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Garden Terrace Healthcare Center at Federal Way
Nursing Home, Assisted Living, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Federal Way, WA
CMS overall rating Info 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.
Exterior view of the Garden Terrace Healthcare Center Exterior view of Garden Terrace Healthcare Center entrance Bright interior common area with a popcorn cart Beautiful garden space with fountain and landscaping Dining room with a large table and chandelier Dining area with tables and flowers Interior view of a common area with decorative lighting

Garden Terrace Healthcare Center at Federal Way

Nursing Home, Assisted Living, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Federal Way, WA
CMS overall rating Info 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.
491 S 338Th St, Federal Way, WA 98003 View map
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Garden Terrace Healthcare Center at Federal Way accepts Medicaid, Medicare, and private pay.
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Garden Terrace Healthcare Center at Federal Way accepts Medicaid, Medicare, and private pay.

Overview of Garden Terrace Healthcare Center at Federal Way

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Garden Terrace Healthcare Center at Federal Way is a 70 bed nursing home and assisted living community in Federal Way, Washington, with 65% occupancy. It offers skilled nursing, hospice, palliative, and respite care, giving families several care options in one setting.

That range matters when needs differ. The community can support someone who needs help with daily life, ongoing nursing services, a short respite stay, or care focused on comfort during serious illness.

Residents receive 4 hours and 53 minutes of total nurse staffing per resident each day. Of that time, 2 hours and 31 minutes comes from licensed nurses, an important figure for families comparing the level of clinical support among homes.

Inspection findings addressed medication orders, pain management, and infection control practices. A follow up inspection confirmed corrections involving resident assessments, staff training, and background checks, which helps families understand both the concerns identified and the steps verified afterward.

Facility Direct Line (253) 661-2226
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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.
▲ 55.0% Above WA avg. ▲ 55.0% Above WA avg.WA average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 6.5% Above WA avg. ▲ 6.5% Above WA avg.WA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 46.1% Above WA avg. ▲ 46.1% Above WA avg.WA average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 27.2% Above WA avg. ▲ 27.2% Above WA avg.WA average: 3.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Washington averages

Rank #12 / 61Nurse hours — State benchmarkedThis home is ranked 12th out of 61 homes we track in Washington for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 61 Washington facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 12th out of 61 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 41m

11% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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 19m
+49% State avg: 53m per day · National avg: 41m per day
LPN / LVN Info 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.
51m
+5% State avg: 49m per day · National avg: 52m per day
Nurse Aide Info 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 31m
−6% State avg: 2h 41m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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.
3h 58m
+5% State avg: 3h 47m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
13m
+159% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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 10m
+85% State avg: 38m per day · National avg: 29m per day

1 of 6 metrics below state avg

Standout metric: Physical Therapist is +159% above Washington average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 34 Rank #64 / 68Bed count — State benchmarkedThis home is ranked 64th out of 68 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 cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
23 years
Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #46 / 80Walk Score — State benchmarkedThis home is ranked 46th out of 80 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 cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
46 / 100
Avg. Length of Stay Info 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.
23 days

About this community

License Details

Facility TypeBoarding Home
StatusOperating
ExpirationMay 31, 2027
CountyKing
License Number1631

Leadership

ContactMoss, Amanda N. (per state records, record updated Jul 2026)

Additional Policies & Features

Pets not allowed

Contact Garden Terrace Healthcare Center at Federal Way

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

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.

Since 2023 · 3 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 14 deficiencies 7 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2023 vs. Washington state average
Overall vs. WA average 0 Worse No metrics in this bucket. 2 Better Metrics better than Washington average:
• Total deficiencies (55% below)
• Deficiencies per inspection (56% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityWA Averagevs. WA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1431 This facility has 55% fewer total deficiencies than a typical Washington nursing home (14 vs. WA avg 31).↓ 55% better
Deficiencies per inspection Info Average deficiencies per inspection. 2.04.51 This facility has 56% fewer deficiencies per inspection than a typical Washington nursing home (2 vs. WA avg 4.51).↓ 56% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityWA Averagevs. WA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 79 This facility has had 22% fewer total inspections than the Washington average (7 vs. WA avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 22% fewer
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 7

