Find a nursing home

Home / Washington / Gig Harbor

Cottesmore of Life Care

2909 14th Avenue Northwest, Gig Harbor, WA 98335 · Pierce County · (253) 851-5433

108 certified beds, about 103 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505499 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 27, 2026, inspectors cited 7 health deficiencies (the Washington average is 15.8, the national average 9.2).

Of 36 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $29,595 in the last three years; the largest was $18,233, and the latest is dated August 18, 2025.

Nurses and nurse aides worked 4.32 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 1.14 of those hours.

44.3% of nursing staff left within the year CMS measured (Washington average 45.1%).

CMS links it to Life Care Centers of America, an affiliated group of 194 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.

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 36 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
21D
10E
1F
Potential for minimal harm
0A
1B
1C
February 27, 2026Standard inspection · 7 citations
  1. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents' with fluid restrictions had fluid intake monitoring to avoid fluid overload for 3 of 3 sampled residents (Residents 94, 100, and 111) when reviewed for nutrition. This failure placed residents at risk of fluid overload, avoidable discomfort, and a diminished quality of life.
  2. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review, the facility failed to implement Abuse Prohibition policies and procedures including but not limited to identification, investigation, protection and reporting for 1 of 3 sampled residents (Resident 1) when reviewed for abuse. These failures placed residents at risk for unidentified abuse, neglect, and/or injury.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the minimum data set assessment (MDS) accurately reflected the status for 2 of 19 sampled residents (Residents 11 and 8) when reviewed for accuracy of assessments. Failure to accurately reflect Resident 11's hospice status and Resident 8's pressure ulcer/skin injury status placed the residents at risk for unmet care, inaccurate medical record data, and a diminished quality of life.
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide nonpharmacological interventions (NPI) prior to the use of as needed pain medications for 1 of 6 sampled residents (Resident 7) when reviewed for pain management. This failure placed the residents at risk of receiving unneeded medications and a diminished quality of life.
  5. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to consistently maintain the medication refrigerator temperature log in 1 of 3 medication rooms (Transitional Care Unit/TCU), to ensure resident's were assessed to self-administer medications for 1 of 1 sampled residents (Resident 6), and 2 of 6 medication/treatments carts (TCU treatment and TCU medication carts) , when reviewed for medication storage. These failures placed the residents at risk of receiving compromised or ineffective medications, drug diversion, and potential loss of medications/treatments.
  6. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide food in accordance with preferences for 1 of 1 sampled resident (Resident 94) when reviewed for preferences. This failure placed residents at risk for reduced nutritional intake and a diminished quality of life.
  7. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation and interview, the facility failed to post the location of the survey results and place the binder in identifiable location. This failure prevented residents, family members and visitors from exercising their right to review past survey results and the facility's plans of correction to evaluate the quality of care provided by the facility.
January 9, 2026Complaint inspection · 1 citation
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure an environment that is free from accident hazards by not following their fall protocol, which included bed height placement, fall assessment, and call light within reach for 7 of 12 residents (Residents 2, 4, 5, 6, 7, 8, and 10) reviewed for falls. This failure placed residents at risk of increased falls, significant injury with fall, and a diminished quality of life.
August 18, 2025Complaint inspection · 1 citation
  1. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were administered their ordered anticoagulation (blood thinner-to reduce the risk of the formation of blood clots) medication for 3 of 15 sampled residents (Resident 1, 2, and 3) reviewed for significant medication errors. Resident 3 experienced harm when they did not receive anticoagulation medication as ordered for 17 days due to a medication reconciliation error and had a decline in condition that included signs and symptoms of a stroke (a medical condition that occurs when blood flow to the brain is interrupted or reduced, leading to brain tissue damage) that required transport to the emergency room (ER) for evaluation and treatment. This failure placed residents who were prescribed anticoagulant medications at risk for medical complications, injury and a decreased quality of life.
January 13, 2025Standard inspection · 18 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prepare and store food in a sanitary manner in the main kitchen and 3 of 3 resident refrigerators (West, East, and Transitional Care Unit) when reviewed for kitchen. This failure placed residents at risk of consuming expired or spoiled food, foodborne illness, avoidable discomfort, and a diminished quality of life.
