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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Garden Terrace Healthcare Center also offers a skilled nursing and rehabilitation center in Houston. The upscale nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional level of care that is delivered by their patient-friendly staff as an approach to offer the best care possible for their residents. Garden Terrace can be trusted as a safe and secure community that cares for every patient’s needs.
Convenience and hassle-free living are the centers of Garden Terrace’s service medication management, post-surgical care, and wound care; as well as their 24-hour skilled nursing care services provide compassionate care as it is their utmost priority. Other services include 24/7 easy admission, fall prevention, IV therapy, discharge planning, and case management.
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 7th out of 89 homes in Washington. 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 31m per day | ▲ 72% 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.
| 55m per day | ▲ 12% 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 59m per day | ▲ 11% 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 45m per day | ▲ 26% 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.
| 12m per day | ▲ 140% 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.
| 1h 6m per day | ▲ 74% State avg: 38m per day · National avg: 29m per day |
Lower than the Washington average: 72.5%Key information about the people who lead and staff this community.
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 80 | 31 | This facility has 158% more total deficiencies than a typical Washington nursing home (80 vs. WA avg 31).↑ 158% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 26.7 | 10.3 | This facility has 159% more deficiencies per year than a typical Washington nursing home (26.7 vs. WA avg 10.3).↑ 159% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 8, 2025, found no deficiencies and confirmed correction of previously cited issues related to assessments, service agreements, staff training, and background checks. Earlier inspections showed a pattern of deficiencies primarily involving resident care, medication management, staff training, and infection control, with some citations related to safety and documentation. Complaint investigations identified substantiated issues such as inadequate bowel care, pressure ulcer treatment delays, and failure to investigate abuse allegations, while most complaints were addressed with corrective actions. Enforcement actions included civil fines totaling $1,600 for uncorrected deficiencies found in August 2025, and staff suspensions related to medication management concerns, but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility appears to have made improvements over time, as recent follow-up inspections have verified correction of prior deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWashington average 7.8
Last Health inspection on Sep 2025
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
38 of 46 citations resulted from standard inspections; 5 of 46 resulted from complaint investigations; and 3 of 46 came from combined inspections (standard and complaint).
100% better than Washington averageWashington average: 0.3
100% better than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
52% better 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
411 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 0 | 64 | 16,720 | 92 | 100% | 7.5 |
| Registered Nurse | 30 | 0 | 30 | 7,120 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 14 | 0 | 14 | 3,832 | 92 | 100% | 8.5 |
| Speech Language Pathologist | 9 | 0 | 9 | 1,943 | 90 | 98% | 7 |
| Physical Therapy Aide | 8 | 0 | 8 | 1,844 | 85 | 92% | 6.6 |
| RN Director of Nursing | 5 | 0 | 5 | 1,585 | 72 | 78% | 8 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,366 | 73 | 79% | 7.5 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,077 | 79 | 86% | 7.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,035 | 80 | 87% | 8.1 |
| Dental Services Staff | 2 | 0 | 2 | 892 | 63 | 68% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 866 | 82 | 89% | 7.5 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 478 | 62 | 67% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 415 | 48 | 52% | 8.5 |
| Dietitian | 1 | 0 | 1 | 354 | 56 | 61% | 6.3 |
| Occupational Therapy Aide | 0 | 2 | 2 | 303 | 43 | 47% | 6.6 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 166 | 7 | 8% | 23.7 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 67 | 5 | 5% | 9.6 |
| Medical Director | 0 | 1 | 1 | 41 | 3 | 3% | 13.5 |
| Nurse Aide in Training | 1 | 0 | 1 | 31 | 3 | 3% | 10.4 |
| Medication Aide/Technician | 1 | 0 | 1 | 29 | 4 | 4% | 7.3 |
| Other Physician | 1 | 0 | 1 | 5 | 1 | 1% | 5 |
Includes penalties issued in 2025
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)
100% lower than Washington averageWashington average: $82K
100% 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.
1
261% more 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
Jun 16, 2025 · 35 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 16, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
98.4%
12% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
60% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
9% better than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.7%
In line with Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.6%
5% better than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
61% better than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
13% better than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
70.5%
39% 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.
52% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
57Residents 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 Garden Terrace Healthcare Center at Federal Way based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #30 / 93Payroll — State benchmarkedThis home is ranked 30th out of 93 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
10.9 miles from city center
Estimated distance in miles from Federal Way's city center to Garden Terrace Healthcare Center at Federal Way's address, calculated via Google Maps.
— 0.4 miles to nearest hospital (St. Francis Hospital)
Add your location
Garden Terrace Healthcare Center at Federal Way is located in Federal Way, Washington.
Here are the financial assistance programs available to residents in Washington.
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Garden Terrace Healthcare Center at Federal Way |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Federal Way (South 338Th Street) | 34 | 65.2% | -10% | 4.88 | +30% | +16% | $0 | 46 | 6.6 | - | 61 | - | 46 | Megan Larson | $15.3M | $7.9M | 51.8% | 505512 | ||||
| Judson Park |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Des Moines (Marine View Drive South) | 52 | 98.3% | +36% | 4.06 | +25% | -4% | $6.5k | 57 | 19.0 | - | 76 | A+ | 19 | Humangood Washington | $35.2M | $17.1M | 48.5% | 505455 | ||||
| Avalon Federal Way Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Federal Way | 120 | 81.5% | +12% | 4.11 | +10% | -3% | $0 | 78 | 19.5 | - | 106 | A- | 49 | Avalon Health Care Centers, LLC | $26.4M | $9.9M | 37.4% | 505510 | ||||
| Life Care Center of Federal Way |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Federal Way (Lake Easter Estates) | 157 | 58.2% | -20% | 4.01 | -9% | -5% | $99.0k | 81 | 10.1 | 5 | 88 | - | 48 | Tom Zwicker | $17.6M | $8.7M | 49.6% | 505188 |
Garden Terrace Healthcare Center at Federal Way is in the South 338th Street neighborhood of Federal Way.
Garden Terrace Healthcare Center at Federal Way has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to WA state health department records, Garden Terrace Healthcare Center at Federal Way's license number is 1631.
According to WA state health department records, Garden Terrace Healthcare Center at Federal Way's license expires on May 31, 2026.
Garden Terrace Healthcare Center at Federal Way's occupancy is 35%.
Garden Terrace Healthcare Center at Federal Way has 34 beds.
(253) 661-2226 will put you in contact with the team at Garden Terrace Healthcare Center at Federal Way.
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