Washington average 8.7

Last Health inspection on Sep 2025

Total health citations
46 Rank #30 / 61Health citations — State benchmarkedThis home is ranked 30th out of 61 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 cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Washington average 49.3

Citations per inspection
6.57 Rank #33 / 61Citations per inspection — State benchmarkedThis home is ranked 33rd out of 61 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 cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Washington average 6.2

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
100% better than Washington average

Washington average: 0.3

Serious health citations
0
100% better than Washington average

Washington average: 1.8

0 critical citations Washington average: 0.3
0 serious citations Washington average: 1.8
46 moderate citations Washington average: 46.8
0 minor citations Washington average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Sep 12, 2025
Corrected
Abuse/Neglect moderate citation Jun 16, 2025
Corrected
Infection Control moderate citation Jun 16, 2025
Corrected
Nutrition moderate citation Jun 16, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 161
Employees 155
Contractors 6
Staff to resident ratio 2.82 : 1
52% more staff per resident than Washington average
Washington average ratio: 1.86 : 1 Washington average ratio: 1.86 : 1See full Washington ranking
Avg staff/day 58
Average shift 7.7 hours
5% worse than Washington average
Washington average: 8.1 hours Washington average shift: 8.1 hoursSee full Washington ranking
Total staff hours (quarter) 41,137

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 30 RN Staff are full-time employees. No contractors work on this role. 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 14 LPN Staff are full-time employees. No contractors work on this role. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 64 CNA Staff are full-time employees. No contractors work on this role. 64
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1%

411 contractor hours this quarter

Occupational Therapy Assistant: 3 Occupational Therapy Aide: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6406416,72092100%7.5
Registered Nurse300307,12092100%8.2
Licensed Practical Nurse140143,83292100%8.5
Speech Language Pathologist9091,9439098%7
Physical Therapy Aide8081,8448592%6.6
RN Director of Nursing5051,5857278%8
Physical Therapy Assistant5051,3667379%7.5
Respiratory Therapy Technician3031,0777986%7.6
Clinical Nurse Specialist2021,0358087%8.1
Dental Services Staff2028926368%7.6
Other Dietary Services Staff3038668289%7.5
Administrator1015286672%8
Mental Health Service Worker1014786267%7.7
Nurse Practitioner1014405560%8
Qualified Social Worker2024154852%8.5
Dietitian1013545661%6.3
Occupational Therapy Aide0223034347%6.6
Therapeutic Recreation Specialist10116678%23.7
Occupational Therapy Assistant0336755%9.6
Medical Director0114133%13.5
Nurse Aide in Training1013133%10.4
Medication Aide/Technician1012944%7.3
Other Physician101511%5
64 Certified Nursing Assistant
% of Days 100%
30 Registered Nurse
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
9 Speech Language Pathologist
% of Days 98%
View All Staffing Data in Federal Way

Penalties and fines

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)

Total fines amount $0 Rank #1 / 61Federal fines — State benchmarkedThis home is ranked 1st out of 61 homes we track in Washington for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Washington average among facilities with fines, and where it ranks among 61 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.

1 penalty in the past 3 years

Jun 16, 2025 · 35 days

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

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%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$12.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$793.7K
For-profit Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$12.1M Rank #30 / 51Net patient revenue — State benchmarkedThis home is ranked 30th out of 51 homes we track in Washington. 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 cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$793.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$39.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #27 / 51Payroll costs — State benchmarkedThis home is ranked 27th out of 51 homes we track in Washington. 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 cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$7.3M 59.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #19 / 51Payroll % of net patient revenue — State benchmarkedThis home is ranked 19th out of 51 homes we track in Washington. 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 cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.4M
How we calculate these figures

This home is owned by Megan Larson

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 505512

Show certification details

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.

Most new residents arrive under Medicare (52% of admissions), and a typical Medicare stay runs around 27 days.

Admissions
729 total

Coverage residents most often arrive under.

Medicare 52%
Private pay 48%
Discharges
712 total

Coverage residents most often leave under.

