Avamere Rehabilitation of IssaquahCMS ratings, inspections and fines
- Address
- 805 Front Street, Issaquah, WA 98027
- CCN
- 505004
- Ownership type
- For-profit, limited liability company
- Certified beds
- 140
- Chain
- Avamere
- Residents per day
- 93
- 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 Avamere Rehabilitation of Issaquah an overall rating of 2 of 5 stars. The last standard survey was on 27 Mar 2025. The latest survey cycle has 13 health citations. The median for nursing homes in Washington is 14. CMS lists 1 fine of $48,663 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 | King County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 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: 47 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) | 27 Mar 2025 | 13 | 14 |
| Cycle 2 | 6 Feb 2024 | 31 | 17 |
| Cycle 3 | No date | 12 | 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 | K0 | 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 | B0 | C0 |
Survey cycle 1 (latest): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 14 May 2025 |
| 27 Mar 2025 | F0585 | Honor 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. | D | Standard survey | 14 May 2025 |
| 27 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 14 May 2025 |
| 27 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 May 2025 |
| 27 Mar 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 14 May 2025 |
| 27 Mar 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 | 14 May 2025 |
| 27 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 May 2025 |
| 27 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 May 2025 |
| 27 Mar 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. | D | Standard survey | 14 May 2025 |
| 27 Mar 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 14 May 2025 |
| 27 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 May 2025 |
| 27 Mar 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 14 May 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 May 2025 |
Survey cycle 2: 31 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Feb 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0578 | Honor 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. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0584 | Honor 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. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0585 | Honor 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. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 20 Mar 2024 |
| 6 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Mar 2024 |
| 6 Feb 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 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 | 20 Mar 2024 |
| 6 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0688 | Provide 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. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Mar 2024 |
| 6 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0727 | Have 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. | F | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 20 Mar 2024 |
| 6 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Mar 2024 |
Survey cycle 3: 12 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 |
|---|---|---|---|---|---|
| 9 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 Dec 2023 |
| 9 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Dec 2023 |
| 12 Oct 2022 | F0578 | Honor 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. | E | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | F0585 | Honor 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. | E | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | 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. | D | Standard survey | 16 Nov 2022 |
| 12 Oct 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 16 Nov 2022 |
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 |
|---|---|---|---|
| 6 Feb 2024 | Fine | $48,663 |
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 | 4.08 | 4.10 | 4.37 |
| Registered nurses (RN) | 0.59 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.93 | 0.77 | |
| Nurse aides | 2.56 | 2.66 | |
| All nurse staff, weekends | 3.65 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 42.4%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 46.7%
- Administrators who left in a year
- 1
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 | 22.3% | 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 | 1.9% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.8% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.5% | 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, limited liability company
- Legal business name
- Issaquah Operations LLC
- Chain
- Avamere (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ariso LLC | Direct ownership interest | 1 Feb 2023 | |
| Ari Operations, LLC | Indirect ownership interest | 1 Feb 2023 | |
| Avamere Group LLC | Indirect ownership interest | 1 Feb 2023 | |
| Midcap Finco LLC | 5% or greater security interest | 1 Feb 2023 | |
| Avamere Health Services LLC | Operational/managerial control | 1 Feb 2023 | |
| Avamere Skilled Advisors LLC | Operational/managerial control | 1 Feb 2023 | |
| Midcap Finco LLC | Operational/managerial control | 1 Feb 2023 | |
| Avamere Health Services LLC | Adp of the snf | 12 Jul 2025 | |
| Avamere Skilled Advisors LLC | Adp of the snf | 12 Jul 2025 | |
| Consolidated Billing Services Inc | Adp of the snf | 1 Feb 2023 | |
| Incovate Solutions, LLC | Adp of the snf | 1 Feb 2023 | |
| Moss Adams LLP | Adp of the snf | 1 Feb 2023 | |
| Pacific Medical Specialty Group | Adp of the snf | 8 Aug 2022 | |
| Rande Holdings, LLC | Adp of the snf | 1 Jun 2024 | |
| Sabra Health Care Limited Partnership | Adp of the snf | 1 Feb 2023 | |
| Sabra Health Care REIT Inc | Adp of the snf | 1 Feb 2023 | |
| Sabra Health Care, LLC | Adp of the snf | 1 Feb 2023 | |
| Snapmedtech,Inc. | Adp of the snf | 8 Sep 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in King County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Briarwood at Timber Ridge | Issaquah | 5 of 5 | 9 | $0 | 16 Dec 2025 | |
| Marianwood Health and Rehabilitation | Issaquah | 3 of 5 | 9 | $64,574 | 21 Nov 2025 | |
| Bellevue Post Acute | Bellevue | 3 of 5 | 26 | $0 | 10 Jan 2026 | |
| Covenant Shores Health Center | Mercer Island | 5 of 5 | 11 | $0 | 11 Feb 2026 | |
| Renton Health & Rehabilitation | Renton | 2 of 5 | 11 | $256,725 | 13 Jan 2026 | |
| Cedar River Healthcare Center | Renton | 3 of 5 | 14 | $74,815 | 21 Apr 2025 | |
| Valley View Skilled Nursing and Rehabilitation | Renton | 3 of 5 | 13 | $0 | 24 Mar 2026 | |
| Redmond Care and Rehabilitation Center | Redmond | 5 of 5 | 8 | $0 | 13 Jun 2025 | |
| Caroline Kline Galland Home | Seattle | 3 of 5 | 19 | $0 | 4 Mar 2026 | |
| Kin on Health Care Center | Seattle | 2 of 5 | 12 | $19,468 | 27 May 2026 | |
| Corwin Center at Emerald Heights | Redmond | 4 of 5 | 12 | $39,468 | 23 Apr 2025 | |
| North Bend Post Acute | North Bend | 1 of 5 | 22 | $206,072 | 5 Mar 2025 |
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 Avamere Rehabilitation of Issaquah (CCN 505004). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avamere-rehabilitation-of-issaquah-issaquah-wa-505004/
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 Avamere Rehabilitation of Issaquah last inspected?
- The latest inspection with a citation in the CMS record was on 27 Mar 2025. It was a standard survey and a complaint investigation. It gave 13 citations. The standard survey before the last one was on 6 Feb 2024.
- Who operates Avamere Rehabilitation of Issaquah?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Avamere. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Avamere Rehabilitation of Issaquah 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.