Home / Washington / Seattle
Bailey-Boushay House
2720 East Madison, Seattle, WA 98112 · King County · (206) 322-5300
35 certified beds, about 28 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
Not rated
CMS note: Not enough data available to calculate a star rating.
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 505476 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 5, 2025, inspectors cited 17 health deficiencies (the Washington average is 15.8, the national average 9.2).
None of its 48 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
CMS links it to Commonspirit Health, an affiliated group of 18 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1103/23
1805/24
102/25
1705/25
107/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 48 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
29D
19E
0F
Potential for minimal harm
0A
0B
0C
July 16, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide necessary supervision and follow the safety care plan for 1 of 1 resident (Resident 1), reviewed for accident hazards. This failure placed the resident at risk for injury, and a diminished quality of life.
May 5, 2025Standard inspection · 17 citations
- E Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the survey result binder included the recent recertification survey results that led to citations and plan of corrections for 2 of 3 years (2023 & 2024), reviewed for availability of survey reports. This failure prevented the residents, residents' representatives, and visitors from exercising their right to review past survey results and the facility's plan of corrections.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to accurately assess 4 of 13 residents (Residents 13, 5, 23 & 17), reviewed for Minimum Data Set (MDS-an assessment tool). The failure to ensure accurate assessments regarding opioid (medication to treat pain) use, presence of delusion (false belief), activity interview and insulin (medication/hormone that regulates blood sugar levels) injections placed the residents at risk for unidentified and/or unmet care needs, and a diminished quality of life.
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure accurate completion and update of Level 1 Pre-admission Screening and Resident Review (PASARR- an assessment used to identify people referred to nursing facilities with Serious Mental Illness [SMI], Intellectual Disabilities [ID], or Related Conditions [RC] are not inappropriately placed in nursing homes for long term care) were conducted for 5 of 6 residents (Residents 2, 5,13,17 & 22), and failed to ensure Level II PASARR referral were made for 4 of 6 residents (Residents 2, 5, 13 & 22), reviewed for PASARR screening. These failures placed the residents at risk for inappropriate placement and/or not receiving timely and necessary services to meet mental health care needs.
- E Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the daily nurse staffing form was accurately completed to reflect the facility's name for 5 of 5 days (04/29/2025, 04/30/2025, 05/01/2025, 05/02/2025 & 05/05/2025), reviewed for sufficient and competent staffing. This failure placed the residents and residents' representatives at risk of not being fully informed of the current staffing levels.
- E 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to appropriately store biologicals (medicines made from living things like proteins that help treat and/or prevent diseases) to maintain the appropriate temperature range for 1 of 1 medication refrigerator (2nd floor Medication Refrigerator), and failed to ensure medical supplies were labeled with expiration dates for 1 of 2 medication carts (West 3 Medication Cart), reviewed for medication storage and labeling. These failures placed the residents at risk for receiving compromised and/or ineffective biological and medical supplies.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were handled appropriately in accordance with professional standards of food safety for 1 of 3 Refrigerators (Reach-in Cooler), reviewed for food services. The failure to label and date food items placed the residents at risk for food borne illness (caused by the ingestion of contaminated food or beverages) and a diminished quality of life.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure infection prevention and control practices were followed related to hand hygiene between glove change and/or proper removal of used Personal Protective Equipment (PPE-gown and gloves) for 4 of 6 staff (Staff T, L, R & H), reviewed for infection control. These failures placed the residents, staff, and visitors at risk for facility acquired or healthcare-associated infections and related complications. Review of the facility policy titled, Infection Prevention and Control Program, updated in June 2024, showed Employees and volunteers at [facility name] follow the CDC [The Centers of Disease Control and Prevention] Hand Hygiene guidelines. It further showed that employees followed guidelines produced by CDC. [...]
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, the facility failed to ensure an informed consent for psychotropic medication (a drug that affects behavior, mood, thoughts, or perception) was completed prior to medication administration for 1 of 5 residents (Residents 17), reviewed for unnecessary medications. This failure placed the resident and/or their representative at risk of not being fully informed of the risks and benefits before making decisions about medications prior to administration.