  2. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide written notification of the reason for transfer to the hospital to the Office of State Long-Term Care Ombudsman (SLTCO, an advocacy group for residents in a nursing home) and/or to the resident/resident representative of discharges for 4 of 4 sampled residents (Residents 32, 54, 95, and 26) reviewed for hospitalization and/or discharge. These failures placed residents at risk for being inappropriately discharged , lack of access to an advocate who could inform them of their options and rights, and to ensure that the SLTCO and resident/ resident representative was aware of facility practices and activities related to transfers and discharges.
  3. E
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide a bed-hold notice in writing at the time of transfer/discharge to the hospital and/or to provide/complete bed-hold notices within 24 hours of transfer/discharge to the hospital for 3 of 4 sample residents (Residents 32, 26, and 95) reviewed for hospitalization/discharge. This failure placed the residents at risk for a lack of knowledge regarding the right to a bed-hold while they were hospitalized .
  4. E
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure Pre-admission Screening and Resident Review (PASARR) assessments were accurately completed for 3 of 6 sampled residents (Residents 29, 49 and 40) reviewed for PASARRs and unnecessary medications. This failure placed the residents at risk for unidentified mental health care needs.
  5. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care plans were reviewed and revised after each quarterly assessment for 3 of 4 sampled residents (Residents 32, 50, and 22) when reviewed for care planning. This failure placed residents at risk of not receiving required care, avoidable decrease in health status, and a diminished quality of life.
  6. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure there was a system to provide care and services consistent with standards of quality of care for 2 of 3 sampled residents (Residents 57 and 71) when reviewed for edema/heart failure, for 4 of 8 sampled residents (Residents 7, 40, 57 and 78) when reviewed for bowel management, for 1 of 1 sampled residents (Resident 40) when reviewed for hospice service, and for 1 of 3 sampled residents (Resident 32) when reviewed for hospitalization. [...]
  7. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications and biologicals were securely locked for 3 of 26 sampled residents (Residents 90, 9, and 64) when reviewed for environment. This failure placed the resident at risk for consuming non-prescribed medications, unintended side effects of medications, medical complications, and a diminished quality of life.
  8. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to periodically review residents advanced directive (AD, a legal document that states your wishes for medical care if you are unable to make decisions for yourself) for 1 of 4 sampled residents (Resident 32) when reviewed for advanced directive. This failure placed the resident at risk of not having an established decisionmaker, lack of ability to direct care, and a diminished quality of life.
  9. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents' personal items were safe for 1 of 5 sampled residents (Resident 64) when reviewed for Personal Property and failed to ensure residents' rooms were homelike for 1 of 6 sampled residents (Resident 50) when reviewed for environment. These failures placed residents at risk of financial exploitation, feelings of worthlessness, decreased mood, and a diminished quality of life.
  10. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement pressure ulcer care for 2 of 4 sampled residents (Residents 78 and 72) reviewed for pressure injuries (injuries to skin and underlying tissue resulting from prolonged pressure on the skin). This failure placed the resident at risk for worsening pressure injuries, pain, and a decreased quality of life.
  11. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate fluids to maintain hydration for 1 of 2 sampled residents (Resident 40) when reviewed for hydration and failed to monitor and accurately document fluids consumed to ensure fluid restrictions were implemented per provider's orders for 1 of 5 sampled residents (Residents 32) reviewed for nutrition and/or dialysis (treatment to filter wastes and water from the blood). This failure placed residents at risk for over hydration, avoidable discomfort, and a diminished quality of life. Resident 40 Review of the electronic health record (EHR) showed Resident 40 admitted to the facility on [DATE] with diagnoses to include dementia and traumatic subarachnoid hemorrhage (a bleed in the brain). [...]
  12. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to manage oxygen therapy consistent with professional standards of practice and the comprehensive person-centered care plan by not ensuring provider's orders and care plans were in place and/or followed for 2 of 4 sampled residents (Residents 71 and 72) when reviewed of respiratory care. These failures placed residents at risk for unmet needs and a decreased quality of life. Resident 71 Review of the electronic health record (EHR) showed Resident 71 admitted to the facility on [DATE] with a diagnosis of congestive heart failure (CHF, when the heart is not able to pump enough blood causing fluid to build up in the lungs and/or limbs). The resident was able to make needs known. Review of the EHR on 01/08/2025 at 4:45 PM showed no care plan had been initiated for oxygen use. [...]
  13. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff provided adequate pain management in a timely manner for 1 of 3 sampled residents (Resident 29) when reviewed for pain management. This failure had the potential for the resident to have a delay in treatment to receive the necessary pain medication as ordered, a diminished quality of life and unmet needs.
