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.
103
99 employees · 4 contractors · 43 on an average day Avamere Rehabilitation of Shoreline
Nursing Home, Respite Care & Skilled Nursing · Shoreline, WA
ALM Inspection Grade
C+
ALM's inspection grade is 78 / 100, a C+ — 4 points below the Washington average for CMS-certified facilities (82/100) · 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.
ALM's inspection grade is 78 / 100, a C+ — 4 points below the Washington average for CMS-certified facilities (82/100) · 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.
CMS overall rating
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.
Avamere Rehabilitation of Shoreline
Nursing Home, Respite Care & Skilled Nursing · Shoreline, WA
ALM Inspection Grade
C+
ALM's inspection grade is 78 / 100, a C+ — 4 points below the Washington average for CMS-certified facilities (82/100) · 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.
ALM's inspection grade is 78 / 100, a C+ — 4 points below the Washington average for CMS-certified facilities (82/100) · 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.
CMS overall rating
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.
Avamere Rehabilitation of Shoreline accepts Medicare, Medicaid, and private pay.
Overview of Avamere Rehabilitation of Shoreline
Located in Shoreline, WA, Avamere Rehabilitation of Shoreline provides nursing home, respite care, and skilled nursing. The community provides continuous clinical support with nursing services. Short-term stays are also welcome, providing temporary relief to families whose usual caregivers need time away.
The home has 115 beds, with a 47.2% occupancy rate. Residents also receive a total of 4 hours and 8 minutes of nursing care daily. Payment options also include Medicare, Medicaid, and private pay, giving families options to cover care costs.
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
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 33rd 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.
4h 8m
This nursing home is ranked 33rd 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.
4h 8mStandout metric: Physical therapist is +104% above Washington average
3 of 6 metrics below Washington average
Daily care time per resident, by role
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. 15 total: 13 of the facility's own employees and 2 agency contractors.
15 staff · 8.5-hour shifts
1h 7m
↑ 26% · WA 53mThis facility: 1h 7m per resident per day, 26% above the Washington average of 53m (among Washington facilities reporting a recent figure).
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. 15 total: 13 of the facility's own employees and 2 agency contractors.
15 staff · 8.5-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 9.1-hour shifts
36m
↓ 27% · WA 49mThis facility: 36m per resident per day, 27% below the Washington average of 49m (among Washington facilities reporting a recent figure).
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 9.1-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 45 are the facility's own employees; no agency contractors work in this role.
45 staff · 7.9-hour shifts
2h 26m
↓ 10% · WA 2h 41mThis facility: 2h 26m per resident per day, 10% below the Washington average of 2h 41m (among Washington facilities reporting a recent figure).
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. All 45 are the facility's own employees; no agency contractors work in this role.
45 staff · 7.9-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
10m
↑ 104% · WA 5mThis facility: 10m per resident per day, 104% above the Washington average of 5m (among Washington facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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
3h 16m
↓ 13% · WA 3h 47mThis facility: 3h 16m per resident per day, 13% below the Washington average of 3h 47m (among Washington facilities reporting a recent figure).
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–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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
41m
↑ 7% · WA 38mThis facility: 41m per resident per day, 7% above the Washington average of 38m (among Washington facilities reporting a recent figure).
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–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
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.
103
99 employees · 4 contractors · 43 on an average day
103 total staff / 59 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.
1.75 : 1
↓ 3% · WA 1.80This facility: 1.75 staff per resident, 3% below 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.
103 staff ÷ 59 residents
See full Washington ranking →
Average hours one staff member works on a day they are on shift, across every role.
8 h
≈ 0% · WA 8 hThis facility: 8 h, level with 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.
31,619 staff hours this quarter
See full Washington ranking →99.7% of staff hours were worked by the facility's own employees
Washington average: 93.8% · Contractors this quarter: Registered Nurse (2), Occupational Therapy Assistant (1), Medical Director (1)
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.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
115
Rank #19 / 69Bed count — State benchmarked This nursing home is ranked 19th 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.
A mid-sized community that may balance personal attention with shared amenities and social activities.
115
Rank #19 / 69Bed count — State benchmarked This nursing home is ranked 19th 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.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #19 / 80Walk Score — State benchmarked This nursing home is ranked 19th 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.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #19 / 80Walk Score — State benchmarked This nursing home is ranked 19th 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.
69
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #54 / 56Occupancy rate — State benchmarked This nursing home is ranked 54th 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.
Occupancy lower than 85% suggests more openings may be available.
Rank #54 / 56Occupancy rate — State benchmarked This nursing home is ranked 54th 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.
49.5%
This home usually has availability
Based on residents per day and 115 beds.
Lower than the Washington average: 77.6%
Residents per day (avg)
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.
