PROVIDENCE MOUNT ST VINCENT
4831 35TH AVENUE SOUTHWEST, SEATTLE, WA 98126 · CCN 505182
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 215
- Avg residents/day
- 174.4
- Phone
- 2069373700
Inspection history vs Washington & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Washington avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-10 | 28 | 17.0 | 9.5 | +11.0 worse |
| 2 | 2023-10-27 | 19 | 17.2 | 9.8 | +1.8 worse |
| 3 | 2022-06-03 | 17 | 15.5 | 9.3 | +1.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 6 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 1 |
| Resident rights | 5 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.36 | 64.9% |
| RN staffing (reported) | 0.84 | 56.5% |
| Total nurse staffing (adjusted) | 4.76 | — |
Fines & penalties
- Total fines
- $87,454
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- PROVIDENCE HEALTH & SERVICES
- Facilities in chain
- 7
- Chain avg overall
- 2.40 / 5
Inspection citations (64)4 actual harm
- DF0880Provide and implement an infection prevention and control program.2025-08-08 · Health · corrected 2025-08-28
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-10 · Health · corrected 2025-07-29
Actual harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-06-10 · Health · corrected 2025-07-29
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-06-10 · Health · corrected 2025-07-29
Potential for more than minimal harm
- GF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2025-02-07 · Health · corrected 2025-03-14
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-07 · Health · corrected 2025-03-14
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- 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.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-10 · Health · corrected 2025-02-19
Actual harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- 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.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- 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.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- 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.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-10 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-04 · Health · corrected 2024-06-26
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-14 · Health · corrected 2024-06-12
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-28 · Health · corrected 2024-02-07
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- 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.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- 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.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-27 · Health · corrected 2023-12-06
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- 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.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- EF0838Conduct 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.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-06-03 · Health · corrected 2022-07-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2009-10-15 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-10-15 |
| BLAIR, RICHARD | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| CRAWFORD, ISIAAH | Individual | CORPORATE DIRECTOR | — | 2012-02-01 |
| HEJNA, DIANE | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| HUGHES, PHYLLIS | Individual | CORPORATE DIRECTOR | — | 2014-01-01 |
| KINGSTON, MARY BETH | Individual | CORPORATE DIRECTOR | — | 2022-09-01 |
| LYONS, MARY | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| MARKHAM, DONNA | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| MURPHY, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2020-01-01 |
| O'QUINN, MARVIN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| PACINI, CAROL | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| SORENSON, CHARLES | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| SPRUNK, ERIC | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| ANDERSON, DONALD | Individual | CORPORATE OFFICER | — | 2017-01-01 |
| HOFFMAN, GREGORY | Individual | CORPORATE OFFICER | — | 2020-10-01 |
| MARTIN, JAMES | Individual | CORPORATE OFFICER | — | 2023-01-13 |
| NEWSOM, ANNA | Individual | CORPORATE OFFICER | — | 2022-05-13 |
| WEXLER, ERIK | Individual | CORPORATE OFFICER | — | 2023-01-01 |
| MIRZAIE AMIRABADI, ARASH | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-08-01 |
| GONZALES - LIM, MARICOR | Individual | W-2 MANAGING EMPLOYEE | — | 2023-09-11 |
| SIKES, NICOLE | Individual | W-2 MANAGING EMPLOYEE | — | 2022-08-22 |
| WARREN, TERRI | Individual | W-2 MANAGING EMPLOYEE | — | 2022-11-01 |
| WESTLUND, MALISA | Individual | W-2 MANAGING EMPLOYEE | — | 2020-03-06 |
Other facilities in SEATTLE
| Name | Overall | Beds |
|---|---|---|
| FIRCREST NURSING FACILITY | ★★★★★ | 110 |
| CAROLINE KLINE GALLAND HOME | ★★★★★ | 205 |
| QUEEN ANNE HEALTHCARE | ★★★★★ | 120 |
| SHORELINE HEALTH AND REHABILITATION | ★★★★★ | 114 |
| 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.