3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hallmark Manor, a distinguished healthcare center in Federal Way, Washington, renowned for its exceptional skilled nursing and rehabilitation services. What sets Hallmark Manor apart is its unwavering commitment to quality care, whether it’s short-term rehabilitation, long-term care, or postoperative recovery. The facility boasts a highly competent nursing team equipped with state-of-the-art technology and innovative techniques, ensuring the utmost comfort for every patient.
Hallmark Manor also prides itself on individualized care plans, tailoring their services to meet the unique needs of each resident. Beyond the expert care, the community exudes a warm and inviting atmosphere. Residents can enjoy the serene outdoor spaces, basking in the sun’s glow. Discover the ideal home for recovery at Hallmark Manor, where compassionate nursing home care meets a welcoming ambiance, just around the corner from you.
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 67th out of 90 homes 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.
| 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.
|
45m per day | ▼ 16% 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.
|
44m per day | ▼ 10% 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 17m per day | ▼ 15% 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.
|
3h 18m per day | ▼ 13% 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.
|
0m per day | ▼ 92% 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.
|
32m per day | ▼ 15% State avg: 38m per day · National avg: 29m per day |
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, 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.
Deficiencies
|
This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
|
55 | 31 | This facility has 77% more total deficiencies than a typical Washington nursing home (55 vs. WA avg 31).↑ 77% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
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13.8 | 7.8 | This facility has 77% more deficiencies per year than a typical Washington nursing home (13.8 vs. WA avg 7.8).↑ 77% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Washington average 7.8
Last Health inspection on May 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.
54 of 59 citations resulted from standard inspections; and 5 of 59 resulted from complaint investigations.
100% better than Washington average
Washington average: 0.3
41% better than Washington average
Washington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Washington average
0% compared with Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 21 RN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Assists with medical care and medications.
All 23 LPN Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Helps with daily care and mobility.
All 73 CNA Staff are full-time employees. No contractors work on this role.
73
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
371 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 73 | 0 | 73 | 20,572 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 23 | 0 | 23 | 5,844 | 92 | 100% | 9.7 |
| Registered Nurse | 21 | 0 | 21 | 5,543 | 92 | 100% | 10.1 |
| RN Director of Nursing | 3 | 0 | 3 | 889 | 69 | 75% | 6.2 |
| Speech Language Pathologist | 9 | 0 | 9 | 712 | 70 | 76% | 6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 709 | 75 | 82% | 7.3 |
| Dental Services Staff | 3 | 0 | 3 | 609 | 58 | 63% | 9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 546 | 68 | 74% | 7.5 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 494 | 51 | 55% | 9.1 |
| Dietitian | 1 | 0 | 1 | 413 | 52 | 57% | 7.9 |
| Physical Therapy Aide | 3 | 0 | 3 | 308 | 64 | 70% | 4.6 |
| Occupational Therapy Aide | 0 | 2 | 2 | 277 | 55 | 60% | 5 |
| Nurse Aide in Training | 2 | 0 | 2 | 263 | 30 | 33% | 7.7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 227 | 41 | 45% | 5.4 |
| Qualified Social Worker | 1 | 0 | 1 | 127 | 50 | 54% | 2.5 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 57 | 15 | 16% | 3.4 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 54 | 5 | 5% | 9 |
| Medical Director | 0 | 1 | 1 | 41 | 3 | 3% | 13.5 |
Includes penalties issued in 2024
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)
61% lower than Washington average
Washington average: $82K
46% fewer fines than Washington average
Washington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington average
Washington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 12, 2024 · $32K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 12, 2024
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.1
39% better than Washington average
Washington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.7
29% better than Washington average
Washington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
47% better than Washington average
Washington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
9.8%
55% better than Washington average
Washington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.7%
6% worse than Washington average
Washington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
23% better than Washington average
Washington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
4.5%
10% better than Washington average
Washington average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.6%
66% better than Washington average
Washington average: 1.7%
Percent of long-stay residents who lose too much weight
5.7%
In line with Washington average
Washington average: 5.8%
Percent of long-stay residents who have depressive symptoms
2.5%
84% better than Washington average
Washington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
12.6%
13% better than Washington average
Washington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.4%
In line with Washington average
Washington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.3%
In line with Washington average
Washington average: 93.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.85
34% worse than Washington average
Washington average: 1.38
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.89
25% worse than Washington average
Washington average: 1.51
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
68.2%
23% worse than Washington average
Washington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
85% worse than Washington average
Washington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.2%
19% worse than Washington average
Washington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.3%
8% better than Washington average
Washington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.9%
55% better than Washington average
Washington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington average
Washington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.9%
20% worse than Washington average
Washington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
29.0%
43% worse 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.