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.
57
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
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.
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.
85
days
About This Community
Resident Council
CMS Health Inspection History
ALM Inspection Grade
78 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
4 points below the Washington average for CMS-certified facilities (82/100)
Category breakdown
Citations
Concern
244 severity-weighted points (93 deficiencies) · 2× higher than the typical CMS-certified WA facility (median: 123)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
29 days to fix issues · faster than the typical CMS-certified WA facility (median: 37)
Total health inspections
19
↑ 118% · WA 8.7This facility: 19, 118% above the Washington average of 8.7 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
93
Rank #53 / 61Health citations — State benchmarked This nursing home is ranked 53rd out of 61 nursing homes we track in Washington for health citations. Shows this facility's total health deficiency citations benchmarked to the Washington State average, with a ranking across all 61 WA facilities. Lower citation counts earn a better rank. 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.↑ 88% · WA 49.6This facility: 93, 88% above the Washington average of 49.6 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.89
Rank #25 / 61Citations per inspection — State benchmarked This nursing home is ranked 25th out of 61 nursing homes we track in Washington for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Washington mean across 61 facilities with citation data. Lower is better. 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.↓ 21% · WA 6.18This facility: 4.89, 21% below the Washington average of 6.18 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
93 of 93 citations corrected
Critical
J–L
0
↓ 100% · WA 0.3This facility: 0, 100% below the Washington average of 0.3 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · WA 1.8This facility: 0, 100% below the Washington average of 1.8 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
91
↑ 93% · WA 47.1This facility: 91, 93% above the Washington average of 47.1 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
2
↑ 300% · WA 0.5This facility: 2, 300% above the Washington average of 0.5 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 16, 2026 · 2 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 21 of 93 citations · 10 categories in total
Citations history
Most recent first
Jun 16, 2026
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
May 15, 2026
1 citation
Quality of Care moderate citation
Corrected
Corrected
Apr 30, 2026
1 citation
Quality of Care moderate citation
Corrected
Corrected
Mar 13, 2026
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Feb 12, 2026
2 citations
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Jan 07, 2026
3 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Dec 09, 2025
1 citation
Resident Rights moderate citation
Corrected
Corrected
Nov 14, 2025
2 citations
Nursing Services moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Jul 18, 2025
3 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
May 17, 2025
28 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Apr 11, 2025
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Mar 06, 2025
1 citation
Infection Control moderate citation
Corrected
Corrected
Aug 12, 2024
2 citations
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Showing the 50 most recent of 93 citations.
Top deficiency categories
Share of 93 citations
Resident Assessment & Care Planning
21 deficiencies (23%)
Quality of Life & Care
21 deficiencies (23%)
Abuse, Neglect & Exploitation
14 deficiencies (15%)
Resident Rights
12 deficiencies (13%)
Nutrition & Dietary
7 deficiencies (8%)
Pharmacy Services
6 deficiencies (6%)
Infection Control
5 deficiencies (5%)
Nursing & Physician Services
4 deficiencies (4%)
Environmental
2 deficiencies (2%)
Administration
1 deficiency (1%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
65 of 93 citations resulted from standard inspections; and 28 of 93 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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
Enforcement
Penalties and fines
Penalties and fines
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
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
WA avg $87KWashington average: $86,517. Average among the 121 Washington facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
WA avg 1.93Washington average: 1.93. Average among the 121 Washington facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
WA avg 0.26Washington average: 0.26. Average among the 121 Washington facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
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
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.
5
/ 5
Significantly above average
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.
10.9
Score · lower is better
↑ 27% · WA 8.5This facility: 10.9, 27% above 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.
