Starfile

Starfile / Washington

COLUMBIA LUTHERAN HOME

4700 PHINNEY AVENUE NORTH, SEATTLE, WA 98103 · CCN 505470

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★☆☆ 3
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
Non profit - Corporation
Certified beds
116
Avg residents/day
74.8
Phone
2066327400

Inspection history vs Washington & national averages

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

CycleInspection dateThis facilityWashington avgNational avgvs state
12025-03-201317.09.5-4.0 better
22024-02-282317.29.8+5.8 worse
32022-11-03915.59.3-6.5 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning5
Resident rights2
Nutrition and dietary3
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)43.3%
RN staffing (reported)29.4%
Total nurse staffing (adjusted)

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (45)

  1. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  2. 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.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  3. DF0641Ensure each resident receives an accurate assessment.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  4. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  7. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  8. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  9. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  10. 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.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  12. EF0880Provide and implement an infection prevention and control program.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  13. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-03-20 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  14. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  15. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  16. 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.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  17. DF0584Honor 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.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  18. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  19. DF0610Respond appropriately to all alleged violations.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  20. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  21. 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.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  22. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  23. DF0641Ensure each resident receives an accurate assessment.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  24. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  25. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  26. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  27. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  28. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  29. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  30. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  31. FF0732Post nurse staffing information every day.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  32. 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.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  33. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  34. DF0880Provide and implement an infection prevention and control program.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  35. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  36. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2024-02-28 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  37. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-11-07 · Health · corrected 2023-12-06

    Potential for more than minimal harm

  38. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-07 · Health · corrected 2023-12-06

    Potential for more than minimal harm

  39. DF0610Respond appropriately to all alleged violations.2023-11-07 · Health · corrected 2023-12-06

    Potential for more than minimal harm

  40. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-11-03 · Health · corrected 2022-12-02

    Potential for more than minimal harm

  41. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-11-03 · Health · corrected 2022-12-02

    Potential for more than minimal harm

  42. 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.2022-11-03 · Health · corrected 2022-12-02

    Potential for more than minimal harm

  43. DF0761Ensure 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.2022-11-03 · Health · corrected 2022-12-02

    Potential for more than minimal harm

  44. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-11-03 · Health · corrected 2022-12-02

    Potential for more than minimal harm

  45. EF0880Provide and implement an infection prevention and control program.2022-11-03 · Health · corrected 2022-12-02

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HEYER, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL2015-08-31
ALABACH, CAROLINEIndividualCORPORATE DIRECTOR2013-09-26
MAHLER, KEITHIndividualCORPORATE DIRECTOR2020-01-30
MCGINNESS, CHARLOTTEIndividualCORPORATE DIRECTOR2016-01-28
RAMSEY, DEBORAHIndividualCORPORATE DIRECTOR2016-03-31
SEARS, CINDYIndividualCORPORATE DIRECTOR2016-01-28
SMITH, JANETIndividualCORPORATE DIRECTOR2021-12-02
HEYER, DAVIDIndividualCORPORATE OFFICER2015-08-31

Other facilities in SEATTLE

NameOverallBeds
FIRCREST NURSING FACILITY★★★★★110
CAROLINE KLINE GALLAND HOME★★★★★205
SHORELINE HEALTH AND REHABILITATION★★★★★114
QUEEN ANNE HEALTHCARE★★★★★120
MIRABELLA SEATTLE★★★★☆46

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