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Lynnwood Post Acute Rehabilitation Center

5821 188th Street Southwest, Lynnwood, WA 98037 · Snohomish County · (425) 776-5512

67 certified beds, about 61 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505434 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 8, 2025, inspectors cited 15 health deficiencies (the Washington average is 15.8, the national average 9.2).

None of its 50 health citations since April 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.64 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.

41.9% of nursing staff left within the year CMS measured (Washington average 45.1%).

CMS links it to The Ensign Group, an affiliated group of 344 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 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
33D
12E
1F
Potential for minimal harm
0A
3B
1C
May 20, 2026Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to prevent physical abuse for 1 of 3 residents (Resident 1), reviewed for abuse investigations. Resident 2 walked over to Resident 1 and placed their hands and pushed inward around Resident 1's neck. This failure placed residents at increased risk of injury, emotional distress, and a diminished quality of life.
July 8, 2025Standard inspection · 15 citations
  1. E
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the survey binder included the recertification and complaint survey results that resulted in citations for 2 of 3 years (2024 & 2025), reviewed for availability of survey reports. This failure prevented residents, residents' representatives and visitors from exercising their right to review past survey results and the facility's plan of corrections.
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and/or implement care plans for 4 of 10 residents (Residents 22, 7, 2 & 5) reviewed for comprehensive care plans. The failure to develop and/or follow care plans for conducting an assessment, medication use, and splint usage placed the residents at risk of not receiving needed care, decline in condition, and a diminished quality of life.
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure appropriate pharmacy services for medication administration and/or disposal for 4 of 6 residents (Residents 40, 6, 162, & 36), reviewed for medication administration and storage. The failure to follow physician's orders and disposal of controlled substances (a drug or other substance that is tightly controlled as it may be abused or cause addiction) placed the residents at risk for medication errors, negative outcomes, and a diminished quality of life.
  4. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure adequate monitoring was conducted for use of insulin (medication that lowers the level of glucose [a type of sugar] in the blood) and/or diuretic (medication that reduces fluid buildup in the body and increases urine output) for 3 of 5 residents (Residents 2, 23 & 7), reviewed for unnecessary medications. This failure placed the residents at risk for unmet care needs, related complications, and a diminished quality of life.
  5. 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) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to appropriately label and/or dispose expired medications in accordance with current accepted professional standards for 2 of 3 medication carts (Sound Medication Cart & [NAME] Medication Cart) and for 1 of 1 Medication Storage Room, reviewed for medication storage and labeling. In addition, the facility failed to properly store drugs or biologicals (diverse group of medicines made from natural sources) for 1 of 2 residents (Resident 50). These failures placed the residents at risk for receiving compromised and ineffective medications.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services in a dignified manner for 1 of 4 residents (Resident 5), reviewed for dignity. The failure to ensure staff to resident interaction occurred in a respectful and dignified manner placed the resident at risk for diminished self-worth, self-esteem, and feelings of embarrassment.
  7. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure evaluation and assessment for safe administration of medications were conducted for 1 of 2 residents (Resident 50), reviewed for self-administration of medications. This failure placed the resident at risk for inaccurate and unsafe medication administration, adverse side effects, 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) August 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure an advance directive (a written instruction, such as a living will or Durable Power of Attorney [DPOA] for health care [a document delegating to an agent the authority to make health care decisions in case the individual delegating the authority subsequently becomes incapable to do so]) was obtained for 1 of 2 residents (Resident 37), reviewed for advance directives. This failure placed the resident and/or their representative at risk for losing their right to have their preferences honored to receive or refuse/discontinue care according to their choice.
  9. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide a notice before transfer/discharge to the resident and their representative describing the reason for transfer in writing for 1 of 1 resident (Resident 43), reviewed for hospitalization. This failure placed the resident at risk for not having an opportunity to make an informed decision about transfers and discharge.
  10. 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) August 20, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure resident assessments were completed accurately for 2 of 10 residents (Residents 23 & 46), reviewed for Minimum Data Set (MDS-an assessment tool). The failure to ensure accurate assessments were coded on the MDS regarding medication use and dialysis (a process of removing excess water and toxins from the blood in people whose kidneys [organs that filter blood, remove waste and balance fluids in the body] can no longer perform these functions) placed the residents at risk for unidentified and/or unmet care needs, and a diminished quality of life.
