Total health inspections
7
Washington average 7.8
Last Health inspection on Dec 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Monroe House
Assisted Living · Moses Lake, WA
CMS overall rating
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.
Monroe House
Assisted Living · Moses Lake, WA
CMS overall rating
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.
Monroe House accepts Medicaid, Medicare, and private pay.
Monroe House prioritizes assisted senior living with personalized care. Their team of compassionate professionals works closely with residents to develop individualized care plans that meet their unique needs. This may include assistance with daily living activities like bathing and dressing, medication management, and support for memory challenges.
Residents enjoy a comfortable and secure atmosphere in studio or one-bedroom apartments. Monroe House provides delicious, home-made meals, daily activities, and a variety of amenities like a beautiful courtyard, on-site laundry, and complimentary Wi-Fi. Their dedicated staff, from recreation specialists to caregivers, are invested in resident happiness. This commitment to creating a positive and enriching environment has earned Monroe House recognition as the top Assisted Living Facilities for three consecutive years.
Quality ratings
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.
Staffing hours breakdown
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 nursing care / resident
This home is ranked 52nd 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.
This home is ranked 52nd 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.
4h 1m per day
Rank #52 / 89Nurse hours — State benchmarkedThis home is ranked 52nd out of 89 homes in Washington. Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 89 Washington SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Washington avg
-8%
| 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 41m per day | ▼ 4% State avg: 3h 50m per day · National avg: 3h 25m per day |
Types of Care at Monroe House
Assisted Living
Capacity and availability
This home usually has availability
Occupancy rate
77.2%
Rank #137 / 310Occupancy rate — State benchmarkedThis home is ranked 137th out of 310 homes in Washington. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 310. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
77 days
41-bed community Rank #321 / 366Bed count — State benchmarkedThis home is ranked 321st out of 366 homes in Washington. Shows this facility's certified or reported bed count compared to other Washington SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
28 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 52 / 100 Rank #312 / 628Walk Score — State benchmarkedThis home is ranked 312th out of 628 homes in Washington. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Washington SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeBoarding Home
StatusOperating
ExpirationJune 30, 2026
CountyGrant
License Number2752
Staffing
Key information about the people who lead and staff this community.
ContactDeborah D. Rhodes
Health Inspection History
Inspections
Total health citations
72
Rank #69 / 91Health citations — State benchmarkedThis home is ranked 69th out of 91 homes in Washington. Shows this facility's total health deficiency citations benchmarked to the Washington State average, with a ranking across all 91 WA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Washington average 48.9
Citations per inspection
10.29
Rank #75 / 91Citations per inspection — State benchmarkedThis home is ranked 75th out of 91 homes in Washington. Shows average deficiency citations per CMS inspection for this facility versus the Washington mean across 91 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
61 of 72 citations resulted from standard inspections; 8 of 72 resulted from complaint investigations; and 3 of 72 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Washington averageWashington average: 0.3
Serious health citations
5
194% worse than Washington averageWashington average: 1.7
Citations history (last 4 years)
Abuse/Neglect moderate citation
Dec 12, 2024
Corrected
Pharmacy moderate citation
Dec 12, 2024
Corrected
Resident Rights moderate citation
Dec 12, 2024
Corrected
Abuse/Neglect moderate citation
Oct 04, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
97
Employees
95
Contractors
2
Staff to resident ratio
1.24:1
33% worse than Washington average
Avg staff/day
44
Average shift
8.5 hours
5% better than Washington average
Total staff hours (quarter)
34,255
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0%
16 contractor hours this quarter
Registered Nurse: 2
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 15,242 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 10 | 0 | 10 | 4,374 | 92 | 100% | 9 |
| Registered Nurse | 12 | 2 | 14 | 3,791 | 92 | 100% | 8.3 |
| Physical Therapist | 12 | 0 | 12 | 3,635 | 76 | 83% | 7.8 |
| RN Director of Nursing | 5 | 0 | 5 | 1,927 | 83 | 90% | 8.7 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,237 | 77 | 84% | 8.4 |
| Occupational Therapy Aide | 4 | 0 | 4 | 965 | 76 | 83% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 722 | 90 | 98% | 6.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 719 | 62 | 67% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 352 | 45 | 49% | 7.8 |
| Nurse Aide in Training | 1 | 0 | 1 | 277 | 35 | 38% | 7.9 |
37 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
14 Registered Nurse
% of Days
100%
12 Physical Therapist
% of Days
83%
5 RN Director of Nursing
% of Days
90%
6 Clinical Nurse Specialist
% of Days
84%
4 Occupational Therapy Aide
% of Days
83%
3 Other Dietary Services Staff
% of Days
98%
