Marianwood Health and Rehabilitation
3725 Providence Point Drive Southeast · Issaquah, WA · 98029 · 4253912800
117 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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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 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
$64,574 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
73% 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: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.91 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | 2 · $64,574 |
Inspection citations (50 in the current record)
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Potential for harm · D November 21, 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 6, 2026 · Resident Rights
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Potential for harm · D November 21, 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 January 6, 2026 · Resident Rights
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Potential for harm · D November 21, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 6, 2026 · Resident Rights
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Potential for harm · D November 21, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 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 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 6, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 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 January 6, 2026 · Pharmacy Service
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Potential for harm · E November 21, 2025
Implement a program that monitors antibiotic use.
Corrected January 6, 2026 · Infection Control
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Actual harm · G February 28, 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 March 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 28, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 25, 2024 · 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 October 9, 2024 · Resident Rights
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Immediate jeopardy · K August 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 9, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 9, 2024 · Resident Rights
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Potential for harm · D August 1, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected September 9, 2024 · Resident Rights
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Potential for harm · D August 1, 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 September 9, 2024 · Resident Rights
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Potential for harm · E August 1, 2024
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 September 9, 2024 · Resident Rights
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Potential for harm · D August 1, 2024
Respond appropriately to all alleged violations.
Corrected September 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 9, 2024 · Resident Rights
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Potential for harm · D August 1, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2024
Ensure each resident receives an accurate assessment.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 1, 2024
Ensure a qualified health professional conducts resident assessments.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 1, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 1, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 9, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2025 | Fine | $31,694 |
| August 1, 2024 | Fine | $32,880 |
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 505418 · 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.