Starfile / Washington

ALDERWOOD POST ACUTE & REHABILITATION

3701 188TH STREET SOUTHWEST, LYNNWOOD, WA 98037 · CCN 505319

Abuse icon

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$103,091

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

HILL VALLEY HEALTHCARE

Facilities in chain

40

Chain avg overall

2.20 / 5

Inspection citations (124)4 actual harm

1. GF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-12-03 · Health · corrected 2026-01-07

   Actual harm

2. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-11-13 · Health · corrected 2025-12-16

   Potential for more than minimal harm

3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-03 · Health · corrected 2025-10-01

   Potential for more than minimal harm

4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-03 · Health · corrected 2025-10-01

   Potential for more than minimal harm

5. DF0610Respond appropriately to all alleged violations.2025-09-03 · Health · corrected 2025-10-01

   Potential for more than minimal harm

6. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-09-03 · Health · corrected 2025-10-01

   Potential for more than minimal harm

7. DF0578Honor 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.2025-08-20 · Health · corrected 2025-10-01

   Potential for more than minimal harm

8. EF0584Honor 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.2025-08-20 · Health · corrected 2025-10-01

   Potential for more than minimal harm

9. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-20 · Health · corrected 2025-10-01

   Potential for more than minimal harm

10. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

11. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

12. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

13. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

14. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

15. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

16. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

17. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

18. GF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-08-20 · Health · corrected 2025-10-01

    Actual harm

19. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

20. DF0692Provide enough food/fluids to maintain a resident's health.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

21. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

22. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

23. DF0760Ensure that residents are free from significant medication errors.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

24. EF0761Ensure 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.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

25. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

26. EF0791Provide or obtain dental services for each resident.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

27. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

28. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

29. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

30. DF0825Provide or get specialized rehabilitative services as required for a resident.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

31. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

32. EF0880Provide and implement an infection prevention and control program.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

33. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-08-20 · Health · corrected 2025-10-01

    Potential for more than minimal harm

34. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-06-24 · Health · corrected 2025-08-13

    Potential for more than minimal harm

35. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-24 · Health · corrected 2025-08-13

    Potential for more than minimal harm

36. DF0759Ensure medication error rates are not 5 percent or greater.2025-06-24 · Health · corrected 2025-08-13

    Potential for more than minimal harm

37. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-29 · Health · corrected 2025-06-20

    Potential for more than minimal harm

38. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-28 · Health · corrected 2025-05-02

    Potential for more than minimal harm

39. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-03-28 · Health · corrected 2025-05-02

    Potential for more than minimal harm

40. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-07 · Health · corrected 2025-04-11

    Potential for more than minimal harm

41. FF0659Provide care by qualified persons according to each resident's written plan of care.2025-03-07 · Health · corrected 2025-04-11

    Potential for more than minimal harm

42. DF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2025-03-07 · Health · corrected 2025-04-11

    Potential for more than minimal harm

43. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

44. DF0551Give the resident's representative the ability to exercise the resident's rights.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

45. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

46. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

47. EF0585Honor 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.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

48. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

49. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

50. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

51. EF0610Respond appropriately to all alleged violations.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

52. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

53. DF0625Notify 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.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

54. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

55. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

56. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

57. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

58. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

59. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

60. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

61. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

62. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

63. EF0692Provide enough food/fluids to maintain a resident's health.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

64. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

65. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

66. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

67. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

68. EF0759Ensure medication error rates are not 5 percent or greater.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

69. EF0760Ensure that residents are free from significant medication errors.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

70. EF0761Ensure 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.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

71. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

72. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

73. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

74. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

75. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

76. FF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

77. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

78. EF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

79. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

80. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-11-15 · Health · corrected 2025-01-22

    Potential for more than minimal harm

81. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-07 · Health · corrected 2024-08-28

    Potential for more than minimal harm

82. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-07 · Health · corrected 2024-07-09

    Potential for more than minimal harm

83. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-07 · Health · corrected 2024-07-09

    Actual harm

84. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-01-04 · Health · corrected 2024-02-06

    Potential for more than minimal harm

85. EF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-01-04 · Health · corrected 2024-02-06

    Potential for more than minimal harm

86. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

87. DF0578Honor 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.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

88. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

89. DF0585Honor 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.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

90. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

91. EF0610Respond appropriately to all alleged violations.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

92. DF0641Ensure each resident receives an accurate assessment.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

93. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

94. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

95. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

96. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

97. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

98. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-14 · Health · corrected 2024-02-06

    Potential for more than minimal harm

99. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-14 · Health · corrected 2024-02-06

    Actual harm

100. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

101. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

102. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

103. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

104. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

105. DF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

106. EF0730Observe each nurse aide's job performance and give regular training.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

107. CF0732Post nurse staffing information every day.2023-12-14 · Health · corrected 2024-02-06

     Potential for minimal harm

108. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

109. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

110. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

111. EF0759Ensure medication error rates are not 5 percent or greater.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

112. EF0760Ensure that residents are free from significant medication errors.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

113. EF0761Ensure 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.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

114. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

115. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

116. EF0880Provide and implement an infection prevention and control program.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

117. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-12-14 · Health · corrected 2024-02-06

     Potential for more than minimal harm

118. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-03 · Health · corrected 2023-11-21

     Potential for more than minimal harm

119. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-03 · Health · corrected 2023-11-21

     Potential for more than minimal harm

120. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-23 · Health · corrected 2023-07-20

     Potential for more than minimal harm

121. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-05-11 · Health · corrected 2023-06-15

     Potential for more than minimal harm

122. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-11 · Health · corrected 2023-06-15

     Potential for more than minimal harm

123. EF0880Provide and implement an infection prevention and control program.2023-05-11 · Health · corrected 2023-06-15

     Potential for more than minimal harm

124. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-05-11 · Health · corrected 2023-06-15

     Potential for more than minimal harm

Ownership

Other facilities in LYNNWOOD

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.