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on interview and record review, the facility failed to ensure resident's fund was transferred to the resident or resident's representative/estate within 30 days of discharge for 1 of 1 discharged resident (Resident 136), reviewed for personal funds. This failure placed the resident and/or their representative/estate at risk for loss of funds and the interest accumulated.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interview and record review, the facility failed to ensure adequate monitoring was in place for psychotropic (drugs that affects how the brain works, and causes changes in mood, awareness, thoughts, feelings or behavior) medication management for 2 of 5 residents (Resident 13 & 17), reviewed for unnecessary medications. This failure placed the residents at risk for unmet care needs, adverse side effects, and a diminished quality of life.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview and record review, the facility failed to ensure a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS - an assessment tool) was completed for 1 of 2 residents (Resident 23), reviewed for SCSA. The failure to complete an SCSA for a decline in eating and transfer placed the resident at risk for delayed care planning, unmet care needs, and a diminished quality of life.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to develop care plans for 2 of 12 residents (Residents 17 & 13), reviewed for comprehensive care plan. The failure to develop care plans for Post Traumatic Stress Disorder (PTSD - a mental health condition triggered by a terrifying event that was either experienced or witnessed) and use of an anticoagulant (medication to prevent blood clot) placed the residents at risk for unmet care needs and a diminished quality of life.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise comprehensive care plans for 2 of 12 residents (Resident 19 & 23), reviewed for care plan revision. The failure to revise the care plan to include refusal to wear safety apron for smoking and identified activity preferences placed the residents at risk for unmet care needs and a diminished quality of life.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an activity program met the need of 1 of 1 resident (Resident 23), reviewed for activities. The failure to implement an individualized ongoing program to support the resident in their choice of activities based on the comprehensive assessment and care plan placed the resident at risk for unmet activity pursuit, social isolation, and a diminished quality of life.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident who was a trauma survivor and diagnosed with Post Traumatic Stress Disorder (PTSD - a mental health condition triggered by a terrifying event that was either experienced or witnessed) was adequately assessed for trauma-informed care and associated triggers in accordance with professional standards of practice for 1 of 2 residents (Resident 17), reviewed for mood/behavior. This failure placed the resident at risk for unidentified triggers, re-traumatization, and a decreased quality of life.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review, the facility failed to ensure adequate monitoring was conducted for use of anticoagulant (medication that prevents blood clot) for 1 of 5 residents (Resident 13), reviewed for unnecessary medications. This failure placed the resident at risk of receiving unnecessary medications, adverse side effects, and related complications.
- D Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident in the paid feeding assistance program was adequately assessed for appropriateness to receive paid feeding assistance for 1 of 4 residents (Resident 24), and failed to ensure staff providing the paid feeding assistance was properly trained for 1 of 10 staff (Staff O), reviewed for dining observations. These failures placed the residents at risk for choking and aspiration (inhalation of food or fluid into the lungs) and a diminished quality of life.
February 26, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to ensure allegations of abuse were reported timely to the State Agency for 1 of 3 residents (Residents 1), reviewed for abuse allegations. This failure placed the residents at risk for potential unidentified abuse and lack of protection from abuse.
May 20, 2024Standard inspection · 18 citations
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review, the facility failed to ensure admission Minimum Data Set (MDS) assessments were completed within 14 days of admission for 2 of 14 residents (Residents 1 & 25) and failed to complete annual MDS assessments within 14 days from the ARD (Assessment Reference Date) for 2 of 14 residents (Residents 27 & 3), reviewed for comprehensive assessments. These failures placed the residents at risk for delayed and/or unmet care needs, and a diminished quality of life.
