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.
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.
Situated in Lynnwood, Washington, Aspire Adult Family Home is a dedicated senior living community that provides exceptional memory care and services within their residential setting. With a commitment to personalized care, this community offers a variety of floor plan options, including additions like kitchenettes and bathrooms, ensuring tailored living spaces for residents. Safety is a top priority at Aspire Adult Family Home, where residents benefit from essential safety features such as fire and medical alert systems, ensuring prompt assistance during emergencies. Embracing the spirit of independence, the community celebrates and encourages the autonomy of its residents, fostering an environment where individuality thrives.
The culinary team at Aspire Adult Family Home prides itself on crafting nutritious and memorable meals from fresh produce, promoting residents’ optimal health and wellness. Residents enjoy many modern amenities, including outdoor and indoor common areas, chef-prepared meals, an on-site beautician, engaging activities, and devotional services—creating a comfortable and nurturing environment reminiscent of home. The community boasts a fully trained, friendly, and accessible staff dedicated to ensuring residents’ enjoyment and comfort during their stay. With a structured program tailored to focus on memory care, Aspire Adult Family Home endeavors to maintain and enhance the quality of life for its residents, emphasizing specialized care and support for their unique needs. At Aspire Adult Family Home, residents experience a supportive environment where personalized care, modern comforts, and a structured program enrich their lives, ensuring a fulfilling and nurturing senior living experience.
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 61st 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.
| 50m per day | ▼ 7% State avg: 54m 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.
| 22m per day | ▼ 53% State avg: 48m 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 11m per day | ▼ 18% State avg: 2h 41m per day · National avg: 2h 20m 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.
| 2h 59m per day | ▼ 24% State avg: 3h 57m per day · National avg: 3h 27m 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 | ▼ 67% State avg: 6m 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.
| 39m per day | ■ Avg State avg: 39m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Washington average
5% worse 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.
31 total: 19 full-time employees and 12 contractors.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
17 total: 12 full-time employees and 5 contractors.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
40 total: 39 full-time employees and 1 contractor.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
325 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 1 | 40 | 14,988 | 92 | 100% | 7.4 |
| Registered Nurse | 19 | 12 | 31 | 5,053 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 12 | 5 | 17 | 2,604 | 92 | 100% | 9 |
| Physical Therapy Aide | 3 | 0 | 3 | 850 | 74 | 80% | 6.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 805 | 86 | 93% | 6.5 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 3 | 0 | 3 | 506 | 69 | 75% | 7 |
| Nurse Practitioner | 2 | 0 | 2 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 54 | 59% | 8.6 |
| Dietitian | 1 | 0 | 1 | 443 | 62 | 67% | 7.1 |
| Nurse Aide in Training | 5 | 0 | 5 | 419 | 50 | 54% | 6.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 367 | 52 | 57% | 7.1 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 213 | 51 | 55% | 3.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 142 | 62 | 67% | 2.3 |
Includes penalties issued in 2023-2024
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)
380% higher than Washington averageWashington average: $82K
225% 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.
5 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.
Jul 31, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 14, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 28, 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.
12.2
21% worse than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
5% worse than Washington averageWashington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
13.2%
20% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
34.9%
60% worse than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
27% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
In line with Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
4.7%
5% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
2.0%
12% worse than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
5.4%
8% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
9.7%
40% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
21.9%
51% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Washington averageWashington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
10% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
171% worse than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.0%
9% 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.
40% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
72Residents 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 Aspire Adult Family Home 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 #65 / 94Payroll — State benchmarkedThis home is ranked 65th 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 #54 / 94Payroll % — State benchmarkedThis home is ranked 54th 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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 19 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.5 miles from city center
Estimated distance in miles from Lynnwood's city center to Aspire Adult Family Home's address, calculated via Google Maps.
— 2.99 miles to nearest hospital (Swedish Edmonds Campus)
Add your location
Aspire Adult Family Home is located in Lynnwood, Washington.
Here are the financial assistance programs available to residents in Washington.
Aspire Adult Family Home has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Aspire Adult Family Home's occupancy is 76.2%.
Yes — there are 4 photos of Aspire Adult Family Home in the photo gallery on this page.
(206) 429-5256 will put you in contact with the team at Aspire Adult Family Home.
Yes — Aspire Adult Family Home is a CMS-certified provider of Medicare and Medicaid.
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