Avamere Rehabilitation Of Issaquah
Issaquah, King County, Washington · CCN 505004 · For-profit (LLC) · part of Avamere (27 facilities, chain average 3 stars)
CMS rates Avamere Rehabilitation Of Issaquah 2 of 5 overall as of August 2026. 140 certified beds, 93 residents a day on average. 56 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $48,663.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 4.08262 hours per resident per day |
|---|---|
| Registered nurses | 0.59315 hours per resident per day |
| Weekend total | 3.6542 hours per resident per day |
| Nursing staff turnover | 42.4% (registered nurses 46.7%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-03-27 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · tag F0569 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | 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. Resident Rights Deficiencies · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2025-03-27 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-14 |
| 2024-02-06 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | 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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | 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. Quality of Life and Care Deficiencies · tag F0688 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · tag F0559 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | 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. Resident Rights Deficiencies · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2024-02-06 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-20 |
| 2023-11-09 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-12 |
| 2023-11-09 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-12 |
| 2022-10-12 | 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. Resident Rights Deficiencies · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | 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. Resident Rights Deficiencies · tag F0585 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
| 2022-10-12 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-06 | Fine | $48,663 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Midcap Finco LLC Organization | 5% or greater security interest | — | 2023-02-01 |
| Avamere Health Services LLC Organization | adp of the snf | — | 2025-07-12 |
| Avamere Skilled Advisors LLC Organization | adp of the snf | — | 2025-07-12 |
| Consolidated Billing Services Inc. Organization | adp of the snf | — | 2023-02-01 |
| Incovate Solutions, LLC Organization | adp of the snf | — | 2023-02-01 |
| Moss Adams LLP Organization | adp of the snf | — | 2023-02-01 |
| Pacific Medical Specialty Group Organization | adp of the snf | — | 2022-08-08 |
| Rande Holdings, LLC Organization | adp of the snf | — | 2024-06-01 |
| Sabra Health Care Limited Partnership Organization | adp of the snf | — | 2023-02-01 |
| Sabra Health Care Reit Inc. Organization | adp of the snf | — | 2023-02-01 |
| Sabra Health Care, LLC Organization | adp of the snf | — | 2023-02-01 |
| Snapmedtech,Inc. Organization | adp of the snf | — | 2025-09-08 |
| Ariso LLC Organization | direct ownership interest | — | 2023-02-01 |
| Ari Operations, LLC Organization | indirect ownership interest | — | 2023-02-01 |
| Avamere Group LLC Organization | indirect ownership interest | — | 2023-02-01 |
| Karl Rickard Miller Jr Revocable Trust Organization | indirect ownership interest | — | 2023-02-01 |
| Avamere Health Services LLC Organization | operational/managerial control | — | 2023-02-01 |
| Avamere Skilled Advisors LLC Organization | operational/managerial control | — | 2023-02-01 |
| Midcap Finco LLC Organization | operational/managerial control | — | 2023-02-01 |
| Fanunal, Loriel Individual | adp of the snf | — | 2023-01-02 |
| Feakin, Cody Individual | adp of the snf | — | 2025-01-01 |
| Feliu Vargas, Jose Individual | adp of the snf | — | 2025-10-20 |
| Fowler, Katherine Individual | adp of the snf | — | 2025-02-28 |
| Funderberg, Michelle Individual | adp of the snf | — | 2024-12-31 |
| Games, Kim Individual | adp of the snf | — | 2024-08-15 |
| Garcia, Roberto Individual | adp of the snf | — | 2026-02-01 |
| Hobbs, Samantha Individual | adp of the snf | — | 2023-02-01 |
| Hokenson, Laura Individual | adp of the snf | — | 2025-02-01 |
| Inskeep, Todd Individual | adp of the snf | — | 2022-01-21 |
| Kofstad, Mary Individual | adp of the snf | — | 2024-02-13 |
| Mokashi, Samiksha Individual | adp of the snf | — | 2025-07-11 |
| Nesterenko, Oksana Individual | adp of the snf | — | 2022-08-08 |
| Nielson, Charles Individual | adp of the snf | — | 2026-02-02 |
| Presley, Yolanda Individual | adp of the snf | — | 2025-01-06 |
| Reid, Misty Individual | adp of the snf | — | 2025-01-02 |
| Staples, Carolyn Individual | adp of the snf | — | 2023-10-05 |
| Strunk, Colby Individual | adp of the snf | — | 2022-09-06 |
| Vanderzanden, Carrie Individual | adp of the snf | — | 2025-01-02 |
| Weisert, Melanie Individual | adp of the snf | — | 2023-05-26 |
| Miller, Karl Individual | indirect ownership interest | — | 2023-02-01 |
| Cavallo, Glen Individual | managing control - governing body | — | 2025-06-01 |
| Feakin, Cody Individual | managing control - governing body | — | 2025-06-01 |
| Funderberg, Michelle Individual | managing control - governing body | — | 2025-06-01 |
| Garcia, Roberto Individual | managing control - governing body | — | 2026-02-01 |
| Inskeep, Todd Individual | managing control - governing body | — | 2025-06-01 |
| Kofstad, Mary Individual | managing control - governing body | — | 2025-06-01 |
| Reid, Misty Individual | managing control - governing body | — | 2025-06-01 |
| Staples, Carolyn Individual | managing control - governing body | — | 2025-10-01 |
| Strunk, Colby Individual | managing control - governing body | — | 2025-06-01 |
| Vanderzanden, Carrie Individual | managing control - governing body | — | 2025-06-01 |
| Fanunal, Loriel Individual | operational/managerial control | — | 2023-01-02 |
| Feakin, Cody Individual | operational/managerial control | — | 2025-12-01 |
| Feliu Vargas, Jose Individual | operational/managerial control | — | 2025-10-20 |
| Fisher, Tonya Individual | operational/managerial control | — | 2026-01-19 |
| Fowler, Katherine Individual | operational/managerial control | — | 2025-02-28 |
| Garcia, Roberto Individual | operational/managerial control | — | 2026-02-01 |
| Hobbs, Samantha Individual | operational/managerial control | — | 2023-02-01 |
| Kofstad, Mary Individual | operational/managerial control | — | 2024-02-13 |
| Mokashi, Samiksha Individual | operational/managerial control | — | 2025-03-07 |
| Nesterenko, Oksana Individual | operational/managerial control | — | 2022-08-08 |
| Presley, Yolanda Individual | operational/managerial control | — | 2025-01-06 |
| Reid, Misty Individual | operational/managerial control | — | 2025-01-02 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Avamere Rehabilitation Of Issaquah.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in King County.