  14. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to obtain an agreement/contract with a resident's dialysis provider to ensure all care and services necessary were being provided and coordinated for 1 of 1 sampled resident (Resident 32) reviewed for dialysis (treatment to filter waste and water from the blood). This failure placed the resident at risk for inadequate quality of care and decreased quality of life.
  15. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to consistently initiate non-pharmacological interventions prior to the administration of as needed pain medication for 2 of 5 sample residents (Residents 18 and 398) reviewed for unnecessary medications. These failures placed residents at risk for receiving unnecessary medications and a diminished quality of life.
  16. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide dental services for 1 of 3 sample residents (Resident 78) reviewed for dental. This failure placed the resident at risk of difficulty eating and a diminished quality of life.
  17. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide prompt dental services for 1 of 3 sample residents (Resident 50) reviewed for dental services. This failure placed the resident at risk for continued dental problems and a diminished quality of life.
  18. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident's medical records were accurately documented according to professional standards of practice for 2 of 26 sampled residents (Residents 398 and 71) when reviewed for medical records. This failure placed the residents at risk for isolation, unmet care needs, and diminished quality of life.
May 30, 2024Complaint inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 21, 2024
    Inspectors wroteBased on observation, interview and record review, facility failed to ensure professional standards were met for 2 of 2 sampled residents (Resident 1 & 2) reviewed for physicians orders and care of residents with peripherally inserted central catheter lines (PICC, lines placed through the upper arm in a large vein near the heart). Failure to follow physician orders and professional standards of care when assessing and performing PICC line dressing changes placed residents at risk for medical complications including bloodstream infections.
February 8, 2024Standard inspection · 7 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observation and interview, the facility failed to maintain mechanical lifts in good repair for 3 of 3 mechanical lifts when reviewed for accident hazards. This failure placed residents at risk of falling when using the mechanical lift, avoidable injury, and a diminished quality of life.
  2. E
    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.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 3 of 5 residents (Residents 49, 68 and 96) received their physician-ordered therapeutic diets to support the resident's plan of care. This failure placed residents at risk for medical complications, nutritional deficits, and weight gain.
  3. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 5 sampled residents (Resident 6), reviewed for unnecessary medications, and/or her representative, were fully informed of the potential risks associated with use of a psychotropic medication (medication which alters thought processes). This failure placed the resident at risk for adverse medication side effects, and the resident and/or their representative at risk for not being able to make an informed decision about a medication.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services that met professional standards for 1 of 1 resident (Resident 12) reviewed for hydration. Failure to accurately monitor fluid intake for residents who required fluid restriction and failure to monitor daily weights for a resident with congestive heart failure (a disease were the heart can not pump blood well enough, and blood and fluids collect in the lungs and legs over time) placed the residents at risk for acute medical complications and a diminished quality of life.
  5. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide assistance and follow up on an appointment for dental care services for 1 of 3 Residents (Residents 64) reviewed for dental services. This failure placed the resident at potential risk for continued dental problems and decreased the quality of life.
  6. D
    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.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on interview and record review, the facility failed to obtain and incorporate a hospice plan of care into the resident's facility plan of care for 1 of 1 resident (Resident 4) when reviewed for hospice. This failure placed the resident at risk of a lack of needed services, discoordination of care, and a diminished quality of life.
  7. B
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observation and interview, the facility failed to provide food in accordance with preferences for 3 of 6 residents (Residents 68, 94, and 95) reviewed during meal service. This failure placed residents at risk for potential dissatisfaction with meals and a diminished quality of life.
October 26, 2023Complaint inspection · 1 citation
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide care and services according to professional standards of practice to prevent pressure injury for 1 of 3 residents (Resident 1) reviewed for pressure injuries. Resident 1 experienced harm when the facility failed to monitor the integrity of Resident 1's skin under a removable leg/knee immobilizer brace which developed into a lower leg pressure injury that was unstageable and contained dead tissue in the wound bed.

