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Marianwood Health and RehabilitationCMS ratings, inspections and fines

Address
3725 Providence Point Drive Southeast, Issaquah, WA 98029
CCN
505418
Ownership type
For-profit, limited liability company
Certified beds
117
Residents per day
82
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating3 of 5
Staffing rating3 of 5
Quality measure rating4 of 5
Care 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 Marianwood Health and Rehabilitation an overall rating of 3 of 5 stars. The last standard survey was on 21 Nov 2025. 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 $64,574 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.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Marianwood Health and Rehabilitation, with medians
Rating (1 to 5 stars)This homeKing County medianWashington medianUS average (CMS)
Overall rating33.03.03.0
Health inspection rating32.03.02.8
Staffing rating34.04.02.9
Quality measure rating44.04.03.6

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.

Health citations of Marianwood Health and Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsWashington median
Cycle 1 (latest)21 Nov 2025914
Cycle 21 Aug 20242817
Cycle 3No date1313

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.

Scope and severity of the 50 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 9 citations

Standard survey of this cycle: .

Health citations of Marianwood Health and Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
21 Nov 2025F0578Honor 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.DStandard survey6 Jan 2026
21 Nov 2025F0584Honor 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.DStandard survey6 Jan 2026
21 Nov 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey6 Jan 2026
21 Nov 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey6 Jan 2026
21 Nov 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey6 Jan 2026
21 Nov 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey6 Jan 2026
21 Nov 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey6 Jan 2026
21 Nov 2025F0761Ensure 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.DStandard survey6 Jan 2026
21 Nov 2025F0881Implement a program that monitors antibiotic use.EStandard survey6 Jan 2026

Survey cycle 2: 28 citations

Standard survey of this cycle: .

Health citations of Marianwood Health and Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
28 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation21 Mar 2025
28 Feb 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation21 Mar 2025
25 Sep 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation9 Oct 2024
1 Aug 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey9 Sep 2024
1 Aug 2024F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard survey9 Sep 2024
1 Aug 2024F0578Honor 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.DStandard survey9 Sep 2024
1 Aug 2024F0585Honor 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.EStandard survey9 Sep 2024
1 Aug 2024F0610Respond appropriately to all alleged violations.DStandard survey9 Sep 2024
1 Aug 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey9 Sep 2024
1 Aug 2024F0638Assure that each resident’s assessment is updated at least once every 3 months.DStandard survey9 Sep 2024
1 Aug 2024F0641Ensure each resident receives an accurate assessment.DStandard survey9 Sep 2024
1 Aug 2024F0642Ensure a qualified health professional conducts resident assessments.EStandard survey9 Sep 2024
1 Aug 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey9 Sep 2024
1 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey9 Sep 2024
1 Aug 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey9 Sep 2024
1 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey9 Sep 2024
1 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey9 Sep 2024
1 Aug 2024F0679Provide activities to meet all resident's needs.DStandard survey9 Sep 2024
1 Aug 2024F0688Provide 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.EStandard survey9 Sep 2024
1 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation9 Sep 2024
1 Aug 2024F0693Ensure 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.EStandard survey9 Sep 2024
1 Aug 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey9 Sep 2024
1 Aug 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey9 Sep 2024
1 Aug 2024F0761Ensure 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.DStandard survey9 Sep 2024
1 Aug 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard survey9 Sep 2024
1 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey9 Sep 2024
1 Aug 2024F0880Provide and implement an infection prevention and control program.DStandard survey9 Sep 2024
1 Aug 2024F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard survey9 Sep 2024

Survey cycle 3: 13 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Marianwood Health and Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Apr 2024F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation17 May 2024
25 Apr 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey7 Jun 2023
25 Apr 2023F0610Respond appropriately to all alleged violations.DStandard survey7 Jun 2023
25 Apr 2023F0625Notify 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.DStandard survey7 Jun 2023
25 Apr 2023F0641Ensure each resident receives an accurate assessment.DStandard survey7 Jun 2023
25 Apr 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey7 Jun 2023
25 Apr 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey7 Jun 2023
25 Apr 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey7 Jun 2023
25 Apr 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey7 Jun 2023
25 Apr 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey7 Jun 2023
25 Apr 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey7 Jun 2023
25 Apr 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey7 Jun 2023
25 Apr 2023F0908Keep all essential equipment working safely.DStandard survey7 Jun 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.

Penalties of Marianwood Health and Rehabilitation in the CMS penalties file
DateTypeFineDays without payment
28 Feb 2025Fine$31,694
1 Aug 2024Fine$32,880

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.

Nurse staffing hours per resident per day at Marianwood Health and Rehabilitation
StaffThis homeWashington medianWashington average (CMS)
All nurse staff3.814.104.37
Registered nurses (RN)0.960.900.94
Licensed practical nurses (LPN)0.560.77
Nurse aides2.292.66
All nurse staff, weekends3.303.603.81
Nurse staff turnover in a year
66.1%
Nurse staff turnover, Washington median
43.2%
RN turnover in a year
67.6%
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.

Quality measures of Marianwood Health and Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.8%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.1%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.9%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay21.5%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.3%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.0%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
Luna Vega Healthcare LLC
Chain
The Ensign Group (342 homes in the CMS chain file)
Organisations in the CMS ownership record of Marianwood Health and Rehabilitation
OrganisationRole in the CMS recordInterestSince
The Ensign Group IncIndirect ownership interest12 Sep 2024

The site shows organisations only. It does not show the names of persons.

Other homes in King County

The 12 nearest other nursing homes in King County, Washington
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Avamere Rehabilitation of IssaquahIssaquah2 of 513$48,66327 Mar 2025
Briarwood at Timber RidgeIssaquah5 of 59$016 Dec 2025
Bellevue Post AcuteBellevue3 of 526$010 Jan 2026
Covenant Shores Health CenterMercer Island5 of 511$011 Feb 2026
Redmond Care and Rehabilitation CenterRedmond5 of 58$013 Jun 2025
Corwin Center at Emerald HeightsRedmond4 of 512$39,46823 Apr 2025
Renton Health & RehabilitationRenton2 of 511$256,72513 Jan 2026
Caroline Kline Galland HomeSeattle3 of 519$04 Mar 2026
Kin on Health Care CenterSeattle2 of 512$19,46827 May 2026
Cedar River Healthcare CenterRenton3 of 514$74,81521 Apr 2025
Park ShoreSeattle4 of 514$08 Dec 2025
Life Care Center of KirklandKirkland2 of 519$53,56026 Nov 2025

All 47 nursing homes in King County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Marianwood Health and Rehabilitation (CCN 505418). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/marianwood-health-and-rehabilitation-issaquah-wa-505418/

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 Marianwood Health and Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 21 Nov 2025. It was a standard survey. It gave 9 citations. The standard survey before the last one was on 1 Aug 2024.
Who operates Marianwood Health and Rehabilitation?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Marianwood 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.