Avamere Rehabilitation of Shoreline

1250 Northeast 145th Street · Seattle, WA · 98155 · 2063635856

115 certified beds For profit - Corporation Chain: Avamere

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 24
Serious harm & abuse 20% 100
Staffing 20% 79
Federal penalties 15% 100
Trend 10% 41
Context 5% 100

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-day4.143.48 min · 4.1 strong
RN hours / resident-day0.840.55–0.75
Weekend hours / resident-day3.30≈ weekday level
Nursing turnover / year37%median 45%
Fines (3-yr window)none

Inspection citations (91 in the current record)

  • Potential for harm · D April 30, 2026 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E March 13, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 7, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 13, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 7, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 12, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 12, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D January 7, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 26, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 7, 2026 · found via complaint

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 26, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 7, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 26, 2026 · Quality of Life and Care

  • Potential for harm · D December 9, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 30, 2025 · Resident Rights

  • Potential for harm · D November 14, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 14, 2025 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected December 15, 2025 · Nursing and Physician Services

  • Potential for harm · D July 18, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 18, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 2025 · found via complaint

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected August 20, 2025 · Nutrition and Dietary

  • Potential for harm · D May 17, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 10, 2025 · Resident Rights

  • Potential for harm · E May 17, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected June 10, 2025 · Resident Rights

  • Potential for harm · D May 17, 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 10, 2025 · Resident Rights

  • Potential for harm · D May 17, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected June 10, 2025 · Resident Rights

  • Potential for harm · E May 17, 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 10, 2025 · Resident Rights

  • Potential for harm · D May 17, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected June 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 17, 2025

    Assess the resident when there is a significant change in condition

    Corrected June 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 17, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected June 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 17, 2025

    Ensure each resident receives an accurate assessment.

    Corrected June 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 17, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected June 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 17, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected June 10, 2025 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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 505009 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.