  11. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure Preadmission 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 are not inappropriately placed in nursing homes for long-term care) Level I form was completed accurately and Level II PASARR referrals were made for 1 of 6 residents (Resident 108), reviewed for PASARR screening. These failures placed the resident at risk of not receiving the appropriate care and services for their needs and/or lacking access to specialized services for individuals with identified mental health diagnoses or disabilities.
  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) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide respiratory care in accordance with accepted professional standards of practice for 1 of 6 residents (Residents 109), reviewed for respiratory care. The failure to obtain accurate oxygen orders placed the residents at risk of respiratory related complications and a diminished quality of life.
  13. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication error rate was less than five percent (%). The failure to properly administer 3 of 25 medications for 2 of 5 residents (Residents 40 & 6), observed during medication administration resulted in a medication error rate of 12%. This failure placed the residents at risk for not receiving the correct form, dose, and/or receiving less than the intended therapeutic effects of physician ordered medications and possible adverse effects.
  14. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Enhanced Barrier Precautions (EBP-precaution to protect residents from multidrug-resistant organism [a germ that is resistant to medications that treat infections]) practices were followed for 1 of 4 residents (Resident 39) and failed to discard a laboratory sample for 1 of 1 discharged resident (Resident 164), reviewed for infection control. These failures placed the residents, visitors, and staff at an increased risk for infection and related complications.
  15. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2025
    Inspectors wroteBased on observation, interview, and record review of room size measurement, two single resident rooms (Rooms 17 & 18) failed to meet the minimum room size requirement of at least 100 square feet (sq ft - unit of measurement) for a single resident room. The failure to ensure residents reside in rooms which met the regulatory requirements for square footage, placed them at risk for living in a physical environment too small to meet their needs.
March 19, 2025Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to inform the resident and/or their representative about a high carbon dioxide (C02-a form of natural waste produced by the body and breathe out by the lungs) blood test level for 1 of 1 resident (Resident 1), reviewed for change in condition. This failure placed the resident and/or their representative at risk of not being provided adequate information to make informed decisions about their medical condition.
August 16, 2024Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 1 resident (Resident 1) was free from a significant medication error. The failure to provide a medication (Apixaban - used to prevent blood clots) placed Resident 1 at risk for complications with heart disease, a decline in medical condition, and a diminished quality of life.
July 22, 2024Standard inspection · 13 citations
  1. F
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the daily nurse staffing form was accurately completed for the number of staff worked, actual hours worked and included the census for 30 of 30 days, reviewed for posted nurse staffing information. The failure to post a complete and accurate form daily placed the residents, family members and visitors, at risk of not being fully informed of the current staffing levels.
  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) September 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide a written transfer/discharge notice to the residents and/or representatives for 3 of 4 residents (Residents 45, 47 & 46), reviewed for hospitalization. This failure placed the residents at risk for not having an opportunity to make informed decision about transfers/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) September 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure bed hold (the opportunity to pay for the bed the resident currently occupied while out of the facility in order to ensure their bed/room was available when they are ready to return) notices were offered to residents and /or their representatives for 3 of 4 residents (Residents 45, 47 & 46), reviewed for hospitalization. This failure placed residents at risk for unwanted, avoidable room changes upon readmission, and frustration.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the call light (an alerting device for staff to assist residents in need) was within reach for 1 of 1 resident (Resident 102), reviewed for accommodation of needs. This failure placed the resident at risk for delayed care, accidents/falls, and a diminished quality of life.
  5. 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) September 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure an advance directive (a written instruction, such as a living will or Durable Power of Attorney [DPOA] for health care) was obtained from the resident and/or their representative and ensure a copy was readily available in the medical records for 2 of 4 residents (Residents 37 & 102), reviewed for advance directives. Additionally, the facility failed to ensure the resident's right to refuse/discontinue medication for 1 of 1 resident (Resident 253). These failures placed the residents and/or their representatives at risk for losing their right to have their preferences honored to receive or refuse/discontinue care according to their choice.
  6. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to identify, initiate, thoroughly investigate, and promptly resolve a grievance for 1 of 1 resident (Resident 17), reviewed for grievances. This failure placed the resident at risk for unmet care needs and a diminished quality of life.