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on interview and record review, the facility failed to ensure quarterly Minimum Data Set (MDS) assessments were conducted timely within 14 days from the Assessment Reference Date (ARD or assessment period) for 8 of 12 residents (Residents 2, 5, 19, 6, 3, 22, 25 & 18), reviewed for quarterly MDS assessments. This failure placed the residents at risk for delayed and/or unidentified care needs.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure expired food items were discarded appropriately in accordance with professional standards of food safety for 1 of 1 kitchen (Kitchen Dry Foods Storage Area), reviewed for food service. The failure to discard expired food items placed the residents at risk for food borne illness (caused by the ingestion of contaminated food or beverages), cross contamination, and a diminished quality of life.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the facility's water management program included a flow diagram to assess or monitor the potential growth of Legionella (a water-borne bacteria that can cause pneumonia [a lung infection]) or other waterborne pathogens (an organism that can cause disease), and failed to ensure Enhanced Barrier Precautions (EBP- precaution to protect residents from Multidrug-Resistant Organism [MDRO-a germ that is resistant to medications that treat infections]) practices were followed for 1 of 7 residents (Resident 23), reviewed for infection control. These failures placed the residents at risk for facility acquired or healthcare-associated infections and related complications.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on observation, interview, and record review, the facility failed to inform a resident and/or their representative of risks and benefits before installation/use of a transfer pole for 1 of 2 residents (Resident 27), reviewed for accidents. This failure placed the resident at risk for not being fully informed before making decisions regarding their health care, alternative treatment options, and the right to refuse care.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to ensure allegations of abuse were reported to the State Agency for 2 of 2 residents (Residents 3 & 25), reviewed for abuse allegations. This failure placed the residents at risk for potential unidentified abuse and lack of protection from abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review, the facility failed to ensure allegation of abuse was thoroughly investigated for 1 of 2 residents (Resident 25), reviewed for abuse investigation. This failure placed the resident at risk for repeated incidents, unidentified abuse, and a diminished quality of life.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to provide a written notice of transfer/discharge to the resident and/or their representative describing the reason for transfers for 1 of 1 resident (Resident 10), reviewed for hospitalization. This failure placed the resident at risk for not having an opportunity to make an informed decision about transfers/discharges.
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure a bed-hold notice was provided at the time of transfer to the hospital for 1 of 1 resident (Resident 10), reviewed for hospitalization. This failure placed the resident at risk of lack of knowledge regarding their right to hold their bed while in the hospital.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review, the facility failed to accurately assess 1 of 14 residents (Resident 25), reviewed for Minimum Data Set (MDS - an assessment tool). The failure to ensure accurate assessments regarding tube feeding (the delivery of nutrients through a feeding tube [a device that delivers liquid nutrition] directly into the stomach) and fall incidents placed the resident at risk for unidentified or unmet care needs, and a diminished quality of life.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure the Level 1 Pre-admission Screening and Resident Review (PASRR- an assessment used to identify people referred to nursing facilities with Serious Mental Illness (SMI), intellectual disabilities, or related conditions are not inappropriately placed in nursing homes for long term care) accurately reflected the current diagnosis for 1 of 5 residents (Resident 3), reviewed for PASRR. This failure placed the resident at risk for inappropriate placement and/or not receiving timely and necessary services to meet mental health care needs.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview and record review, the facility failed to provide a copy of the baseline care plan (preliminary care plan) to the residents and/or their representatives for 2 of 2 residents (Residents 230 & 29), reviewed for baseline care plan. This failure resulted in the residents not being informed of their initial plan for delivery of care services and placed the residents at risk for unmet care needs.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive care plan for 1 of 2 residents (Resident 1), reviewed for care plans. The failure to develop a care plan for oxygen care/management placed the resident at risk for unmet care needs and a diminished quality of life.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise comprehensive care plans for 2 of 13 residents (Residents 15 & 25), reviewed for care plan revision. The failure to revise care plans for denture use, tube feeding (the delivery of nutrients through a feeding tube [a device that delivers liquid nutrition] directly into the stomach), and failure to conduct an interdisciplinary (different areas of expertise) review placed the residents at risk for unmet care needs and a diminished quality of life.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an assessment was completed prior to use of a transfer pole (a type of assistive device for transferring in and out of bed) for 1 of 2 residents (Resident 27), reviewed for accident hazards. The failure to assess for safe use of transfer pole placed the resident at risk for accidents, injury, and other negative outcomes.
