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Nursing Home in Federal Way

CMS overall rating Info 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 Info 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

491 S 338th St, Federal Way, WA 98003 View map
Overview of Garden Terrace Healthcare Center at Federal Way

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.

(253) 661-2226

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
Washington average: 3.5/5
Health Inspection Info 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.
3/5
Washington average: 2.9/5
Staffing Info 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.
5/5
Washington average: 3.9/5
Quality Measures Info 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.
5/5
Washington average: 4.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 53m per day

This home provides 12% more nursing time per resident than the Washington average.

Washington average: 4h 22m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 1h 31m per day 53m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 59m per day 2h 41m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 4h 37m per day 3h 47m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 12m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 1h 6m per day 38m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 34

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Washington average
Occupancy rate 35.3%
Residents per day 12
Occupancy rate
35.3%
Residents per day
12

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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
$15,270,077.00
Profit
$833,119.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.3M
41.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.1M
Total costs $14.4M
Bed community size
34-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
23 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 46 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
35%
In line with Washington average
Occupied beds
12 / 34
Average residents 73 per day

License Details

Facility TypeBoarding Home
StatusOperating
ExpirationMay 31, 2026
CountyKing

Additional Licensing Details

License Number1631

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactDennis Gilbert

Types of Care at Garden Terrace Healthcare Center at Federal Way

Skilled Nursing
Contact Garden Terrace Healthcare Center at Federal Way

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

6 visits/inspections triggered by complaints

3 routine inspections

3 other visits

3 life safety inspections

Results

13 with issues

1 without issues

Washington average: 8 complaint visits

Washington average: 9 inspections

Latest inspection

Date October 8, 2025
Follow Up

80 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Washington average: 31 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 More info 0
100% better than Washington average

Washington average: 0.3


Serious Health citations More info 0
100% better than Washington average

Washington average: 1.7

0 critical citations More info Washington average: 0.3

0 serious citations More info Washington average: 1.7

46 moderate citations More info Washington average: 46.3

0 minor citations More info Washington average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Info 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 Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jun 16, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 16, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 16, 2025
Corrected

Compare Nursing Homes around Federal Way The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

4 facilities compared · CMS & WA Dept. of Health data · Updated Apr 2026

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
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
-
-
-
-
-
-
-
-
-
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
-
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
6
-
-
-
-
-

Places of interest near Garden Terrace Healthcare Center at Federal Way

Address 10.9 miles from city center — 0.4 miles to nearest hospital (St. Francis Hospital)

Address 491 S 338th St, Federal Way, WA 98003

Calculate Travel Distance to Garden Terrace Healthcare Center at Federal Way

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Address

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 average

Washington average ratio: 1.85:1

Avg staff/day 56
Average shift 7.8 hours
0% compared with Washington average

Washington 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 59
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No 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 Assistant5905916,86591100%7.6
Registered Nurse220226,92091100%8.3
Licensed Practical Nurse100102,9369099%9.1
Physical Therapy Aide7072,1047077%7
Speech Language Pathologist100101,94891100%6.7
RN Director of Nursing3031,6077684%8.2
Physical Therapy Assistant4041,4346976%7.7
Respiratory Therapy Technician4041,1748088%7
Clinical Nurse Specialist2029207582%8.3
Other Dietary Services Staff2028198695%7.1
Mental Health Service Worker1015516571%8.5
Administrator1015206571%8
Qualified Social Worker1015095358%9.6
Nurse Practitioner2024085055%8
Dental Services Staff3033995156%7.7
Occupational Therapy Aide0222874549%5.5
Therapeutic Recreation Specialist10114067%23.3
Occupational Therapy Assistant0225667%9.4
Medical Director0114133%13.5
Other Physician1011533%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 census
57 residents
Residents by payment source
Medicare
57 residents (100%)
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.

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
Significantly above average Washington avg: 3.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
12% better than Washington average

Washington average: 88.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
60% better than Washington average

Washington average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.2%
9% better than Washington average

Washington average: 82.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.7%
In line with Washington average

Washington average: 19.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 12.6%
5% better than Washington average

Washington average: 13.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.3%
61% better than Washington average

Washington average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 60.9%
13% better than Washington average

Washington average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 70.5%
39% better than Washington average

Washington average: 50.6%

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 average

Washington average: $82K

Number of fines 0
100% fewer fines than Washington average

Washington average: 1.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
261% more payment denials than Washington average

Washington 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 Info 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

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Financial Aid for Washington Seniors

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Community Options Program Entry System (COPES)

WA Medicaid COPES

Age 65+ or disabled, Washington resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand in urban areas (e.g., Seattle).

Washington Family Caregiver Support Program

WA NFCSP

Caregiver of someone 60+ (or with dementia), Washington resident.

No strict limit; prioritizes low-income.

Not applicable.

High urban demand; rural outreach.

Community First Choice (CFC)

Washington Community First Choice

Age 65+ (or disabled 18+), WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.

~$2,829/month; QIT optional.

$2,000 (individual), $3,000 (couple).

Broader than COPES; serves ~20,000; self-directed option.

Older Americans Act (OAA) Services

Washington OAA Services

Age 60+, WA resident; no income/asset limits.

None; donations encouraged.

Not assessed.

13 AAAs; includes Meals on Wheels; rural focus.

Medicare Savings Program (MSP)

Washington Medicare Savings Program

Age 65+ or disabled, WA resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Washington LIHEAP

Age 60+ prioritized, WA resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

Covers gas, electric, wood; emergency aid available.

Senior Community Service Employment Program (SCSEP)

Washington SCSEP

Age 55+, unemployed, low-income, WA resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Washington VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, WA resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran use; supports rural/urban needs.

Senior Citizens Property Tax Exemption

Washington Senior Property Tax Exemption

Age 61+ or disabled retiree, WA resident, homeowner, income-based.

~$45,000-$70,000/year (varies by county, e.g., King: $70,000).

Not assessed; home value cap varies (~$250,000-$400,000).

Saves ~$500-$1,500/year; offered statewide.

Senior Farmers’ Market Nutrition Program (SFMNP)

Washington SFMNP

Age 60+, WA resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$80/season); serves ~20,000 via AAAs.