Cottesmore of Life CareCMS ratings, inspections and fines
- Address
- 2909 14th Avenue Northwest, Gig Harbor, WA 98335
- CCN
- 505499
- Ownership type
- For-profit, limited liability company
- Certified beds
- 108
- Residents per day
- 103
- CMS flags
- None in the CMS record
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 Cottesmore of Life Care an overall rating of 4 of 5 stars. The last standard survey was on 27 Feb 2026. The latest survey cycle has 9 health citations. The median for nursing homes in Washington is 14. CMS lists 2 fines with a total of $29,595 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 | 4 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 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) | 27 Feb 2026 | 9 | 14 |
| Cycle 2 | 13 Jan 2025 | 18 | 17 |
| Cycle 3 | No date | 11 | 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 | J0 | 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 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Feb 2026 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 26 Mar 2026 |
| 27 Feb 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 26 Mar 2026 |
| 27 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 26 Mar 2026 |
| 27 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 26 Mar 2026 |
| 27 Feb 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 26 Mar 2026 |
| 27 Feb 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. | D | Standard survey | 26 Mar 2026 |
| 27 Feb 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 26 Mar 2026 |
| 9 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 28 Jan 2026 |
| 18 Aug 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 2 Sep 2025 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jan 2025 | 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 | 27 Feb 2025 |
| 13 Jan 2025 | 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. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | 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 | 27 Feb 2025 |
| 13 Jan 2025 | 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. | E | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 27 Feb 2025 |
| 13 Jan 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. | E | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 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 | 27 Feb 2025 |
| 13 Jan 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Feb 2025 |
| 13 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Feb 2025 |
Survey cycle 3: 11 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 |
|---|---|---|---|---|---|
| 30 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 21 Jun 2024 |
| 8 Feb 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 14 Mar 2024 |
| 8 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Mar 2024 |
| 8 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 14 Mar 2024 |
| 8 Feb 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 14 Mar 2024 |
| 8 Feb 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | B | Standard survey | 14 Mar 2024 |
| 8 Feb 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard survey | 14 Mar 2024 |
| 8 Feb 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 14 Mar 2024 |
| 26 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 21 Nov 2023 |
| 30 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Sep 2023 |
| 30 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 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 |
|---|---|---|---|
| 18 Aug 2025 | Fine | $11,362 | |
| 26 Oct 2023 | Fine | $18,233 |
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 | 4.32 | 4.10 | 4.37 |
| Registered nurses (RN) | 1.14 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.78 | 0.77 | |
| Nurse aides | 2.40 | 2.66 | |
| All nurse staff, weekends | 3.54 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 44.3%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 16.0%
- 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 | 4.7% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.8% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.1% | 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, limited liability company
- Legal business name
- Gig Harbor Operations, LLC
- Chain
- Life Care Centers of America (194 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Developers Investment Company Inc | Direct ownership interest | 26 Feb 1996 | |
| Developers Investment Company Inc | Operational/managerial control | 26 Feb 1996 | |
| Gig Harbor Operations, LLC | Operational/managerial control | 1 May 1996 | |
| Life Care Centers of America, Inc. | Operational/managerial control | 1 Feb 1996 | |
| Gig Harbor Operations, LLC | Adp of the snf | 31 Aug 2000 | |
| Life Care Centers of America, Inc. | Adp of the snf | 18 Mar 2025 |
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 | |
|---|---|---|---|---|---|---|
| Gig Harbor Health and Rehabilitation | Gig Harbor | 2 of 5 | 40 | $127,781 | 9 Dec 2025 | |
| Eliseo | Tacoma | 3 of 5 | 20 | $0 | 9 May 2025 | |
| Avamere Transitional Care of Puget Sound | Tacoma | 4 of 5 | 14 | $23,319 | 25 Nov 2025 | |
| Park Rose Care Center | Tacoma | 2 of 5 | 18 | $241,815 | 2 Jul 2025 | |
| Heron's Key | Gig Harbor | 5 of 5 | 3 | $15,015 | 13 Feb 2026 | |
| Agility Health and Rehabilitation | University Place | 3 of 5 | 16 | $0 | 9 Jun 2026 | |
| Orchard Park Health Care & Rehab Center | Tacoma | 1 of 5 | 37 | $136,055 | 1 Jun 2026 | |
| Birch Creek Post Acute & Rehabilitation | Tacoma | 1 of 5 | 29 | $30,240 | 13 Mar 2026 | |
| Avamere at Pacific Ridge | Tacoma | 2 of 5 | 23 | $57,783 | 24 Apr 2026 | |
| Alaska Gardens Health and Rehabilitation | Tacoma | 1 of 5 | 17 | $170,372 | 7 May 2026 | |
| Avalon Healthcare - Tacoma | Tacoma | 2 of 5 | 26 | $24,814 | 30 Jul 2025 | |
| The Oaks at Lakewood | Tacoma | 5 of 5 | 3 | $0 | 29 Jan 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 Cottesmore of Life Care (CCN 505499). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/cottesmore-of-life-care-gig-harbor-wa-505499/
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 Cottesmore of Life Care last inspected?
- The latest inspection with a citation in the CMS record was on 27 Feb 2026. It was a standard survey. It gave 7 citations. The standard survey before the last one was on 13 Jan 2025.
- Who operates Cottesmore of Life Care?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Life Care Centers of America. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Cottesmore of Life Care 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.