Occupancy rate
35%
In line with Washington averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Garden Terrace Healthcare Center at Federal Way
Nursing Home in Federal Way
CMS overall rating
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.
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.
Garden Terrace Healthcare Center at Federal Way
Nursing Home in Federal Way
CMS overall rating
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.
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.
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.
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 hours breakdown
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.
Total nursing care / resident
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.
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 53m per day
vs Washington avg
+12%
Standout metric
Physical Therapist is +140% above state avg
| Staff type | Hours / day | 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 |
|
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 |
|
Total Nursing (Weekend)
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 37m per day | ▲ 22% 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 |
|
RN (Weekend)
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 |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
34
Avg. Length of Stay
23 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
52% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
48% of new residents, often for short stays.
Typical stay
19 days
Finances and operations
Privately-owned community
Home revenue
$15.3M
Profit
$833.1K
Privately-owned community
Home revenue
$15.3M
Profit
$833.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.4M
34-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
23 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 46 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Occupancy
In line with Washington averageOccupied beds
12 / 34
Average residents
73 per day
Facility TypeBoarding Home
StatusOperating
ExpirationMay 31, 2026
CountyKing
License Number1631
Staffing
Key information about the people who lead and staff this community.
ContactDennis Gilbert
Types of Care at Garden Terrace Healthcare Center at Federal Way
Skilled Nursing
Inspection History
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.
14 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Washington average: 8 complaint visits
Washington average: 9 inspections
Show Inspection Reports
Latest inspection
Date
October 8, 2025
Follow Up80 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Washington average: 31 deficiencies
Inspection Report Summary for Garden Terrace Healthcare Center at Federal Way
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.
Health Inspection History
Inspections
Total health inspections
7
Washington average 7.8
Last Health inspection on Sep 2025
Total health citations
46
Washington average 48.9
Citations per inspection
6.57
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Washington averageWashington average: 0.3
Serious Health citations
0
0
100% better than Washington averageWashington average: 1.7
0 critical citations
0 serious citations
46 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 12, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 12, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 16, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 16, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 16, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 16, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 16, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 16, 2025
Corrected
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.
Compare Nursing Homes around Federal Way The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Filter by care type
| 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) | 70 | 65.2% | -10% | 4.88 | +16% | +16% | 0 | 46 | 6.6 | 0 | 61 | - | 46 | Larson, Megan | $15.2M | $6.3M | 41.6% | 505512 | ||||
| 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 | +5% | -3% | 0 | 78 | 19.5 | 0 | 106 | A- | 49 | Avalon Health Care Centers, Llc | $26.0M | $6.8M | 26.2% | 505510 | ||||
| Enchanted Adult Family Home LLC | - |
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 (Twin Lakes) | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 25 | - | - | - | - | - |
| Soundview Elder Care in 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 (Adelaide) | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 6 | - | - | - | - | - |
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Places of interest near Garden Terrace Healthcare Center at Federal Way
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)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
138
Employees
133
Contractors
5
Staff to resident ratio
2.42:1
31% better than Washington averageWashington average ratio: 1.85:1
Avg staff/day
56
Average shift
7.8 hours
0% compared with Washington averageWashington average: 8.1 hours
Total staff hours (quarter)
39,652
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
59
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
1%
384 contractor hours this quarter
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 2
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 59 | 0 | 59 | 16,865 | 91 | 100% | 7.6 |
| Registered Nurse | 22 | 0 | 22 | 6,920 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 10 | 0 | 10 | 2,936 | 90 | 99% | 9.1 |
| Physical Therapy Aide | 7 | 0 | 7 | 2,104 | 70 | 77% | 7 |
| Speech Language Pathologist | 10 | 0 | 10 | 1,948 | 91 | 100% | 6.7 |
| RN Director of Nursing | 3 | 0 | 3 | 1,607 | 76 | 84% | 8.2 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,434 | 69 | 76% | 7.7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,174 | 80 | 88% | 7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 920 | 75 | 82% | 8.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 819 | 86 | 95% | 7.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 551 | 65 | 71% | 8.5 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 509 | 53 | 58% | 9.6 |
| Nurse Practitioner | 2 | 0 | 2 | 408 | 50 | 55% | 8 |
| Dental Services Staff | 3 | 0 | 3 | 399 | 51 | 56% | 7.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 287 | 45 | 49% | 5.5 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 140 | 6 | 7% | 23.3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 56 | 6 | 7% | 9.4 |
| Medical Director | 0 | 1 | 1 | 41 | 3 | 3% | 13.5 |
| Other Physician | 1 | 0 | 1 | 15 | 3 | 3% | 5 |
59 Certified Nursing Assistant
% of Days
100%
22 Registered Nurse
% of Days
100%
10 Licensed Practical Nurse
% of Days
99%
7 Physical Therapy Aide
% of Days
77%
10 Speech Language Pathologist
% of Days
100%
3 RN Director of Nursing
% of Days
84%
4 Physical Therapy Assistant
% of Days
76%
4 Respiratory Therapy Technician
% of Days
88%
2 Clinical Nurse Specialist
% of Days
82%
2 Other Dietary Services Staff
% of Days
95%
1 Mental Health Service Worker
% of Days
71%
1 Administrator
% of Days
71%
1 Qualified Social Worker
% of Days
58%
2 Nurse Practitioner
% of Days
55%
3 Dental Services Staff
% of Days
56%
2 Occupational Therapy Aide
% of Days
49%
1 Therapeutic Recreation Specialist
% of Days
7%
2 Occupational Therapy Assistant
% of Days
7%
1 Medical Director
% of Days
3%
1 Other Physician
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
57
Medicare
57
100% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
12% better than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
60% better than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
9% better than Washington averageWashington average: 82.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.7%
In line with Washington averageWashington average: 19.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.6%
5% better than Washington averageWashington average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
61% better than Washington averageWashington average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
13% better than Washington averageWashington average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
70.5%
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.
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 Jan 2026)
Total fines amount
$0
100% lower than Washington averageWashington average: $82K
Number of fines
0
100% fewer fines than Washington averageWashington average: 1.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
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
Fines amount comparison
Fines amount comparison
This facility
$0
Washington average
$82K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 16, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 16, 2025
35 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Garden Terrace Healthcare Center at Federal Way based on CMS SNF Cost Reports.
Occupancy Rate
65.2%
↑ 12.4pp vs 2022
Net Income
$833.1K
↑ ~$559.0K vs 2022
Total Payroll
$7.9M
↑ ~$895.3K vs 2022
Profit Margin
5.5%
↑ 3.6pp vs 2022
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