  7. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a written summary of the baseline care plan was provided to the residents and/or their representatives for 2 of 2 residents (Residents 49 & 102), reviewed for baseline care plan. This failure placed the residents at risk for unmet care needs and a diminished quality of life.
  8. 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 · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to meet professional standards of practice to ensure 2 of 2 licensed staff (Staff P & Staff F) observed for medication administration followed medication administration practices regarding unlabeled and undated medication at a resident's bed side and pain medication patch application. These failures placed the residents at risk for possible medication errors, potential negative outcomes, and a diminished quality of life.
  9. D
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to complete required annual performance evaluations for 1 of 3 staff (Staff J), whose personnel files were reviewed for Certified Nursing Assistant (CNA) performance evaluations. Failure to complete a performance review of every nurse aide at least once every 12 months and provide regular in-service education based on the outcome of these reviews, placed residents at risk for receiving care from underqualified nursing staff and unmet care needs.
  10. 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) September 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure expired medication was disposed of timely in accordance with current accepted professional standards for 1 of 2 medication carts (Cascade Hall Cart) and the facility failed to appropriately label and store drugs or biologicals (diverse group of medicines made from natural sources) for 1 of 2 residents (Resident 20) reviewed for medication storage and labeling. These failures placed the residents at risk for receiving compromised and ineffective medications.
  11. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure hand hygiene and infection control practices were followed during meal tray pass for 2 of 7 staff (Staff O and Staff G), failed to ensure Personal Protective Equipment (PPE-special equipment worn to protect from germs) protocols were followed for 1 of 3 staff (Staff G), and failed to ensure medical equipment was disinfected between resident use for 1 of 2 staff (Staff H) reviewed for infection control. These failures placed the residents, visitors, and staff at an increased risk for infection and related complications.
  12. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the pneumococcal vaccine (used to prevent pneumonia [a lung infection]) and influenza vaccine (used to prevent influenza [an infection of the nose, throat, and lungs]) were provided for 1 of 5 residents (Resident 34) reviewed for immunizations and infection control. This failure placed residents at risk of acquiring, transmitting, and/or experiencing potentially avoidable complications from pneumococcal and/or influenza disease.
  13. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) September 4, 2024
    Inspectors wroteBased on observation, interview, and record review of room size measurement, two single resident rooms (Rooms 17 & 18) failed to meet the minimum room size requirement of at least 100 square feet (sq ft) for a single resident room. The failure to ensure residents reside in rooms which met the regulatory requirements for square footage, placed them at risk for living in a physical environment too small to meet their needs.
December 29, 2023Complaint inspection · 2 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 7, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff used personal protective equipment (PPE - gloves, N95 respirator/mask, gown and face shield/goggles), perform hand hygiene, and follow infection control precautions during 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) outbreak in accordance with the Centers for Disease Control (CDC) guidelines for 2 of 10 staff (Staff E & F), and failed to report COVID-19 outbreaks to the Department of Social and Health Services (DSHS) as required for 2 of 3 COVID-19 outbreaks (August 2023 and December 2023), reviewed for infection control. These failures placed the residents, visitors, and staff at an increased risk of infection and related complications.
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 7, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide the necessary assistance for bathing/showering for 1 of 5 residents (Residents 3), reviewed for Activities of Daily Living (ADL). This failure placed the residents at risk for unmet care needs, poor hygiene, skin impairment, and a diminished quality of life.
November 15, 2023Complaint inspection · 3 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 14, 2023
    Inspectors wroteBased on interview and record review, the facility failed to implement written abuse policies and procedures related to allegations of abuse for 1of 3 residents (Resident 1) reviewed for abuse. This failure had the potential for Resident 1 to experience on-going abuse, harm, and a diminished quality of life.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 14, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure allegations of abuse was reported to the State Agency within the required timeframe for 1 of 3 residents (Resident 1), reviewed for abuse allegations. This failure placed the resident at risk for potential unidentified abuse and lack of protection from abuse.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 14, 2023
    Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate allegations of abuse for 1 of 3 residents (Resident 1), reviewed for abuse investigation. This failure placed the resident at risk for repeated incidents, unidentified abuse, and inappropriate corrective actions.
October 4, 2023Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure respiratory care and services were followed according to professional standards of practice for 4 of 5 residents (Residents 1, 3, 2 & 4) reviewed for respiratory care. The failure to transcribe and/or follow physician's orders for respiratory care, routinely change oxygen tubing, and initiate/review respiratory care plans placed the residents at risk of unmet care needs, respiratory infections, and related complications.