Medicare 47%
Private pay 53%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Garden Terrace Healthcare Center at Federal Way

Address 1.8 miles from city center Info 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)

Calculate Travel Distance to Garden Terrace Healthcare Center at Federal Way

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Compare Nursing Homes around Federal Way

Info below is compiled from CMS reports & the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Washington average is: 62.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Judson Park ★ ★ ★ ★ ★
NH
AL
CCRC
IL
MC
SNF
Des Moines (Marine View Drive South)
52
Facility 52
WA AVG 92
Rank #56 / 68
50.0%
Facility 50.0%
WA AVG 74.9%
Rank #35 / 57
-33%
4.45
Facility 4.45
WA AVG 4.22
Rank #18 / 61
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +25%+5%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
57
Facility 57
WA AVG 48.9
Rank #41 / 61
19.0
Facility 19.0
WA AVG 6.9
Rank #60 / 61
-26A+
19
Facility 19
WA AVG 51
Rank #70 / 80
Humangood Washington
$30.8MFiscal year ending 12/2023
Facility $30.8MFiscal year ending 12/2023
WA AVG $15.9M
Rank #6 / 51
$15.8MFiscal year ending 12/2023
Facility $15.8MFiscal year ending 12/2023
WA AVG $9.2M
Rank #6 / 51
51.4%Fiscal year ending 12/2023
Facility 51.4%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #36 / 51
505455
Garden Terrace Healthcare Center at Federal Way ★ ★ ★ ★ ★
NH
AL
HOS
PC
RC
SNF
Federal Way
34
Facility 34
WA AVG 92
Rank #64 / 68
--
4.69
Facility 4.69
WA AVG 4.22
Rank #12 / 61
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +30%+11%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
46
Facility 46
WA AVG 48.9
Rank #30 / 61
6.6
Facility 6.6
WA AVG 6.9
Rank #33 / 61
-62-
46
Facility 46
WA AVG 51
Rank #46 / 80
Megan Larson
$12.1MFiscal year ending 12/2023
Facility $12.1MFiscal year ending 12/2023
WA AVG $15.9M
Rank #30 / 51
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
WA AVG $9.2M
Rank #27 / 51
59.8%Fiscal year ending 12/2023
Facility 59.8%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #19 / 51
505512
Avalon Federal Way Care Center ★ ★ ★ ★ ☆
NH
HOS
SNF
Federal Way
120
Facility 120
WA AVG 92
Rank #17 / 68
91.3%
Facility 91.3%
WA AVG 74.9%
Rank #9 / 57
+22%
4.05
Facility 4.05
WA AVG 4.22
Rank #32 / 61
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +10%-4%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 61
48
Facility 48
WA AVG 48.9
Rank #51 / 61
12.0
Facility 12.0
WA AVG 6.9
Rank #61 / 61
-110A-
49
Facility 49
WA AVG 51
Rank #40 / 80
Avalon Health Care Centers, LLC
$16.4MFiscal year ending 12/2023
Facility $16.4MFiscal year ending 12/2023
WA AVG $15.9M
Rank #13 / 51
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
WA AVG $9.2M
Rank #21 / 51
48%Fiscal year ending 12/2023
Facility 48%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #42 / 51
505510
Hallmark Manor ★ ★ ☆ ☆ ☆
NH
SNF
Federal Way
147
Facility 147
WA AVG 92
Rank #5 / 68
73.5%
Facility 73.5%
WA AVG 74.9%
Rank #46 / 57
-2%
3.45
Facility 3.45
WA AVG 4.22
Rank #51 / 61
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -7%-18%
$32.2k
Facility $32.2k
WA AVG $87.7k
Rank #36 / 61
60
Facility 60
WA AVG 48.9
Rank #42 / 61
8.6
Facility 8.6
WA AVG 6.9
Rank #49 / 61
2108A+
43
Facility 43
WA AVG 51
Rank #51 / 80
Melissa Nelson
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
WA AVG $15.9M
Rank #37 / 51
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
WA AVG $9.2M
Rank #30 / 51
63.5%Fiscal year ending 12/2023
Facility 63.5%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #15 / 51
505313
Life Care Center of Federal Way ★ ★ ☆ ☆ ☆
NH
SNF
Federal Way (Lake Easter Estates)
157
Facility 157
WA AVG 92
Rank #3 / 68
 53.4% -29%
4.31
Facility 4.31
WA AVG 4.22
Rank #22 / 61
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -9%+2%
$99.0k
Facility $99.0k
WA AVG $87.7k
Rank #52 / 61
82
Facility 82
WA AVG 48.9
Rank #53 / 61
9.1
Facility 9.1
WA AVG 6.9
Rank #52 / 61
584-
48
Facility 48
WA AVG 51
Rank #43 / 80
Tom Zwicker
$12.5MFiscal year ending 12/2023
Facility $12.5MFiscal year ending 12/2023
WA AVG $15.9M
Rank #28 / 51
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
WA AVG $9.2M
Rank #19 / 51
65.4%Fiscal year ending 12/2023
Facility 65.4%Fiscal year ending 12/2023
WA AVG 62.6%
Rank #10 / 51
505188

