Avamere Rehabilitation of Burien
1031 Southwest 130th Street · Burien, WA · 98146 · 2062423213
140 certified beds For profit - Limited Liability company Chain: Avamere
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 6 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.60 | ≈ weekday level |
| Nursing turnover / year | 24% | median 45% |
| Fines (3-yr window) | 1 · $59,485 |
Inspection citations (54 in the current record)
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Potential for harm · D May 19, 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 June 18, 2025 · Resident Rights
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Potential for harm · D May 19, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 18, 2025 · Resident Rights
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Potential for harm · D May 19, 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 June 18, 2025 · Resident Rights
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Potential for harm · D May 19, 2025
Honor 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.
Corrected June 18, 2025 · Resident Rights
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Potential for harm · D May 19, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 19, 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 June 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 19, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 19, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 19, 2025
Ensure 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.
Corrected June 18, 2025 · Pharmacy Service
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Potential for harm · E May 19, 2025
Provide or obtain dental services for each resident.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 19, 2025
Provide and implement an infection prevention and control program.
Corrected June 18, 2025 · Infection Control
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Actual harm · G March 27, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 27, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 1, 2024 · Resident Rights
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Actual harm · G March 27, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 1, 2024 · Pharmacy Service
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Potential for harm · D March 27, 2024 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected May 1, 2024 · Administration
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Actual harm · G February 28, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2024 · Quality of Life and Care
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Actual harm · G February 28, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 11, 2024 · Quality of Life and Care
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Actual harm · G February 28, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · D February 28, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 11, 2024 · Resident Rights
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Potential for harm · D February 28, 2024
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 April 11, 2024 · Resident Rights
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Potential for harm · D February 28, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 28, 2024
Respond appropriately to all alleged violations.
Corrected April 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 28, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 11, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2024 | Fine | $59,485 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505252 · certified since February 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.