2 Mental Health Service Worker
% of Days
67%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
68%
1 Dietitian
% of Days
49%
1 Nurse Aide in Training
% of Days
38%
Penalties and fines
Includes penalties issued in 2024
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)
Total fines amount
$116K Rank #71 / 91Federal fines — State benchmarkedThis home is ranked 71st out of 91 homes in Washington. Shows this facility's cumulative CMS federal fine dollars versus the Washington average among facilities with fines, and where it ranks among 91 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
42% higher than Washington averageWashington average: $82K
Number of fines
2
8% more fines than Washington averageWashington average: 1.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$116K
Washington average
$82K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 2, 2024 · $68K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 2, 2024
$68K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
17% worse than Washington averageWashington average: 10.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
23% worse than Washington averageWashington average: 20.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
5% better than Washington averageWashington average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
31.3%
Percent of long-stay residents whose ability to move independently worsened
31.3%
43% worse than Washington averageWashington average: 21.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
25% worse than Washington averageWashington average: 24.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
83% better than Washington averageWashington average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
9% worse than Washington averageWashington average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
In line with Washington averageWashington average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.9%
Percent of long-stay residents who lose too much weight
5.9%
In line with Washington averageWashington average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
24.1%
Percent of long-stay residents who have depressive symptoms
24.1%
49% worse than Washington averageWashington average: 16.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.3%
Percent of long-stay residents who received an antipsychotic medication
20.3%
40% worse than Washington averageWashington average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.7%
10% worse than Washington averageWashington average: 96.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
62.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
62.5%
33% worse than Washington averageWashington average: 93.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
44.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
44.5%
49% worse than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
13% worse than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
44.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
44.1%
46% worse 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.
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
76% of new residents, often for short stays.
Typical stay
27 days
Medicaid
4% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78
Medicare
3
3.8% of residents
Medicaid
54
69.2% of residents
Private pay or other
21
26.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for Monroe House based on CMS SNF Cost Reports.
Occupancy Rate
77.2%
↑ 11.8pp vs 2022
Net Income
$17.5K
↑ ~$2.0M vs 2022
Total Payroll
$2.9M
↓ ~$4.4M vs 2022
Profit Margin
0.4%
↑ 18.5pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$4.1M
Profit
$17.5K
Privately-owned community
Home revenue
$4.1M Rank #88 / 93Revenue — State benchmarkedThis home is ranked 88th out of 93 homes in Washington. Shows this facility's annual revenue compared to the Washington SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$17.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #85 / 93Payroll — State benchmarkedThis home is ranked 85th 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.
$2.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #85 / 93Payroll — State benchmarkedThis home is ranked 85th 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.1M
What does this home offer?
Housing Options: Studio / 1 Bed
Building Type: Single-story
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Monroe House
1.2 miles from city center
Estimated distance in miles from Moses Lake's city center to Monroe House's address, calculated via Google Maps.
— 0.35 miles to nearest hospital (Samaritan Healthcare)
Calculate Travel Distance to Monroe House
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Financial Assistance for
Assisted Living in Washington
Monroe House is located in Moses Lake, Washington.
Here are the financial assistance programs available to residents in Washington.
Frequently Asked Questions about Monroe House
Is Monroe House in a walkable area?
Monroe House has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the license number of Monroe House?
According to WA state health department records, Monroe House's license number is 2752.
When does Monroe House's license expire?
According to WA state health department records, Monroe House's license expires on June 30, 2026.
How many beds does Monroe House have?
Monroe House has 41 beds.
What is the phone number of Monroe House?
(360) 765-3917 will put you in contact with the team at Monroe House.
What county is Monroe House located in?
Monroe House is in Grant County.
Is Monroe House Medicare or Medicaid certified?
Yes — Monroe House is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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