- D Ensure 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure appropriate treatment and services related to tube feeding (the delivery of nutrients through a tube directly into the stomach to provide nutrition for those who cannot obtain nutrition by mouth, are unable to safely swallow, or need nutritional supplementation) were followed for 1 of 1 resident (Resident 10), reviewed for tube feeding management. The failure to check the gastric residual volumes (GRV - fluid/contents that remain undigested in the stomach) prior to tube feeding administration placed the resident at risk for medical complications and a diminished quality of life.
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure Abnormal Involuntary Movement Scale assessments (AIMS- a rating scale that measures involuntary movements known as tardive dyskinesia [uncontrollable facial, oral, trunk and extremity movements]) were conducted timely for 3 of 5 residents (Residents 20, 6 & 3), reviewed for unnecessary medications. This failure placed the residents at risk for receiving unnecessary medications, adverse side effects, and a diminished quality of life.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents received education regarding the potential risks and benefits when offering pneumonia vaccine (use to prevent pneumonia [lung infection]) for 2 of 5 residents (Residents 3 & 20), reviewed for immunizations. This failure placed the residents and/or their representatives at risk of not being fully informed of the risks and benefits before making decisions about their pneumonia immunizations.
March 1, 2023Standard inspection · 11 citations
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, the facility failed to inform the resident and/or their designated representatives before administering psychotropic (mind altering) medications for 5 of 7 residents (Residents 15, 18, 19, 20 & 23) reviewed for unnecessary medications. This failure placed the residents and/or the resident representatives at risk of not being fully informed of the risks and benefits before making decisions about their medications.
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review, the facility failed to ensure comprehensive assessments and Care Area Assessments (CAA) were completed timely as required for 8 of 15 residents (Residents 23, 1, 2, 12, 15, 5, 20 & 25) reviewed for comprehensive Minimum Data Set (MDS) assessments and CAAs. The facility's failure in ensuring comprehensive assessments and CAAs were completed timely as required placed the residents at risk for delayed or unidentified care needs and a diminished quality of life.
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on interview and record review, the facility failed to ensure quarterly Minimum Data Set (MDS) assessments were conducted timely for 8 of 12 residents (Residents 11, 15, 18, 4, 5, 10, 14 & 19) reviewed for quarterly MDS assessments. The failure to ensure quarterly MDS assessments were completed timely as required placed the residents at risk for delayed and unmet care needs and a diminished quality of life.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review, the facility failed to accurately assess 5 of 15 residents (Residents 1, 23, 2, 20 and 25) reviewed for Minimum Data Set (MDS) assessment. The failure to ensure accurate assessments regarding condom catheter (external catheter - urine collection device), weights, indwelling urinary catheter (a flexible tube placed into the bladder to drain urine), diet, mood, and hospice services placed the residents at risks for unidentified or unmet care needs and a diminished quality of life.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive care plan (CP) for 5 of 15 residents (Residents 2, 12, 15, 20, and 25) reviewed for comprehensive CPs. The failure to develop CPs for bed rails, dental care, hip positioning device, psychotropic (mind altering) medication, and use of Foley Catheter (FC- flexible tube placed into the bladder to drain urine) management placed the residents at risk for unmet care needs and a diminished quality of life.
- E 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure controlled substances (medications that have the potential for abuse) were locked in a permanent affixed compartment for 1 of 2 medication rooms (Second Floor Medication Storage) and 2 of 4 medication carts (West & East Medication Carts). In addition, the facility failed to ensure expired medication and medical supplies were discarded for 1 of 2 medication storage rooms (Second Floor Storage). The facility's deficient practice had the potential to allow drug diversion and/or abuse of controlled substances. Additionally, this failure placed the residents at risk for receiving compromised and/or ineffective medications and possibly experience adverse side effects.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods stored were properly labeled/dated with use by date, ensure kitchen thermometer was sanitized in-between use, and ensure ready-to-eat food was handled appropriately in accordance with professional standards for food service safety. These failures placed the residents at risk for food borne illnesses (an illness caused by the ingestion of contaminated food or beverages), cross contamination, and a diminished quality of life.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents and/or their representatives received information on the current recommendations from the Center for Disease and Control (CDC) Prevention for 6 of 7 residents (Residents 4, 19, 25, 180 & 23) related to influenza (flu - an infectious disease caused by a flu virus) and/or pneumococcal (pneumonia - lung infection) vaccinations. In addition, the facility failed to review the flu and pneumonia vaccination policy annually as required. These failures placed the residents at risk for acquiring, transmitting and/or experience potentially avoidable complications from flu and pneumonia.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper care of respiratory equipment such as nasal cannula tubing (flexible tubing placed in the nose to administer oxygen [O2]), prefilled single-use humidifier bottle (a device that adds moisture to the air when using O2), and suction machine tubing (medical device used for removing mucus, saliva, blood, or secretions from a person's airway) for 1 of 1 resident (Resident 12) and failed to ensure nebulizer tubing (medical equipment used to deliver medication in the form of a mist) were properly stored when not in use for 2 of 2 residents (Residents 12 & 11) reviewed for respiratory care. These failures placed the residents at risk for respiratory infections and related complications.
