Alderwood Post Acute & Rehabilitation
3701 188th Street Southwest · Lynnwood, WA · 98037 · 4257759222
113 certified beds For profit - Corporation Chain: Hill Valley Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $134,505 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$134,505 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 3.67 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 4 · $237,596 |
Inspection citations (123 in the current record)
-
Potential for harm · E March 30, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 24, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 30, 2026 · found via complaint
Provide 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.
Corrected April 24, 2026 · Quality of Life and Care
-
Potential for harm · D March 5, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 23, 2026 · Resident Rights
-
Actual harm · G December 3, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 7, 2026 · Quality of Life and Care
-
Potential for harm · D November 13, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected December 16, 2025 · Resident Rights
-
Potential for harm · D September 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 3, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · F September 3, 2025 · found via complaint
Have 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.
Corrected October 1, 2025 · Nursing and Physician Services
-
Actual harm · G August 20, 2025
Provide 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.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D August 20, 2025
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.
Corrected October 1, 2025 · Resident Rights
-
Potential for harm · E August 20, 2025
Honor 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.
Corrected October 1, 2025 · Resident Rights
-
Potential for harm · D August 20, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E August 20, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 20, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E August 20, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E August 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E August 20, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E August 20, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · E August 20, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D August 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D August 20, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D August 20, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D August 20, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 1, 2025 · Pharmacy Service
-
Potential for harm · D August 20, 2025
Ensure that residents are free from significant medication errors.
Corrected October 1, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 13, 2025 | Fine | $107,820 |
| June 24, 2025 | Fine | $26,685 |
| June 7, 2024 | Fine | $65,636 |
| December 14, 2023 | Fine | $37,455 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505319 · certified since May 4, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.