ALM's inspection grade is 61 / 100, a D- — 23 points below the Washington average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
1/5
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.
ALM's inspection grade is 61 / 100, a D- — 23 points below the Washington average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
1/5
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.
Located on Deane Street, Pullman, WA, Pullman Care is an exceptional senior living community offering 24-hour skilled nursing and long- and short-term rehabilitation. The community focuses on seniors’ well-being and includes occupational, physical, and speech therapy and nutritional support. Residents experience a comfortable and safe residence with warm, spacious private and semi-private rooms. A consistent and compassionate team lends extra hands for seniors to live their lives confidently and reach their full potential.
Pullman Care promotes a bright and welcoming environment, conducting wellness-focused activities. The community employs a resident-centered approach to care to ensure residents receive the utmost care and support they deserve. With fabulous amenities including a state-of-the-art therapy room, a resident lounge area, and a serene backyard with walking paths, residents enjoy a relaxing retirement.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 38th out of 60 nursing homes we track 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.
3h 53mStandout metric: Physical therapist is +72% above Washington average
4 of 6 metrics below Washington average
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. 7 total: 4 of the facility's own employees and 3 agency contractors.
7 staff · 7.3-hour shifts
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. 8 total: 3 of the facility's own employees and 5 agency contractors.
8 staff · 8.8-hour shifts
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. 62 total: 14 of the facility's own employees and 48 agency contractors.
62 staff · 7.9-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
93
37 employees · 56 contractors · 17 on an average day
93 total staff / 42 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.21 : 1
↑ 23% · WA 1.80This facility: 2.21 staff per resident, 23% above the Washington average of 1.80 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
93 staff ÷ 42 residents
See full Washington ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.7 h
↓ 4% · WA 8 hThis facility: 7.7 h, 4% below the Washington average of 8 h (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
12,024 staff hours this quarter
See full Washington ranking →72.6% of staff hours were worked by the facility's own employees
Washington average: 93.8% · Contractors this quarter: Certified Nursing Assistant (48), Licensed Practical Nurse (5), Registered Nurse (3)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
48
Rank #59 / 69Bed count — State benchmarked This nursing home is ranked 59th out of 69 nursing homes we track in Washington for bed count. Shows this facility's certified or reported bed count compared to other Washington facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #20 / 80Walk Score — State benchmarked This nursing home is ranked 20th out of 80 nursing homes we track in Washington for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Washington facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #23 / 56Occupancy rate — State benchmarked This nursing home is ranked 23rd out of 56 nursing homes we track in Washington for occupancy. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 56. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on residents per day and 48 beds.
Higher than the Washington average: 77.6%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
23 points below the Washington average for CMS-certified facilities (84/100)
Category breakdown
218 severity-weighted points (41 deficiencies) · 2× higher than the typical CMS-certified WA facility (median: 123)
3 enforcement actions · 3× more than the typical CMS-certified WA facility (median: 1) · $50,850 in fines
42 days to fix issues · slower than the typical CMS-certified WA facility (median: 37)
100% corrected
41 of 41 citations corrected Latest inspection: Mar 03, 2026 · 14 citations, all corrected
Most cited category: Quality of Life & Care, 10 of 41 citations · 9 categories in total
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Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 41 citations resulted from standard inspections; 17 of 41 resulted from complaint investigations; and 2 of 41 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
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 Aug 2026
3 penalties in the past 3 years
Latest: Nov 10, 2025 · $18,675 civil money penalty
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$18,675
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
3 days
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$32,175Totals count every penalty on record; the history lists the past 3 years. Washington and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the Washington average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 12% · WA 3.6This facility: 4.0, 12% above the WA average of 3.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 10% · WA 3.6This facility: 4.0, 10% above the WA average of 3.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
6.3
Score · lower is better
↓ 26% · WA 8.5This facility: 6.3, 26% below the WA average of 8.5 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
14.4
Score · lower is better
↓ 20% · WA 18.0This facility: 14.4, 20% below the WA average of 18.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 8 better, 3 worse, 2 near WA average
8 short-stay measures: 5 worse, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
13.0%
↓ 8% · WA 14.2This facility: 13.0, 8% below the WA average of 14.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
16.2%
↓ 6% · WA 17.2This facility: 16.2, 6% below the WA average of 17.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.9%
↓ 38% · WA 22.5This facility: 13.9, 38% below the WA average of 22.5 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.2%
↓ 22% · WA 1.6This facility: 1.2, 22% below the WA average of 1.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · WA 2.6This facility: 0.0, 100% below the WA average of 2.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
0.9%
↓ 79% · WA 4.3This facility: 0.9, 79% below the WA average of 4.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
1.3%
↓ 76% · WA 5.5This facility: 1.3, 76% below the WA average of 5.5 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
2.7%
↓ 85% · WA 17.7This facility: 2.7, 85% below the WA average of 17.7 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
15.5%
↑ 2% · WA 15.1This facility: 15.5, 2% above the WA average of 15.1 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.2%
↓ 7% · WA 96.0This facility: 89.2, 7% below the WA average of 96.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
↓ 1% · WA 93.8This facility: 93.3, 1% below the WA average of 93.8 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.26
↑ 64% · WA 1.38This facility: 2.26, 64% above the WA average of 1.38 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.38
↑ 124% · WA 1.51This facility: 3.38, 124% above the WA average of 1.51 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
↓ 7% · US 53.7This facility: 50.0, 7% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
53.3%
↑ 5% · US 50.6This facility: 53.3, 5% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
↑ 29% · WA 1.3This facility: 1.6, 29% above the WA average of 1.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.0%
↓ 26% · WA 88.3This facility: 65.0, 26% below the WA average of 88.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
50.0%
↓ 39% · WA 82.0This facility: 50.0, 39% below the WA average of 82.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.1%
↑ 26% · WA 19.9This facility: 25.1, 26% above the WA average of 19.9 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
23.0%
↑ 74% · WA 13.2This facility: 23.0, 74% above the WA average of 13.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
50% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
42Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Pullman Care from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
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 #57 / 60Payroll costs — State benchmarked This nursing home is ranked 57th out of 60 nursing homes we track in Washington. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Washington average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 / 60Payroll % of net patient revenue — State benchmarked This nursing home is ranked 21st out of 60 nursing homes we track in Washington. Shows payroll as a percentage of net patient revenue versus the Washington average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 (50% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Pullman's city center to Pullman Care's address, calculated via Google Maps.
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Pullman Care is located in Pullman, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Pullman Care is in the Military Hill neighborhood of Pullman.
Pullman Care has a walk score of 68. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Pullman Care's occupancy is 82.1%.
No, Pullman Care has a no-pet policy.
Pullman Care is registered as a for-profit.
Pullman Care received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Pullman Care has 48 beds.
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