16.8
Score · lower is better
↓ 7% · WA 18.0This facility: 16.8, 7% 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: 5 better, 6 worse, 2 near WA average
8 short-stay measures: 3 better, 1 worse, 1 near WA average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
≈ 0% · WA 14.2This facility: 14.3, level with 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 need for help with daily activities has increased
14.3%
≈ 0% · WA 14.2This facility: 14.3, level with 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.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
24.5%
↑ 42% · WA 17.2This facility: 24.5, 42% above 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 long-stay residents whose ability to move independently worsened
24.5%
↑ 42% · WA 17.2This facility: 24.5, 42% above 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.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.6%
↓ 48% · WA 22.5This facility: 11.6, 48% 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 low risk long-stay residents who lose control of their bowels or bladder
11.6%
↓ 48% · WA 22.5This facility: 11.6, 48% 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.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.1%
↓ 31% · WA 1.6This facility: 1.1, 31% 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 with a urinary tract infection
1.1%
↓ 31% · WA 1.6This facility: 1.1, 31% 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.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
↓ 38% · WA 2.6This facility: 1.6, 38% 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 residents experiencing one or more falls with major injury
1.6%
↓ 38% · WA 2.6This facility: 1.6, 38% 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.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
6.2%
↑ 45% · WA 4.3This facility: 6.2, 45% above 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 high risk residents with pressure ulcers
6.2%
↑ 45% · WA 4.3This facility: 6.2, 45% above 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.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
7.7%
↑ 39% · WA 5.5This facility: 7.7, 39% above 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 lose too much weight
7.7%
↑ 39% · WA 5.5This facility: 7.7, 39% above 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.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
39.8%
↑ 125% · WA 17.7This facility: 39.8, 125% above 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 have depressive symptoms
39.8%
↑ 125% · WA 17.7This facility: 39.8, 125% above 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.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
14.4%
↓ 5% · WA 15.1This facility: 14.4, 5% below 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 who received an antipsychotic medication
14.4%
↓ 5% · WA 15.1This facility: 14.4, 5% below 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.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
↑ 3% · WA 96.0This facility: 98.9, 3% above 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 pneumococcal vaccine
98.9%
↑ 3% · WA 96.0This facility: 98.9, 3% above 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.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.0%
↓ 14% · WA 93.8This facility: 81.0, 14% 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.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.0%
↓ 14% · WA 93.8This facility: 81.0, 14% 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.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.84
↑ 33% · WA 1.38This facility: 1.84, 33% 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 hospitalizations per 1,000 long-stay resident days.
1.84
↑ 33% · WA 1.38This facility: 1.84, 33% 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.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.49
↓ 68% · WA 1.51This facility: 0.49, 68% below 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.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.49
↓ 68% · WA 1.51This facility: 0.49, 68% below 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.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
41.7%
↓ 22% · US 53.7This facility: 41.7, 22% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
41.7%
↓ 22% · US 53.7This facility: 41.7, 22% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
53.0%
↑ 5% · US 50.6This facility: 53.0, 5% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
53.0%
↑ 5% · US 50.6This facility: 53.0, 5% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
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).
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).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
↓ 38% · WA 1.3This facility: 0.8, 38% below 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 who newly received an antipsychotic medication
0.8%
↓ 38% · WA 1.3This facility: 0.8, 38% below 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.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
↑ 4% · WA 88.3This facility: 92.1, 4% above 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 pneumococcal vaccine
92.1%
↑ 4% · WA 88.3This facility: 92.1, 4% above 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.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.8%
↓ 16% · WA 82.0This facility: 68.8, 16% 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.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.8%
↓ 16% · WA 82.0This facility: 68.8, 16% 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.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.1%
↓ 9% · WA 19.9This facility: 18.1, 9% below 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 were re-hospitalized after their nursing home admission.
18.1%
↓ 9% · WA 19.9This facility: 18.1, 9% below 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.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.1%
↓ 8% · WA 13.2This facility: 12.1, 8% below 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.
Percentage of short-stay residents who had an outpatient emergency department visit.
12.1%
↓ 8% · WA 13.2This facility: 12.1, 8% below 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.
Money and staffing.
Avamere Rehabilitation of Shoreline’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 60 Washington nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−8.8% operating margin
+14.7 pts vs prior year
An operating loss in 5 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$1.0M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Washington homes
61.7% payroll share of revenue
WA average 64.4%Rank #25 / 60Payroll % of net patient revenue — State benchmarked This nursing home is ranked 25th out of 60 nursing homes we track in Washington for payroll % of net patient revenue. 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.
Payroll fell $0.6M while revenue fell $0.7M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Washington homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | WA median | Compared with WA homesRank in WA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $11.4M | −$0.7M | Trend 20162024 | WA median $13.7M | Rank in WA Rank #43 / 60Net patient revenue — State benchmarked This nursing home is ranked 43rd out of 60 nursing homes we track in Washington for net patient revenue. Shows this facility's net patient revenue compared to the Washington average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. 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. Higher than 29% of homes | Below WA median Higher net patient revenue than 29% of WA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $12.4M | −$2.6M | Trend 20162024 | WA median — | Rank in WA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.0M | +$1.8M | Trend 20162024 | WA median — | Rank in WA Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −8.8% | +14.7 pts | Trend 20162024 | WA median — | Rank in WA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | WA median — | Rank in WA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.0M | +$1.3M | Trend — | WA median — | Rank in WA Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Washington homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | WA median | Compared with WA homesRank in WA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $7.0M | −$0.6M | Trend 20162024 | WA median $8.4M | Rank in WA Rank #41 / 60Payroll costs — State benchmarked This nursing home is ranked 41st out of 60 nursing homes we track in Washington for payroll costs. 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. Higher than 32% of homes | Below WA median Higher payroll than 32% of WA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 61.7% | −1.5 pts | Trend 20162024 | WA median 58.9% | Rank in WA Rank #25 / 60Payroll % of net patient revenue — State benchmarked This nursing home is ranked 25th out of 60 nursing homes we track in Washington for payroll % of net patient revenue. 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. Higher than 59% of homes | Near WA average The WA average is 64.4% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · WA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Washington payroll average.