- D Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteBased on interview and record review, the facility failed to obtain registry verification to ensure staff met competency evaluation requirements before allowing to serve as a nurse aide for 2 of 3 staff (Staff N and O) reviewed for nursing aide registry. The facility's failure to receive registry verification that the individual has met competency evaluation requirements placed the residents at risk for abuse and unmet care needs.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were provided education about COVID-19 (a highly transmissible infectious virus that causes respiratory illness and in severe cases can cause difficulty breathing and could result in impairment or death) vaccination, including risks, benefits, potential side effects, documented if the vaccine was accepted and/or refused in the residents' medical records for 3 of 5 residents (Residents 4, 25 & 180) reviewed for COVID-19 immunization. This failure denied the residents and/or their representative of the right to make informed decisions about the COVID-19 vaccination.
Fire safety inspections
36 fire safety citations on file: 5 on May 5, 2025, 12 on May 20, 2024, 19 on March 1, 2023.
Every fire safety citation36 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Address patient/client population and determine types of services needed.
- F Address subsistence needs for staff and patients.
- F Establish policies and procedures including evacuation.
- F Provide emergency officials' contact information.
- F Provide a means of sharing information on occupancy/needs.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have simulated fire drills held at unexpected times.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Address patient/client population and determine types of services needed.
- F Include a process for Emergency Preparedness collaboration.
- F Develop Emergency Preparedness policies and procedures.
- F Develop a communication plan.
- F Conduct testing and exercise requirements.
- F Meet the requirements of an integrated health system.
- F Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have elevators that firefighters can control in the event of a fire.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Have proper medical gas storage and administration areas.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Washington | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 4.36 | 3.86 |
| Registered nurses | not reported | 0.94 | 0.69 |
| All nursing staff on weekends | not reported | 3.80 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 45.1% | 45.8% |
| Registered nurse turnover | not reported | 45.4% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In April to June 2025, nursing staff hours per resident were 11.19 on weekdays and 9.58 on weekends, 14% lower on weekends (nationally, weekends ran 16% lower). Contract or agency staff worked 0.0% of nursing hours, against 6.0% nationally.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Apr to Jun 2025 | 10.73 | 5.67 | 11.19 | 9.58 | 0.0% | 0 of 91 | 31 |
| United States, Apr to Jun 2025 | 3.78 | 0.62 | 3.96 | 3.33 | 6.0% | 0.5% of days | |
| Washington, Apr to Jun 2025 | 4.31 | 0.86 | 4.55 | 3.73 | 4.6% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Washington
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Washington, all employers | |||
| CNAs (nursing assistants) | $23.65 | $22.59 to $27.85 | 30,270 |
| LPNs and LVNs | $39.98 | $36.98 to $45.18 | 6,780 |
| Registered nurses | $59.71 | $49.57 to $64.54 | 69,260 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Washington | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.9 | 14.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.0 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.6 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.0 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.5 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 35.8 | 15.1 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Bailey-Boushay House's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: VIRGINIA MASON MEDICAL CENTER. CMS links this home to Commonspirit Health, a group of 18 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Virignia Mason Franciscan Health | 5% or greater direct ownership interest | Organization | 01/01/2021 | |
