Gig Harbor Health and Rehabilitation
3309 45th Street Court Northwest · Gig Harbor, WA · 98335 · 2538588688
120 certified beds For profit - Limited Liability company 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: $19,135 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 5 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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 | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.33 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 2 · $134,478 |
Inspection citations (119 in the current record)
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Potential for harm · D April 22, 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 May 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 22, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 11, 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 March 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 11, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 9, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · D December 9, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · D December 9, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · E December 9, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · D December 9, 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 January 20, 2026 · Resident Rights
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Potential for harm · D December 9, 2025
Respond appropriately to all alleged violations.
Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 9, 2025
Ensure each resident receives an accurate assessment.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 9, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 9, 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 January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025
Honor each resident's preferences, choices, values and beliefs.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 9, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · E December 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 9, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · E December 9, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 9, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 9, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected January 20, 2026 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 5, 2025 | Fine | $19,135 |
| December 11, 2024 | Payment Denial | 41 days |
| February 28, 2024 | Fine | $115,343 |
| February 28, 2024 | Payment Denial | 27 days |
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 505436 · certified since January 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.