3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Operating since 1994 under owner Caroline Settlemier, Woodland Assisted Living balances skilled nursing, short-term rehabilitation, and memory care within a 32-bed campus. The facility features 14 private rehabilitation suites, a hydrotherapy tub, restorative nursing programs, and three daily meals. Local van trips and secure courtyards handle social engagement, while the physical location carries a Walk Score of 62. Residents maintain an average stay of 145 days, though modern financial records report a 16% occupancy rate, pointing to a recent drop in the building’s resident census.
State health summaries tracking four separate inspections since 2023 show a total of 19 citations, a volume running 61% below the Washington state baseline. Out of these reviews, zero critical or serious infractions were documented, though a $300 civil fine was issued in January 2024 due to delayed employee training updates.
While early 2025 audits flagged several fire safety and staff credentialing items, the facility’s latest check on November 10, 2025, came back entirely clean with zero deficiencies. Daily staffing averages 4 hours and 4 minutes per resident, with weekend nursing coverage tracking at 3 hours and 43 minutes. Clinical tracking files show strong preventive outcomes for short-term stays, including high vaccination numbers and zero increases in antipsychotic medications, though long-term residents experienced higher rates of functional decline.
Individuals researching regional post-acute rehabilitation choices can analyze these multi-year government logs to evaluate the operator’s current performance. Since the state archives show that past fire safety and training hurdles have been resolved—resulting in a completely flawless review at the end of 2025, the records indicate effective corrective actions. Arranging an in-person walkthrough is a practical next step to inspect the hydrotherapy setup, view the private suites, and directly question the management team about their strategies for rebuilding the resident census.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 45m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 24m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 12m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day |
Key information about the people who lead and staff this community.
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 29 | 31 | This facility has 6% fewer total deficiencies than a typical Washington assisted living residence (29 vs. WA avg 31).↓ 6% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 9.7 | 10.3 | This facility has 6% fewer deficiencies per year than a typical Washington assisted living residence (9.7 vs. WA avg 10.3).↓ 6% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Jun 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 19 citations resulted from standard inspections; and 1 of 19 resulted from complaint investigations.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursHelps with daily care and mobility.
41 total: 30 full-time employees and 11 contractors.
41
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,293 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 11 | 41 | 9,775 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,626 | 92 | 100% | 7.6 |
| Registered Nurse | 4 | 0 | 4 | 1,298 | 86 | 93% | 7.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,168 | 75 | 82% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 612 | 64 | 70% | 9.6 |
| RN Director of Nursing | 1 | 0 | 1 | 405 | 58 | 63% | 7 |
| Physical Therapist | 2 | 0 | 2 | 330 | 43 | 47% | 5.9 |
| Dental Services Staff | 1 | 0 | 1 | 271 | 45 | 49% | 6 |
| Diagnostic X-ray Services Staff | 0 | 2 | 2 | 198 | 24 | 26% | 6 |
| Speech Language Pathologist | 0 | 2 | 2 | 125 | 58 | 63% | 2.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 102 | 40 | 43% | 2.6 |
| Medical Director | 0 | 1 | 1 | 96 | 12 | 13% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 56 | 7 | 8% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 54 | 19 | 21% | 2.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 32 | 3 | 3% | 10.6 |
| Other Physician | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Qualified Social Worker | 0 | 2 | 2 | 7 | 4 | 4% | 1.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 2 | 2 | 2% | 1.2 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
78% lower than State averageState average: $82K
46% fewer fines than State averageState average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
261% more payment denials than State averageState average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 20, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 27, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.1
40% worse than State averageState average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.6
42% worse than State averageState average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
17.6%
7% worse than State averageState average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
38.5%
77% worse than State averageState average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.6%
34% worse than State averageState average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than State averageState average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
5.0%
In line with State averageState average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 1.7%
Percent of long-stay residents who lose too much weight
9.1%
56% worse than State averageState average: 5.8%
Percent of long-stay residents who have depressive symptoms
4.5%
72% better than State averageState average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
21.2%
47% worse than State averageState average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with State averageState average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
5% better than State averageState average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
12% better than State averageState average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
15% better than State averageState average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
70% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Woodland Assisted Living from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #74 / 94Payroll — State benchmarkedThis home is ranked 74th out of 94 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #21 / 94Payroll % — State benchmarkedThis home is ranked 21st out of 94 homes in Washington. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (70% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Woodland's city center to Woodland Assisted Living's address, calculated via Google Maps.
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The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Woodland Assisted Living | NH AL HC IL PC RC | Woodland | - | 32 | A+ | 62 | - |
| Bonaventure of Lacey | NH AL IL MC | Lacey | - | 126 | A+ | 55 | 1 Bed / 2 Bed |
| Weatherly Inn Renton | NH AL MC | Renton (Talbot Road South) | - | 65 | - | 27 | Studio / 1 Bed / 2 Bed |
| Washington Odd Fellows Home | NH AL | Walla Walla | - | 71 | - | 67 | Studio / 1 Bed |
| Timber Ridge | NH AL IL MC | Issaquah (Talus) | - | 26 | A+ | 19 | - |
Woodland Assisted Living has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to WA state health department records, Woodland Assisted Living's license number is 1028.
According to WA state health department records, Woodland Assisted Living's license expires on April 30, 2026.
Woodland Assisted Living's occupancy is 76.3%.
Woodland Assisted Living is registered as a for-profit in WA.
Woodland Assisted Living has 32 beds.
Yes — there are 54 photos of Woodland Assisted Living in the photo gallery on this page.
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