REGENCY COUPEVILLE REHAB AND NURSING CENTER
311 NORTHEAST 3RD STREET, COUPEVILLE, WA 98239 · CCN 505309
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 112
- Avg residents/day
- 71.4
- Phone
- 3606782273
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 | 2025-07-30 | 14 | 17.0 | 9.5 | -3.0 better |
| 2 | 2024-10-29 | 24 | 17.2 | 9.8 | +6.8 worse |
| 3 | 2023-11-22 | 28 | 15.5 | 9.3 | +12.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 4 |
| Resident rights | 1 |
| Pharmacy service | 4 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.08 | 51.5% |
| RN staffing (reported) | 0.59 | 52.6% |
| Total nurse staffing (adjusted) | 3.87 | — |
Fines & penalties
- Total fines
- $144,060
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- REGENCY PACIFIC MANAGEMENT
- Facilities in chain
- 27
- Chain avg overall
- 3.60 / 5
Inspection citations (66)1 immediate jeopardy2 actual harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- 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.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- EF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-07-30 · Health · corrected 2025-09-10
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-30 · Health · corrected 2025-09-10
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.2025-06-12 · Health · corrected 2025-05-23
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-12 · Health · corrected 2025-07-15
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-06-12 · Health · corrected 2025-05-23
Immediate jeopardy
- EF0610Respond appropriately to all alleged violations.2025-05-22 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-02-21 · Health · corrected 2025-03-18
Potential for more than minimal harm
- 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.2024-10-29 · Health · corrected 2024-12-04
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.2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-10-29 · Health · corrected 2024-12-04
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.2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-29 · Health · corrected 2024-12-04
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.2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-10-29 · Health · corrected 2024-12-04
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.2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-10-29 · Health · corrected 2024-12-04
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.2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-10-29 · Health · corrected 2024-12-04
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-09-27 · Health · corrected 2024-10-29
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-27 · Health · corrected 2024-10-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-27 · Health · corrected 2024-10-29
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-27 · Health · corrected 2024-10-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-27 · Health · corrected 2024-10-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-06 · Health · corrected 2024-10-16
Potential for more than minimal harm
- DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-09-06 · Health · corrected 2024-10-16
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-04-05 · Health · corrected 2024-05-07
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.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0578Honor 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.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0625Notify 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.2023-11-22 · Health · corrected 2024-01-17
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.2023-11-22 · Health · corrected 2024-01-17
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.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- 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.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-22 · Health · corrected 2024-01-17
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-22 · Health · corrected 2024-01-17
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.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2023-11-22 · Health · corrected 2024-01-17
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.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- 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.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-11-22 · Health · corrected 2024-01-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BEDDOE, MARVIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2020-06-16 |
| CLAY, JAMES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2020-06-16 |
| STROUD, DAVID | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2020-06-16 |
| REGENCY PACIFIC MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-16 |
| BEDDOE, MARVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-16 |
| CHU, CALEB | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-02 |
| MOFFITT, ERIC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-21 |
| RAPP, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-03-08 |
Other facilities in COUPEVILLE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.