Fire safety inspections

27 fire safety citations on file: 9 on February 27, 2026, 8 on January 13, 2025, 10 on February 8, 2024.

Every fire safety citation27 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · February 27, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 27, 2026 · Corrected (the home has a date of correction)
  3. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · February 27, 2026 · Corrected (the home has a date of correction)
  4. E
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · February 27, 2026 · Corrected (the home has a date of correction)
  5. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 27, 2026 · Corrected (the home has a date of correction)
  6. D
    Have restrictions on the use of highly flammable decorations.
    K 753 · February 27, 2026 · Corrected (the home has a date of correction)
  7. D
    Have restrictions on the use of portable space heaters.
    K 781 · February 27, 2026 · Corrected (the home has a date of correction)
  8. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 27, 2026 · Corrected (the home has a date of correction)
  9. D
    Have proper medical gas storage and administration areas.
    K 923 · February 27, 2026 · Corrected (the home has a date of correction)
  10. F
    Conduct testing and exercise requirements.
    E 39 · January 13, 2025 · Corrected (the home has a date of correction)
  11. F
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · January 13, 2025 · Corrected (the home has a date of correction)
  12. F
    Provide properly protected cooking facilities.
    K 324 · January 13, 2025 · Corrected (the home has a date of correction)
  13. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 13, 2025 · Corrected (the home has a date of correction)
  14. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 13, 2025 · Corrected (the home has a date of correction)
  15. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 13, 2025 · Corrected (the home has a date of correction)
  16. D
    Have restrictions on the use of highly flammable decorations.
    K 753 · January 13, 2025 · Corrected (the home has a date of correction)
  17. D
    Ensure proper usage of power strips and extension cords.
    K 920 · January 13, 2025 · Corrected (the home has a date of correction)
  18. F
    Provide properly protected cooking facilities.
    K 324 · February 8, 2024 · Corrected (the home has a date of correction)
  19. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 8, 2024 · Corrected (the home has a date of correction)
  20. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 8, 2024 · Corrected (the home has a date of correction)
  21. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · February 8, 2024 · Corrected (the home has a date of correction)
  22. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 8, 2024 · Corrected (the home has a date of correction)
  23. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 8, 2024 · Corrected (the home has a date of correction)
  24. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · February 8, 2024 · Corrected (the home has a date of correction)
  25. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · February 8, 2024 · Corrected (the home has a date of correction)
  26. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 8, 2024 · Corrected (the home has a date of correction)
  27. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 8, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 18, 2025Fine $11,362
October 26, 2023Fine $18,233

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWashingtonUnited States
All nursing staff (RN, LPN and aides)4.324.363.86
Registered nurses1.140.940.69
All nursing staff on weekends3.543.803.42
Nurse aides2.40
Licensed practical nurses0.78
Nursing staff turnover (share who left in a year)44.3%45.1%45.8%
Registered nurse turnover16.0%45.4%42.9%
Administrators who left0

CMS expects 4.18 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

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 January to March 2026, nursing staff hours per resident were 4.63 on weekdays and 3.54 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.37 in April to June 2025 to 4.32 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.321.144.633.54 0.0%0 of 90103
Oct to Dec 20254.341.114.643.57 0.0%0 of 92101
Jul to Sep 20254.321.094.613.58 0.0%0 of 92101
Apr to Jun 20254.371.024.643.69 0.0%0 of 9197
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Washington, Jan to Mar 20264.210.904.443.663.7%0.1% 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

JobMedianMiddle halfEmployed
Washington, all employers
CNAs (nursing assistants)$23.65$22.59 to $27.8530,270
LPNs and LVNs$39.98$36.98 to $45.186,780
Registered nurses$59.71$49.57 to $64.5469,260
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Cottesmore of Life Care. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWashingtonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.714.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.00.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.82.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.41.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.817.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.04.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.115.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.619.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.213.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cottesmore of Life Care's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (68.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

68.8% this home

Better than the national rate

US median of homes 51.5% · Washington: 71 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 481 eligible stays.