Rank badges are statewide: each nursing home is ranked against every WA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Nursing Home Explorer

Financial Assistance for
Nursing Home in Washington

Garden Terrace Healthcare Center at Federal Way is located in Federal Way, Washington State.
Here are the financial assistance programs available to residents in Washington State.

Get Financial aid guidance

Community Options Program Entry System (COPES)

WA Medicaid COPES

Age 65+ or disabled
General Washington resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
WA

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

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Washington Family Caregiver Support Program

WA NFCSP

Age Caregiver of someone 60+ (or with dementia)
General Washington resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
WA

High urban demand; rural outreach.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$70/day) Short-term facility care (up to 5 days)

Community First Choice (CFC)

Washington Community First Choice

Age 65+ (or disabled 18+)
General WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
Income Limits (2025) ~$2,829/month; QIT optional.
Asset Limits $2,000 (individual), $3,000 (couple).
WA

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

Benefits
Personal care (4-6 hours/day) Respite (~240 hours/year) Assistive devices Training Transportation

Older Americans Act (OAA) Services

Washington OAA Services

Age 60+
General WA resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
WA

13 AAAs; includes Meals on Wheels; rural focus.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Washington Medicare Savings Program

Age 65+ or disabled
General WA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
WA

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

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

Washington VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General WA resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
WA

High veteran use; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Senior Citizens Property Tax Exemption

Washington Senior Property Tax Exemption

Age 61+ or disabled retiree
General WA resident, homeowner, income-based.
Income Limits (2025) ~$45,000-$70,000/year varies by county, e.g., King: $70,000
Asset Limits Not assessed; home value cap varies ~$250,000-$400,000
WA

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

Benefits
Tax exemption (~$500-$1,500/year depending on county)

Senior Farmers’ Market Nutrition Program (SFMNP)

Washington SFMNP

Age 60+
General WA resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
WA

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

Benefits
Vouchers (~$80/season) for produce at farmers’ markets

Frequently Asked Questions about Garden Terrace Healthcare Center at Federal Way

Is Garden Terrace Healthcare Center at Federal Way in a walkable area?

Garden Terrace Healthcare Center at Federal Way has a walk score of 46. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Garden Terrace Healthcare Center at Federal Way?

According to WA state health department records, Garden Terrace Healthcare Center at Federal Way's license number is 1631.

When does Garden Terrace Healthcare Center at Federal Way's license expire?

According to WA state health department records, Garden Terrace Healthcare Center at Federal Way's license expires on May 31, 2027.

What is the occupancy rate at Garden Terrace Healthcare Center at Federal Way?

Garden Terrace Healthcare Center at Federal Way's occupancy is 65.2%.

How long has Garden Terrace Healthcare Center at Federal Way been in business?

Garden Terrace Healthcare Center at Federal Way has been operating for approximately 23 years, based on available licensing and registration records.

Are pets allowed at Garden Terrace Healthcare Center at Federal Way?

No, Garden Terrace Healthcare Center at Federal Way has a no-pet policy.

Does Garden Terrace Healthcare Center at Federal Way operate as a for-profit or non-profit?

Garden Terrace Healthcare Center at Federal Way is registered as a for-profit in WA.

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