Avamere Rehabilitation At Park West
Seattle, King County, Washington · CCN 505270 · For-profit (LLC) · part of Avamere (27 facilities, chain average 3 stars)
CMS rates Avamere Rehabilitation At Park West 2 of 5 overall as of August 2026. 137 certified beds, 89 residents a day on average. 55 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $29,820 and 1 payment denial.
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 | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 4.07045 hours per resident per day |
|---|---|
| Registered nurses | 0.62822 hours per resident per day |
| Weekend total | 3.70671 hours per resident per day |
| Nursing staff turnover | 53.5% (registered nurses 58.8%) |
| 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 |
|---|---|---|---|
| 2026-03-09 complaint survey |
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-17 |
| 2025-07-29 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2025-07-29 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2025-07-29 | 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 2025-09-11 |
| 2025-07-29 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2024-10-07 complaint survey |
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 2024-10-29 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | 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. Nursing and Physician Services Deficiencies · tag F0726 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-01 |
| 2024-04-22 | 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 2024-06-01 |
| 2024-04-22 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-01 |
| 2024-02-06 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-02-24 |
| 2023-10-20 complaint survey |
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Resident Rights Deficiencies · tag F0571 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-30 |
| 2023-10-20 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-30 |
| 2023-02-03 | 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 2023-03-03 |
| 2023-02-03 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-03 |
| 2023-02-03 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-03-03 |
| 2023-02-03 | 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 2023-03-03 |
| 2023-02-03 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-03 |
| 2023-02-03 | 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 2023-03-03 |
| 2023-02-03 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · tag F0790 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-03 |
| 2023-02-03 | 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 2023-03-03 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-19 | Payment denial for 33 days from 2025-11-19 | — |
| 2024-02-06 | Fine | $29,820 |
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 | — | 2023-03-01 |
| Avamere Health Services LLC Organization | adp of the snf | — | 2026-02-24 |
| Avamere Skilled Advisors LLC Organization | adp of the snf | — | 2025-12-17 |
| Pacific Medical Specialty Group Organization | adp of the snf | — | 2023-03-01 |
| Rande Holdings, LLC Organization | adp of the snf | — | 2024-06-01 |
| Sabra Health Care Reit Inc. Organization | adp of the snf | — | 2023-02-01 |
| Snapmedtech,Inc. Organization | adp of the snf | — | 2025-09-08 |
| Ariso LLC Organization | direct ownership interest | — | 2023-03-01 |
| Ari Operations, LLC Organization | indirect ownership interest | — | 2023-03-01 |
| Avamere Group LLC Organization | indirect ownership interest | — | 2023-03-01 |
| 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 | — | 2023-03-01 |
| Midcap Finco LLC Organization | operational/managerial control | — | 2023-03-01 |
| Ascencio, Ignacio Individual | adp of the snf | — | 2025-11-19 |
| Chairez, Juanita Individual | adp of the snf | — | 2026-02-16 |
| Chu, Caleb Individual | adp of the snf | — | 2022-01-01 |
| Fanunal, Loriel Individual | adp of the snf | — | 2023-01-02 |
| Feakin, Cody Individual | adp of the snf | — | 2025-06-01 |
| 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 |
| Inskeep, Todd Individual | adp of the snf | — | 2022-01-21 |
| Kofstad, Mary Individual | adp of the snf | — | 2024-02-13 |
| Minhas, Kamaljit Individual | adp of the snf | — | 2023-02-01 |
| 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 |
| Simpson, Andrew Individual | adp of the snf | — | 2024-06-01 |
| Staples, Carolyn Individual | adp of the snf | — | 2023-10-05 |
| Strunk, Colby Individual | adp of the snf | — | 2022-09-06 |
| Vahora, Rehanaben Individual | adp of the snf | — | 2023-02-01 |
| Vanderzanden, Carrie Individual | adp of the snf | — | 2025-01-02 |
| 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 | — | 2025-06-01 |
| 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 |
| Ascencio, Ignacio Individual | operational/managerial control | — | 2025-11-10 |
| Chairez, Juanita Individual | operational/managerial control | — | 2026-02-16 |
| Chu, Caleb Individual | operational/managerial control | — | 2022-01-01 |
| Fanunal, Loriel Individual | operational/managerial control | — | 2023-01-02 |
| Feakin, Cody Individual | operational/managerial control | — | 2025-12-01 |
| 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 |
| Kofstad, Mary Individual | operational/managerial control | — | 2024-02-13 |
| Presley, Yolanda Individual | operational/managerial control | — | 2025-01-06 |
| Reid, Misty Individual | operational/managerial control | — | 2025-01-02 |
| Simpson, Andrew Individual | operational/managerial control | — | 2024-06-01 |
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 At Park West.
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.