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.
Delivering exceptional care to the neighborhood of Sequim, WA for over 40 years, Avamere Olympic Rehabilitation of Sequim is a leading senior care provider, offering skilled nursing, rehabilitation, short-term and long-term care. The community helps residents reach their goals and enrich their lives by offering compassionate care services tailored to their specific requirements and preferences. A round the clock team of healthcare professionals are available to offer various services and support, ensuring a comfortable living experience for residents.
An extensive calendar of activities are provided to foster an active and vibrant living experience, complemented with transportation services to encourage residents to explore all the great things the neighborhood offers. Restaurant-style dining and an array of convenient amenities are offered to make residents’ living experience more comfortable and enjoyable. With access to an extensive array of care and healthcare services, residents here are guaranteed to successfully age in place and maintain their optimal well-being for as long as possible.
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 28th 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.
| 1h 8m per day | ▲ 29% 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.
| 44m per day | ▼ 10% 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 44m 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.
| 4h 1m per day | ▲ 6% 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.
| 6m per day | ▲ 26% 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.
| 44m per day | ▲ 16% 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.
14% fewer staff per resident 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.
All 21 RN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 10 LPN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
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
295 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 14,864 | 92 | 100% | 8.7 |
| Registered Nurse | 21 | 0 | 21 | 5,773 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 10 | 0 | 10 | 4,426 | 92 | 100% | 9.4 |
| Medication Aide/Technician | 10 | 0 | 10 | 1,598 | 79 | 86% | 9.1 |
| Nurse Aide in Training | 3 | 0 | 3 | 1,293 | 92 | 100% | 8.1 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,184 | 64 | 70% | 8 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,131 | 76 | 83% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 887 | 65 | 71% | 7.8 |
| Physical Therapy Aide | 3 | 0 | 3 | 862 | 70 | 76% | 7.4 |
| Respiratory Therapy Technician | 4 | 1 | 5 | 684 | 76 | 83% | 7.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 608 | 76 | 83% | 6.2 |
| Physical Therapy Assistant | 2 | 0 | 2 | 582 | 71 | 77% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 482 | 58 | 63% | 6.9 |
| Qualified Social Worker | 2 | 0 | 2 | 478 | 61 | 66% | 6.9 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 352 | 52 | 57% | 6.8 |
| Medical Director | 0 | 2 | 2 | 52 | 13 | 14% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 46 | 4 | 4% | 11.5 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 17 | 9 | 10% | 1.9 |
Includes penalties issued in 2023
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)
75% lower than Washington averageWashington average: $82K
46% fewer 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
Jul 7, 2023 · $20K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 7, 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.
13.2
32% worse than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.3
36% worse than 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
18.4%
12% worse than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
34.4%
58% worse than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.1%
32% worse than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
29% worse than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
6.1%
23% worse than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
1.5%
16% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
4.0%
32% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
5.6%
65% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
6.0%
59% better than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
5% better than Washington averageWashington average: 93.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.15
17% better than Washington averageWashington average: 1.38
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.84
22% 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
98.3%
12% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
In line with Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
17% better than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.2%
In line with Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.6%
64% worse than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.9%
11% worse than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.4%
21% 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.
70% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Olympic Rehabilitation of Sequim 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 #43 / 94Payroll — State benchmarkedThis home is ranked 43rd 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.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from 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 #55 / 94Payroll % — State benchmarkedThis home is ranked 55th 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.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from 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).
Building Type: Single-story
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (70% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Sequim's city center to Avamere Olympic Rehabilitation of Sequim's address, calculated via Google Maps.