April 12, 2023Standard inspection · 13 citations
  1. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure baseline care plans were developed within 48 hours of admission to ensure continuity of care and/or to ensure a summary/copy of the baseline care plan was provided to the residents and/or their representatives for 5 of 9 residents (Residents 412, 112, 562, 312 & 313) 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.
  2. 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) June 5, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to properly label and store medications (no open date or not dating medications after opening it) and failed to ensure expired medical supplies were disposed of timely in accordance with current accepted professional standards for 2 of 2 medication carts (Sound & Cascade Medication Carts) and 1 of 1 medication storage room observed. These failures placed the residents at risks of receiving compromised medical supplies and experience adverse side effects.
  3. E
    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, pattern · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen thermometer was properly sanitized between use for 1 of 1 kitchen. This failure placed the residents at risk for cross contamination, food borne illnesses [an illness caused by the ingestion of contaminated food or beverages], and a diminished quality of life.
  4. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain physician's order and complete a self-medication administration assessment for 1 of 1 Resident (Resident 112) reviewed for medication at the bedside. The failure to complete a self-administration assessment and obtain a physician's order placed the resident at risk for medication errors and adverse medication interactions.
  5. 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) June 5, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a copy of the Advance Directive (AD) was obtained from the residents/representatives who have an AD in place and ensure a copy was readily available in the medical records for 1 of 1 resident (Resident 18) reviewed for advance directives. This failure placed the resident at risk of losing their right to have their preferences and choices honored regarding emergent and end-of-life care situations.
  6. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on interview and record review, the facility failed to conduct a timely significant change in status Minimum Data Set (MDS) assessment for 1 of 9 residents (Residents 47) reviewed for significant change in status assessment. The failure to complete a significant change in status assessment within 14 days placed the resident at risk for unmet care needs and a diminished quality of life.
  7. 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) June 5, 2023
    Inspectors wroteBased on interview and record review, the facility failed to accurately assess 1 of 15 residents (Resident 313) reviewed for Minimum Data Set (MDS) assessment. The failure to ensure accurate assessments for pressure injury placed the resident at risks for unidentified or unmet care needs and a diminished quality of life.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents consistently received bathing/shower and personal hygiene per their plan of care for 2 of 3 residents (Residents 4 and 112) reviewed for Activities of Daily Living (ADLs). This failure placed the residents at risk for poor hygiene, decreased self-esteem, and diminished quality of life.
  9. 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) June 5, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident-centered care and treatment were provided in accordance with professional standards of practice when facility staff failed to do skin evaluations, implement monitoring and interventions for skin care for 1 of 2 residents (Resident 25) reviewed for skin conditions. Additionally, the facility failed to assess and maintain weight-bearing restrictions for 1 of 4 residents (Resident 44) reviewed for limited mobility and positioning. These failures placed the residents at risk for unmet care needs and a diminished quality of care.
  10. 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) June 5, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper care of nebulizer tubing/mouthpiece (a type of equipment used to deliver a medicine into a fine mist that is breathed in) for 1 of 1 resident (Resident 4) reviewed for respiratory care. The failure to ensure nebulizer tubing/mouthpiece were replaced and/or stored properly when not in use placed the resident at risk for respiratory infections and related complications.
  11. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the daily nurse staffing form was accurately posted and updated with actual hours worked for each shift for 30 out of 30 days reviewed for sufficient and competent staffing. This failure placed the residents, the residents' representatives, and visitors at risk of not being fully informed of the current staffing levels and census information.
  12. C
    Ensure staff are vaccinated for COVID-19
    F888 · Infection Control · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement their 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 policy and procedures and failed to implement their policy for 1 of 2 staff (Staff N) reviewed for COVID 19 vaccination. In addition, the facility failed to have a process for documenting for whom the facility had granted, an exemption from the staff COVID-19 vaccination requirements. These failures placed the residents, visitors, and staff at risk for COVID-19 and related complications.
  13. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2023
    Inspectors wroteBased on observation, interview, and record review of room size measurements, 2 single resident rooms failed to meet the minimum room size requirement of at least 100 square feet (Sqft2) for a single resident room. These rooms were room [ROOM NUMBER] and room [ROOM NUMBER].

