownership interest | 1 Jul 2021 | |
| Lionheart SNF LLC | Indirect ownership interest | 1 Jul 2021 | |
| Witzcorp LLC | Indirect ownership interest | 1 Jul 2021 | |
| Alaska Gardens SNF Management LLC | Operational/managerial control | 1 Jul 2021 | |
| Alaska Gardens SNF Opco Manager LLC | Operational/managerial control | 1 Jul 2021 | |
| Alaska Gardens SNF Operations LLC | Operational/managerial control | 1 Jul 2021 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Veritas Health Solutions LLC | Operational/managerial control | 3 Mar 2025 | |
| Alaska Gardens SNF Management LLC | Adp of the snf | 1 May 2025 | |
| Alaska Gardens SNF Opco Manager LLC | Adp of the snf | 1 May 2025 | |
| Alaska Gardens SNF Operations LLC | Adp of the snf | 1 May 2025 | |
| Alaska Gardens SNF Realty LLC | Adp of the snf | 1 May 2025 | |
| CH Alaska Gardens Holdings LLC | Adp of the snf | 1 Jul 2021 | |
| Couve Healthcare Consulting LLC | Adp of the snf | 1 May 2025 | |
| CW Alaska Gardens Holdings LLC | Adp of the snf | 1 Jul 2021 | |
| Veritas Health Solutions LLC | Adp of the snf | 11 Jun 2025 | |
| Witzcorp LLC | Adp of the snf | 1 Jul 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pierce County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avalon Healthcare - Tacoma | Tacoma | 2 of 5 | 26 | $24,814 | 30 Jul 2025 | |
| Birch Creek Post Acute & Rehabilitation | Tacoma | 1 of 5 | 29 | $30,240 | 13 Mar 2026 | |
| Orchard Park Health Care & Rehab Center | Tacoma | 1 of 5 | 37 | $136,055 | 1 Jun 2026 | |
| Avamere at Pacific Ridge | Tacoma | 2 of 5 | 23 | $57,783 | 24 Apr 2026 | |
| Tacoma Nursing and Rehabilitation Center | Tacoma | 5 of 5 | 6 | $36,446 | 22 Jun 2026 | |
| Heartwood Extended Healthcare | Tacoma | 1 of 5 | 26 | $382,661 | 30 Mar 2026 | |
| Park Rose Care Center | Tacoma | 2 of 5 | 18 | $241,815 | 2 Jul 2025 | |
| Agility Health and Rehabilitation | University Place | 3 of 5 | 16 | $0 | 9 Jun 2026 | |
| The Oaks at Lakewood | Tacoma | 5 of 5 | 3 | $0 | 29 Jan 2026 | |
| Avamere Transitional Care of Puget Sound | Tacoma | 4 of 5 | 14 | $23,319 | 25 Nov 2025 | |
| Eliseo | Tacoma | 3 of 5 | 20 | $0 | 9 May 2025 | |
| Cottesmore of Life Care | Gig Harbor | 4 of 5 | 9 | $29,595 | 27 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Alaska Gardens Health and Rehabilitation (CCN 505483). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/alaska-gardens-health-and-rehabilitation-tacoma-wa-505483/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Alaska Gardens Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 5 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 23 May 2025.
- Who operates Alaska Gardens Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Evergreen Healthcare Group. The CMS ownership file names 5 organisations for operational or managerial control. This site does not show the names of persons.
- Is Alaska Gardens Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.