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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Prestige Senior Living at Hearthstone is an excellent senior community in Ellensburg, offering independent living and assisted living. Their assisted living services offer the standard assistance for daily tasks. The apartments in this facility are well-built, making sure that they are extremely comfortable for senior residents to recuperate properly as they enjoy their retirement years.
At Prestige Senior Living, they pride themselves on providing not only the care that the residents need, but also because they never have a dull moment. In this facility, they initiate various activities to keep the residents entertained. Events like Wii Bowling, bingo and fitness programs are in place to make sure that the seniors are enjoying their time and experience here.
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.
This home is ranked 86th out of 89 homes in Washington. 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 |
|---|---|---|
|
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 6m per day | ▼ 19% State avg: 3h 50m per day · National avg: 3h 25m per day |
Similar to the Washington average: 72.5%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, citation, 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.
| 40 | 31 | This facility has 29% more total deficiencies than a typical Washington nursing home (40 vs. WA avg 31).↑ 29% worse |
|
Deficiencies per year
Average deficiencies per year since 2024.
| 20 | 15.5 | This facility has 29% more deficiencies per year than a typical Washington nursing home (20 vs. WA avg 15.5).↑ 29% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 29, 2025, identified multiple deficiencies related to fire safety documentation, maintenance, and blocked exits. Earlier inspections showed a pattern of fire safety issues, including lack of proper documentation for fire drills, inspections, and equipment servicing, as well as some resident care concerns such as failure to assess elopement risks and medication administration problems. Complaint investigations substantiated failed provider practices involving resident neglect, incomplete investigations of missing resident property, and delays in plan of correction submissions, but no fines or license actions were listed in the available reports. Most complaints were substantiated with citations issued, primarily related to resident care and safety monitoring. The facility corrected prior deficiencies found in follow-up inspections, but recent fire safety documentation and maintenance issues suggest ongoing challenges in that area.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWashington average 7.8
Last Health inspection on May 2025
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
48 of 62 citations resulted from standard inspections; and 14 of 62 resulted from complaint investigations.
100% better than Washington averageWashington average: 0.3
253% worse than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% better than Washington average
0% compared with Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,703 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 43 | 75 | 13,087 | 92 | 100% | 8.7 |
| Registered Nurse | 12 | 5 | 17 | 3,819 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 8 | 4 | 12 | 3,744 | 92 | 100% | 8.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 871 | 72 | 78% | 6.9 |
| Physical Therapy Aide | 1 | 1 | 2 | 517 | 50 | 54% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 516 | 65 | 71% | 7.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 478 | 60 | 65% | 8 |
| Dietitian | 3 | 0 | 3 | 423 | 59 | 64% | 7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 313 | 39 | 42% | 8 |
| Speech Language Pathologist | 2 | 1 | 3 | 239 | 42 | 46% | 5.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 171 | 27 | 29% | 6.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 135 | 23 | 25% | 5.9 |
| Qualified Social Worker | 1 | 0 | 1 | 30 | 10 | 11% | 3 |
| Medical Director | 0 | 1 | 1 | 12 | 12 | 13% | 1 |
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)
183% higher than Washington averageWashington average: $82K
117% more fines than Washington averageWashington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 21, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 22, 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.
4.9
51% better than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
42% better than Washington averageWashington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
42% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
9.2%
58% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
27% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
77% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
3.5%
29% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
1.8%
In line with Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
1.8%
69% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
16.1%
In line with Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
4.9%
66% better than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with Washington averageWashington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.2%
5% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
8% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.3%
8% better than Washington averageWashington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
66% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
62Residents 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 Prestige Senior Living at Hearthstone based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #80 / 93Payroll — State benchmarkedThis home is ranked 80th out of 93 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Building Type: Two-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
1.5 miles from city center
Estimated distance in miles from Ellensburg's city center to Prestige Senior Living at Hearthstone's address, calculated via Google Maps.
— 0.26 miles to nearest hospital (KVH Surgical Services Complex)
Add your location
Prestige Senior Living at Hearthstone is located in Ellensburg, Washington.
Here are the financial assistance programs available to residents in Washington.
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Prestige Senior Living at Hearthstone |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Ellensburg (East Mountain View Avenue) | 36 | 75.0% | +3% | 3.10 | -6% | -27% | $244.2k | 62 | 6.2 | 6 | 27 | - | 42 | David Shepherd | $12.9M | $3.9M | 30.4% | 505263 | ||||
| Ellensburg Senior Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Ellensburg | 80 | 85.0% | +17% | 3.10 | -6% | -27% | $244.2k | 62 | 6.2 | 6 | 68 | A+ | 38 | David Shepherd | $12.9M | $3.9M | 30.4% | 505263 |
Prestige Senior Living at Hearthstone is in the East Mountain View Avenue neighborhood of Ellensburg.
Prestige Senior Living at Hearthstone has a walk score of 42. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to WA state health department records, Prestige Senior Living at Hearthstone's license number is 2683.
According to WA state health department records, Prestige Senior Living at Hearthstone's license expires on March 31, 2026.
Prestige Senior Living at Hearthstone's occupancy is 75%.
Prestige Senior Living at Hearthstone has 36 beds.
(509) 472-8602 will put you in contact with the team at Prestige Senior Living at Hearthstone.
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