Fire safety inspections

10 fire safety citations on file: 3 on July 8, 2025, 2 on July 22, 2024, 5 on April 12, 2023.

Every fire safety citation10 citations
  1. F
    List the names and contact information of those in the facility.
    E 30 · July 8, 2025 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 8, 2025 · Corrected (the home has a date of correction)
  3. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 8, 2025 · Corrected (the home has a date of correction)
  4. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · July 22, 2024 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 22, 2024 · Corrected (the home has a date of correction)
  6. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · April 12, 2023 · Corrected (the home has a date of correction)
  7. F
    Provide properly protected cooking facilities.
    K 324 · April 12, 2023 · Corrected (the home has a date of correction)
  8. D
    Meet other general requirements.
    K 100 · April 12, 2023 · Corrected (the home has a date of correction)
  9. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 12, 2023 · Corrected (the home has a date of correction)
  10. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 12, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeWashingtonUnited States
All nursing staff (RN, LPN and aides)3.644.363.86
Registered nurses0.750.940.69
All nursing staff on weekends3.323.803.42
Nurse aides2.11
Licensed practical nurses0.78
Nursing staff turnover (share who left in a year)41.9%45.1%45.8%
Registered nurse turnover50.0%45.4%42.9%
Administrators who left0

CMS expects 3.70 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 3.78 on weekdays and 3.32 on weekends, 12% 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 3.99 in April to June 2025 to 3.64 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.640.753.783.32 0.0%0 of 9061
Oct to Dec 20253.700.753.833.37 0.0%0 of 9262
Jul to Sep 20253.900.814.073.46 0.0%0 of 9261
Apr to Jun 20253.991.054.213.44 0.1%0 of 9160
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.

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.

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
18.314.213.9
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
1.41.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.02.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.517.214.1
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
7.115.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.819.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.913.412.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Lynnwood Post Acute Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.2% 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

53.2% this home

No different from 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. 156 eligible stays.

Potentially preventable readmissions

9.4% this home

No different from 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. 138 eligible stays.

Infections that led to a hospital stay

8.6% 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. 87 eligible stays.

Self-care and mobility at discharge

61.0% 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. 59 residents counted.

Falls with major injury

0.9% 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. 109 residents counted.

New or worsened pressure ulcers

0.9% 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. 109 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. 63 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: LYNNWOOD HEALTH SERVICES, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Caretrust Gp LLCDirect ownership interestOrganization06/01/2006
Caretrust Gp LLC5% or greater indirect ownership interestOrganization100%06/01/2006
Burnam, SoonManaging control - governing bodyIndividual09/09/2024
Holmes, NathanManaging control - governing bodyIndividual01/01/2023
Stolarczyk, LisaManaging control - governing bodyIndividual03/21/2024
Farnsworth, StephenCorporate directorIndividual01/01/2023
Burnam, SoonCorporate officerIndividual09/09/2024
Holmes, NathanCorporate officerIndividual01/01/2023
Keetch, ChadCorporate officerIndividual06/01/2006
Port, BarryCorporate officerIndividual07/26/2018
Sato, AmiCorporate officerIndividual06/01/2006
Ensign Services IncOperational/managerial controlOrganization06/01/2006
Tempay LLCOperational/managerial controlOrganization06/01/2006
Fisher, TonyaOperational/managerial controlIndividual01/01/2023
Stolarczyk, LisaOperational/managerial controlIndividual03/21/2024
Caretrust Gp LLCAdp of the SNFOrganization06/01/2006
Ctr Partnership LPAdp of the SNFOrganization06/01/2006
Ensign Services IncAdp of the SNFOrganization07/25/2025
Snohomish Health Holdings LLCAdp of the SNFOrganization06/01/2006
Fisher, TonyaAdp of the SNFIndividual07/05/2025
Stolarczyk, LisaAdp of the SNFIndividual07/05/2025

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 13 problems in this area, most recently on July 8, 2025: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on July 8, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on July 8, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. 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 8, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.32 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 Lynnwood Post Acute Rehabilitation Center's Medicare star rating?
CMS rates Lynnwood Post Acute Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lynnwood Post Acute Rehabilitation Center get at its last inspection?
15 health deficiencies at the standard inspection on July 8, 2025. The Washington average is 15.8.
Has Lynnwood Post Acute Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Lynnwood Post Acute Rehabilitation Center 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 Lynnwood Post Acute Rehabilitation Center?
CMS lists 21 owners and managers, and links the home to The Ensign Group. Legal business name: LYNNWOOD HEALTH SERVICES, INC..

Sources

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