% of net patient revenue
Payroll share Operating margin WA payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023no report | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $14.4M | $14.1M | $14.2M | $14.6M | $12.8M | $13.7M | $12.2M | $11.4M | |
| Operating expenses | $13.2M | $13.4M | $14.8M | $15.0M | $14.0M | $13.6M | $15.0M | $12.4M | |
| Net patient income | $1.2M | $0.7M | −$0.6M | −$0.3M | −$1.2M | $0.1M | −$2.9M | −$1.0M | |
| Operating margin | 8.1% | 5.0% | −4.3% | −2.4% | −9.1% | 0.5% | −23.5% | −8.8% | |
| Net income | $1.2M | $0.5M | −$0.9M | −$0.3M | $0.1M | $0.3M | −$2.3M | −$1.0M | |
| Payroll costs | $7.6M | $7.8M | $8.7M | $8.2M | $7.3M | $7.1M | $7.7M | $7.0M | |
| Payroll share of revenue | 53.1% | 55.4% | 60.9% | 55.9% | 57.0% | 51.7% | 63.2% | 61.7% | |
| Beds | 115 | 115 | 115 | 115 | 115 | 115 | 115 | 115 | |
| Gross revenue | $16.0M | $15.8M | $16.0M | $16.8M | $12.5M | $13.4M | $14.8M | $12.5M | |
| Salaries | $6.7M | $6.9M | $7.2M | $7.2M | $6.2M | $6.3M | $6.4M | $6.0M | |
| Wage-related costs | $0.9M | $0.9M | $1.5M | $1.0M | $1.1M | $0.8M | $1.3M | $1.0M | |
| Contract labor | — | — | — | — | — | — | — | — | |
| Other operating costs | $5.6M | $5.6M | $6.2M | $6.8M | $6.7M | $6.5M | $7.3M | $5.4M | |
| Net patient revenue per day | $381 | $370 | $373 | $411 | $489 | $477 | $475 | $481 | |
| Cost per day | $350 | $352 | $389 | $421 | $533 | $474 | $586 | $523 | |
| Average length of stay | 92.7 days | 93.1 days | 98.0 days | 86.5 days | 93.8 days | 85.8 days | 78.6 days | 85.2 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
286 admissions · FY2024
Residents admitted during the year.
Medicare
117 · 41%
Medicaid
25 · 9%
Private pay & other
144 · 50%
Resident snapshot
59 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
4 · 7%
Medicaid
38 · 64%
Private pay & other
17 · 29%
Leaving
279 discharges · FY2024
Residents discharged during the year.
Medicare
92 · 33%
Medicaid
86 · 31%
Private pay & other
101 · 36%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Avamere Rehabilitation of Shoreline
2.9 miles from city center
Estimated distance in miles from Shoreline's city center to Avamere Rehabilitation of Shoreline's address, calculated via Google Maps.
— 4.79 miles to nearest hospital (Swedish Edmonds Campus)
Calculate Travel Distance to Avamere Rehabilitation of Shoreline
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Financial Assistance for
Nursing Home in Washington
Avamere Rehabilitation of Shoreline is located in Shoreline, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Know before you visit
Frequently Asked Questions about Avamere Rehabilitation of Shoreline
Quick answers from public records and the community's own listing.01 What neighborhood is Avamere Rehabilitation of Shoreline in?
Avamere Rehabilitation of Shoreline is in the Ridgecrest neighborhood of Shoreline.
02 Is Avamere Rehabilitation of Shoreline in a walkable area?
Avamere Rehabilitation of Shoreline has a walk score of 69. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
03 What is the occupancy rate at Avamere Rehabilitation of Shoreline?
Avamere Rehabilitation of Shoreline's occupancy is 49.5%.
04 Are pets allowed at Avamere Rehabilitation of Shoreline?
No, Avamere Rehabilitation of Shoreline has a no-pet policy.
05 Does Avamere Rehabilitation of Shoreline operate as a for-profit or non-profit?
Avamere Rehabilitation of Shoreline is registered as a for-profit.
06 What is the overall rating for Avamere Rehabilitation of Shoreline?
Avamere Rehabilitation of Shoreline received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Avamere Rehabilitation of Shoreline have?
Avamere Rehabilitation of Shoreline has 115 beds.
Updated on
