2/5
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.
2/5
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.
In Issaquah, Washington, Avamere Rehabilitation Center stands tall as a trusted facility of expert care. With skilled nursing, rehabilitation, and long-term services, they guide residents toward recovery with precision. Their adept team, proficient in managing diverse medical conditions, ensures tailored attention for each resident’s unique needs.
Avamere’s commitment also shines through their skilled therapists and 24/7 licensed nursing. With advanced safety features and reliable nurse call systems, families find peace knowing their loved ones are in capable hands. Avamere is definitely a dependable ally on the journey to health and well-being.
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 77th out of 90 homes in Washington for nurse hours. 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.
| 35m per day | ▼ 35% State avg: 53m per day · National avg: 41m 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.
| 1h 3m per day | ▲ 29% State avg: 49m per day · National avg: 52m 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 39m per day | ■ Avg State avg: 2h 41m per day · National avg: 2h 21m 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 44m per day | ■ Avg State avg: 3h 47m per day · National avg: 3h 26m 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.
| 2m per day | ▼ 50% State avg: 5m per day · National avg: 4m 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.
| 22m per day | ▼ 43% State avg: 38m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
34% fewer staff per resident than Washington average
5% better than Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 10 full-time employees and 1 contractor.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
All 47 CNA Staff are full-time employees. No contractors work on this role.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
115 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 0 | 47 | 20,253 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 15 | 0 | 15 | 7,329 | 92 | 100% | 10 |
| Registered Nurse | 10 | 1 | 11 | 3,757 | 92 | 100% | 9.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 914 | 90 | 98% | 7.5 |
| Physical Therapy Aide | 4 | 0 | 4 | 844 | 66 | 72% | 7.1 |
| Speech Language Pathologist | 4 | 0 | 4 | 837 | 66 | 72% | 6.3 |
| RN Director of Nursing | 2 | 0 | 2 | 689 | 64 | 70% | 6.9 |
| Nurse Practitioner | 2 | 0 | 2 | 568 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 63 | 68% | 7.8 |
| Dietitian | 1 | 0 | 1 | 472 | 68 | 74% | 6.9 |
| Physical Therapy Assistant | 1 | 0 | 1 | 460 | 62 | 67% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 385 | 55 | 60% | 7 |
| Administrator | 1 | 0 | 1 | 384 | 48 | 52% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 368 | 57 | 62% | 6.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 315 | 55 | 60% | 5.7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 208 | 27 | 29% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 76 | 12 | 13% | 6.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 55 | 7 | 8% | 7.9 |
| Medical Director | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
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)
14% lower than Washington averageWashington average: $82K
8% 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.
1 penalty in the past 3 years
Feb 6, 2024 · $49K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024Last 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.
10.6
6% worse than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.9
In line with Washington averageWashington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.7%
32% worse than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
19.4%
11% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.7%
23% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
56% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
3.0%
40% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
1.1%
35% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
7.9%
36% worse than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
93.5%
477% worse than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
12.9%
11% better than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with Washington averageWashington average: 93.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.43
In line with Washington averageWashington average: 1.38
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.72
80% worse than Washington averageWashington average: 1.51
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
In line with Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
5% better than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
39% worse than Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.8%
42% worse than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
77.6%
44% better than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.4%
27% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
58% of new residents, usually for short-term rehab.
35% 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
82Residents 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 Avamere Rehabilitation of Issaquah 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 #51 / 94Payroll — State benchmarkedThis home is ranked 51st 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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 #19 / 94Payroll % — State benchmarkedThis home is ranked 19th 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (58% of admissions), and a typical Medicare stay runs around 24 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1 mile from city center
— 1.19 miles to nearest hospital (Swedish Issaquah Campus)
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The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Timber Ridge | NH AL IL MC | Issaquah (Talus) | 26
Facility
26
WA AVG
82
Rank
#352 / 366 |
88.5%
Facility
88.5%
WA AVG
72.5%
Rank
#56 / 310 | +22% | 5.65
Facility
5.65
WA AVG
4.22
Rank
#5 / 90 | -34% | +34% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 92 | 17
Facility
17
WA AVG
48.9
Rank
#6 / 92 | 5.7
Facility
5.7
WA AVG
6.9
Rank
#37 / 92 | - | 23 | A+ |
19
Facility
19
WA AVG
51
Rank
#532 / 628 | Lcs Timber Ridge LLC | $31.6M
Facility
$31.6M
WA AVG
$13.2M
Rank
#7 / 94 | $13.6M
Facility
$13.6M
WA AVG
$5.7M
Rank
#12 / 94 | 43%
Facility
43%
WA AVG
45.5%
Rank
#77 / 94 | 505518 | ||||
| Avamere Rehabilitation of Issaquah | NH PC RC | Issaquah (Sycamore) | 140
Facility
140
WA AVG
82
Rank
#21 / 366 |
52.9%
Facility
52.9%
WA AVG
72.5%
Rank
#278 / 310 | -27% | 3.52
Facility
3.52
WA AVG
4.22
Rank
#77 / 90 | -24% | -17% | $48.7k
Facility
$48.7k
WA AVG
$87.7k
Rank
#55 / 92 | 60
Facility
60
WA AVG
48.9
Rank
#59 / 92 | 10.0
Facility
10.0
WA AVG
6.9
Rank
#73 / 92 | 4 | 83 | - |
16
Facility
16
WA AVG
51
Rank
#554 / 628 | Carl Tabor | $11.3M
Facility
$11.3M
WA AVG
$13.2M
Rank
#71 / 94 | $6.6M
Facility
$6.6M
WA AVG
$5.7M
Rank
#51 / 94 | 58.8%
Facility
58.8%
WA AVG
45.5%
Rank
#19 / 94 | 505004 |
Avamere Rehabilitation of Issaquah is located in Issaquah, Washington.
Here are the financial assistance programs available to residents in Washington.
Avamere Rehabilitation of Issaquah is in the Sycamore neighborhood.
Avamere Rehabilitation of Issaquah has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
Avamere Rehabilitation of Issaquah's occupancy is 52.9%.
Yes — there are 4 photos of Avamere Rehabilitation of Issaquah in the photo gallery on this page.
(425) 392-1271 will put you in contact with the team at Avamere Rehabilitation of Issaquah.
Yes — Avamere Rehabilitation of Issaquah is a CMS-certified provider of Medicare and Medicaid.
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