| Commonspirit Health | 5% or greater indirect ownership interest | Organization | 50% | 01/01/2021 |
| Virginia Mason Health System | 5% or greater indirect ownership interest | Organization | 50% | 01/01/2021 |
| Knowles, Brian | W-2 managing employee | Individual | 04/01/2007 | |
| Rasco, Patricia | W-2 managing employee | Individual | 04/09/2015 | |
| Carlile, Robert | Corporate director | Individual | 01/01/2021 | |
| Chi, Uli | Corporate director | Individual | 01/01/2021 | |
| Goodrich, Craig | Corporate director | Individual | 01/01/2018 | |
| Goodwin, Ruth | Corporate director | Individual | 01/01/2021 | |
| Hoffman, Michael | Corporate director | Individual | 01/01/2021 | |
| Hunthausen, Dennis | Corporate director | Individual | 01/01/2021 | |
| Knowles, Brian | Corporate director | Individual | 06/11/2015 | |
| O'Quinn, Marvin | Corporate director | Individual | 01/01/2021 | |
| Puls, Diann | Corporate director | Individual | 01/01/2021 | |
| Corvi, Carolyn | Corporate officer | Individual | 06/12/2015 | |
| Goodrich, Craig | Corporate officer | Individual | 01/01/2018 | |
| Green, Joshua | Corporate officer | Individual | 06/11/2015 | |
| Griffin, Michelle | Corporate officer | Individual | 06/11/2015 | |
| Hamachek, Tod | Corporate officer | Individual | 06/11/2015 | |
| Kaplan, Gary | Corporate officer | Individual | 04/09/2015 | |
| Lemon, Robert | Corporate officer | Individual | 06/11/2015 | |
| Lopus, Alfred | Corporate officer | Individual | 06/11/2015 | |
| Mann, Dorothy | Corporate officer | Individual | 06/11/2015 | |
| McWilliams, Mary | Corporate officer | Individual | 01/01/2015 | |
| Meyer, Gregg | Corporate officer | Individual | 01/01/2016 | |
| Morath, Julianne | Corporate officer | Individual | 06/11/2015 | |
| Oppenheimer, John | Corporate officer | Individual | 01/01/2016 | |
| Orlikoff, James | Corporate officer | Individual | 06/11/2015 | |
| Pangrazio, Kristi | Corporate officer | Individual | 06/11/2015 | |
| Young, James | Corporate officer | Individual | 06/11/2015 | |
| Knowles, Brian | Operational/managerial control | Individual | 06/11/2015 | |
| Rasco, Patricia | Operational/managerial control | Individual | 06/11/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 16 problems in this area, most recently on May 5, 2025: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on May 5, 2025: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on July 16, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on May 5, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Seattle Medical Post Acute Care Seattle, 1.2 mi · 2 of 5 stars · 83 citations
- Park Shore Seattle, 1.2 mi · 4 of 5 stars · 50 citations
- Mirabella Seattle, 1.4 mi · 5 of 5 stars · 48 citations
- The Terraces at Skyline Seattle, 1.8 mi · 2 of 5 stars · 55 citations
- Transitional Care of Seattle Seattle, 1.9 mi · 4 of 5 stars · 42 citations
- Queen Anne Healthcare Seattle, 2.8 mi · 5 of 5 stars · 30 citations
- Washington Care Center Seattle, 3.5 mi · 3 of 5 stars · 59 citations
- Columbia Lutheran Home Seattle, 3.6 mi · 4 of 5 stars · 46 citations
Washington contacts for a concern about a nursing home
These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Washington DSHS Aging and Long-Term Support Administration, Residential Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Washington State Long-Term Care Ombudsman Program, 1-800-562-6028. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Bailey-Boushay House's Medicare star rating?
- CMS rates Bailey-Boushay House 3 out of 5 stars overall, with 3 for health inspections, no for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bailey-Boushay House get at its last inspection?
- 17 health deficiencies at the standard inspection on May 5, 2025. The Washington average is 15.8.
- Has Bailey-Boushay House been fined?
- CMS lists no fines in the last three years.
- Does Bailey-Boushay House accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bailey-Boushay House?
- CMS lists 32 owners and managers, and links the home to Commonspirit Health. Legal business name: VIRGINIA MASON MEDICAL CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.