Potentially preventable readmissions

7.6% this home

Better than the national rate

US median of homes 10.7% · Washington: 7 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 454 eligible stays.

Infections that led to a hospital stay

7.0% this home

No different from the national rate

US median of homes 7.1% · Washington: 4 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 312 eligible stays.

Self-care and mobility at discharge

87.2% this home

Median of homes: Washington61.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 179 residents counted.

Falls with major injury

0.6% this home

Median of homes: Washington0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 315 residents counted.

New or worsened pressure ulcers

1.5% this home

Median of homes: Washington1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 315 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Washington98.3% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 173 residents counted.

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: GIG HARBOR OPERATIONS, LLC. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Developers Investment Company IncDirect ownership interestOrganization02/26/1996
Preston, ForrestIndirect ownership interestIndividual02/26/1996
Butner, NancyManaging control - governing bodyIndividual09/16/2018
Lockwood, RyanManaging control - governing bodyIndividual10/31/2023
Verlinda, CathyManaging control - governing bodyIndividual01/02/2024
Cross, CindyCorporate officerIndividual02/01/1996
Henry, TerryCorporate officerIndividual08/16/1999
Lay, LisaCorporate officerIndividual02/09/2018
Swanker, RichardCorporate officerIndividual04/01/2011
Thurmond, JoanCorporate officerIndividual09/22/2000
Ziegler, JamesCorporate officerIndividual08/16/1999
Developers Investment Company IncOperational/managerial controlOrganization02/26/1996
Gig Harbor Operations, LLCOperational/managerial controlOrganization05/01/1996
Life Care Centers of America, Inc.Operational/managerial controlOrganization02/01/1996
Butner, NancyOperational/managerial controlIndividual09/16/2018
Fletcher, ToddOperational/managerial controlIndividual02/26/1996
Lockwood, RyanOperational/managerial controlIndividual10/31/2023
Preston, AubreyOperational/managerial controlIndividual03/06/2025
Preston, ForrestOperational/managerial controlIndividual02/26/1996
Sekeramayi, MaggieOperational/managerial controlIndividual08/01/2022
Verlinda, CathyOperational/managerial controlIndividual01/02/2024
Gig Harbor Operations, LLCAdp of the SNFOrganization08/31/2000
Life Care Centers of America, Inc.Adp of the SNFOrganization03/18/2025
Fletcher, ToddAdp of the SNFIndividual08/31/2000
Lockwood, RyanAdp of the SNFIndividual03/18/2025
Preston, ForrestAdp of the SNFIndividual08/31/2000
Sekeramayi, MaggieAdp of the SNFIndividual03/18/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on February 27, 2026: "Provide enough food/fluids to maintain a resident's health."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on February 27, 2026: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on February 27, 2026: "Ensure each resident receives an accurate assessment."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on February 27, 2026: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.54 hours per resident per day, below the Washington average of 3.80.

Other nursing homes nearby

Washington contacts for a concern about a nursing home

These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.

Common questions

What is Cottesmore of Life Care's Medicare star rating?
CMS rates Cottesmore of Life Care 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cottesmore of Life Care get at its last inspection?
7 health deficiencies at the standard inspection on February 27, 2026. The Washington average is 15.8.
Has Cottesmore of Life Care been fined?
Yes. CMS lists 2 fines totaling $29,595 in the last three years.
Does Cottesmore of Life Care 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 Cottesmore of Life Care?
CMS lists 27 owners and managers, and links the home to Life Care Centers of America. Legal business name: GIG HARBOR OPERATIONS, LLC.

Sources

Find a nursing home Read an inspection