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The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Penrose Harbor at Heron‘s Key | NH AL IL MC | Gig Harbor | 49
Facility
49
WA AVG
82
Rank
#302 / 366 |
69.7%
Facility
69.7%
WA AVG
72.5%
Rank
#198 / 310 | -4% | 5.88
Facility
5.88
WA AVG
4.22
Rank
#1 / 90 | +46% | +39% | $15.0k
Facility
$15.0k
WA AVG
$87.7k
Rank
#41 / 92 | 33
Facility
33
WA AVG
48.9
Rank
#25 / 92 | 8.3
Facility
8.3
WA AVG
6.9
Rank
#65 / 92 | 1 | 22 | - |
36
Facility
36
WA AVG
51
Rank
#433 / 628 | Herons Key | $23.3M
Facility
$23.3M
WA AVG
$13.2M
Rank
#15 / 94 | $7.8M
Facility
$7.8M
WA AVG
$5.7M
Rank
#36 / 94 | 33.3%
Facility
33.3%
WA AVG
45.5%
Rank
#89 / 94 | 505531 | ||||
| Puget Health Care Center | NH NC | Olympia (Capital Mall Drive Southwest) | 108
Facility
108
WA AVG
82
Rank
#79 / 366 |
89.0%
Facility
89.0%
WA AVG
72.5%
Rank
#51 / 310 | +23% | 4.06
Facility
4.06
WA AVG
4.22
Rank
#47 / 90 | -45% | -4% | $8.0k
Facility
$8.0k
WA AVG
$87.7k
Rank
#34 / 92 | 18
Facility
18
WA AVG
48.9
Rank
#7 / 92 | 3.0
Facility
3.0
WA AVG
6.9
Rank
#3 / 92 | 1 | 93 | - |
31
Facility
31
WA AVG
51
Rank
#469 / 628 | - | $14.8M
Facility
$14.8M
WA AVG
$13.2M
Rank
#34 / 94 | $7.3M
Facility
$7.3M
WA AVG
$5.7M
Rank
#40 / 94 | 49.2%
Facility
49.2%
WA AVG
45.5%
Rank
#61 / 94 | 505299 | ||||
| Willapa Harbor Care | NH | Raymond | 60
Facility
60
WA AVG
82
Rank
#246 / 366 |
60.5%
Facility
60.5%
WA AVG
72.5%
Rank
#246 / 310 | -17% | 3.91
Facility
3.91
WA AVG
4.22
Rank
#58 / 90 | -19% | -7% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 92 | 30
Facility
30
WA AVG
48.9
Rank
#19 / 92 | 7.5
Facility
7.5
WA AVG
6.9
Rank
#58 / 92 | - | 46 | - |
13
Facility
13
WA AVG
51
Rank
#570 / 628 | Tashina Mcneley | $1.3M
Facility
$1.3M
WA AVG
$13.2M
Rank
#94 / 94 | $540.6k
Facility
$540.6k
WA AVG
$5.7M
Rank
#94 / 94 | 41.3%
Facility
41.3%
WA AVG
45.5%
Rank
#79 / 94 | 505349 | ||||
| Avamere Olympic Rehabilitation of Sequim | NH | Sequim | 90
Facility
90
WA AVG
82
Rank
#134 / 366 |
83.2%
Facility
83.2%
WA AVG
72.5%
Rank
#91 / 310 | +15% | 4.28
Facility
4.28
WA AVG
4.22
Rank
#28 / 90 | +24% | +1% | $95.2k
Facility
$95.2k
WA AVG
$87.7k
Rank
#70 / 92 | 41
Facility
41
WA AVG
48.9
Rank
#37 / 92 | 3.4
Facility
3.4
WA AVG
6.9
Rank
#5 / 92 | 2 | 71 | - |
16
Facility
16
WA AVG
51
Rank
#554 / 628 | - | $13.6M
Facility
$13.6M
WA AVG
$13.2M
Rank
#37 / 94 | $7.1M
Facility
$7.1M
WA AVG
$5.7M
Rank
#43 / 94 | 52.2%
Facility
52.2%
WA AVG
45.5%
Rank
#55 / 94 | 505327 | ||||
| Woodard Creek Health & Rehabilitation | NH HC | Olympia (Ensign Road Northeast) | 152
Facility
152
WA AVG
82
Rank
#15 / 366 |
58.7%
Facility
58.7%
WA AVG
72.5%
Rank
#259 / 310 | -19% | 4.30
Facility
4.30
WA AVG
4.22
Rank
#28 / 90 | -2% | +2% | $12.7k
Facility
$12.7k
WA AVG
$87.7k
Rank
#39 / 92 | 65
Facility
65
WA AVG
48.9
Rank
#66 / 92 | 7.2
Facility
7.2
WA AVG
6.9
Rank
#55 / 92 | - | 99 | - |
29
Facility
29
WA AVG
51
Rank
#483 / 628 | Rachel Erickson | $15.7M
Facility
$15.7M
WA AVG
$13.2M
Rank
#22 / 94 | $11.7M
Facility
$11.7M
WA AVG
$5.7M
Rank
#16 / 94 | 74.6%
Facility
74.6%
WA AVG
45.5%
Rank
#33 / 94 | 505387 |
Avamere Olympic Rehabilitation of Sequim is located in Sequim, Washington.
Here are the financial assistance programs available to residents in Washington.
Avamere Olympic Rehabilitation of Sequim has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
Avamere Olympic Rehabilitation of Sequim's occupancy is 83.2%.
Avamere Olympic Rehabilitation of Sequim is registered as a for-profit.
Yes — there are 7 photos of Avamere Olympic Rehabilitation of Sequim in the photo gallery on this page.
Avamere Olympic Rehabilitation of Sequim is located at 1000 S 5Th Ave, Sequim, WA 98382.
(360) 582-3900 will put you in contact with the team at Avamere Olympic Rehabilitation of Sequim.
Yes — Avamere Olympic Rehabilitation of Sequim is a CMS-certified provider of Medicare and Medicaid.
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