13% of new residents, usually for short-term rehab.
34% of new residents, often for short stays.
53% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
98
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Hallmark Manor from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #29 / 94Payroll — State benchmarkedThis home is ranked 29th out of 94 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.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #27 / 94Payroll % — State benchmarkedThis home is ranked 27th out of 94 homes in Washington. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (53% of admissions), and a typical Medicaid stay runs around 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.1 miles from city center
Estimated distance in miles from Federal Way's city center to Hallmark Manor's address, calculated via Google Maps.
— 1.44 miles to nearest hospital (St. Francis Hospital)
Add your location
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
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| Garden Terrace Healthcare Center at Federal Way |
NH
AL
HC
PC
RC
|
Federal Way (South 338Th Street) |
34
Facility
34
WA AVG
82
Rank
#343 / 366
|
35.3%
Facility
35.3%
WA AVG
72.5%
Rank
#299 / 310
| -51% |
4.88
Facility
4.88
WA AVG
4.22
Rank
#7 / 90
| +30% | +16% |
$0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 92
|
46
Facility
46
WA AVG
48.9
Rank
#42 / 92
|
6.6
Facility
6.6
WA AVG
6.9
Rank
#51 / 92
| - | 12 | - |
46
Facility
46
WA AVG
51
Rank
#362 / 628
| Megan Larson |
$12.1M
Facility
$12.1M
WA AVG
$13.2M
Rank
#38 / 94
|
$7.3M
Facility
$7.3M
WA AVG
$5.7M
Rank
#32 / 94
|
59.8%
Facility
59.8%
WA AVG
45.5%
Rank
#37 / 94
| 505512 | ||||
| Judson Park |
NH
AL
IL
MC
NC
|
Des Moines (Marine View Drive South) |
52
Facility
52
WA AVG
82
Rank
#288 / 366
|
73.1%
Facility
73.1%
WA AVG
72.5%
Rank
#170 / 310
| +1% |
4.06
Facility
4.06
WA AVG
4.22
Rank
#47 / 90
| +25% | -4% |
$0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 92
|
57
Facility
57
WA AVG
48.9
Rank
#57 / 92
|
19.0
Facility
19.0
WA AVG
6.9
Rank
#91 / 92
| - | 38 | A+ |
19
Facility
19
WA AVG
51
Rank
#532 / 628
| Humangood Washington |
$30.8M
Facility
$30.8M
WA AVG
$13.2M
Rank
#8 / 94
|
$15.8M
Facility
$15.8M
WA AVG
$5.7M
Rank
#5 / 94
|
51.4%
Facility
51.4%
WA AVG
45.5%
Rank
#50 / 94
| 505455 | ||||
| Hallmark Manor |
NH
|
Federal Way (1St Avenue South) |
147
Facility
147
WA AVG
82
Rank
#19 / 366
|
62.6%
Facility
62.6%
WA AVG
72.5%
Rank
#238 / 310
| -14% |
3.68
Facility
3.68
WA AVG
4.22
Rank
#67 / 90
| -7% | -13% |
$32.2k
Facility
$32.2k
WA AVG
$87.7k
Rank
#50 / 92
|
59
Facility
59
WA AVG
48.9
Rank
#58 / 92
|
9.8
Facility
9.8
WA AVG
6.9
Rank
#72 / 92
| 1 | 99 | A+ |
43
Facility
43
WA AVG
51
Rank
#387 / 628
| Melissa Nelson |
$10.7M
Facility
$10.7M
WA AVG
$13.2M
Rank
#41 / 94
|
$6.8M
Facility
$6.8M
WA AVG
$5.7M
Rank
#29 / 94
|
63.5%
Facility
63.5%
WA AVG
45.5%
Rank
#27 / 94
| 505313 | ||||
| Life Care Center of Federal Way |
NH
|
Federal Way (Lake Easter Estates) |
157
Facility
157
WA AVG
82
Rank
#11 / 366
| - | - |
4.01
Facility
4.01
WA AVG
4.22
Rank
#52 / 90
| -9% | -5% |
$99.0k
Facility
$99.0k
WA AVG
$87.7k
Rank
#71 / 92
|
81
Facility
81
WA AVG
48.9
Rank
#79 / 92
|
10.1
Facility
10.1
WA AVG
6.9
Rank
#75 / 92
| 5 | 16 | - |
48
Facility
48
WA AVG
51
Rank
#345 / 628
| Tom Zwicker |
$12.5M
Facility
$12.5M
WA AVG
$13.2M
Rank
#32 / 94
|
$8.2M
Facility
$8.2M
WA AVG
$5.7M
Rank
#27 / 94
|
65.4%
Facility
65.4%
WA AVG
45.5%
Rank
#43 / 94
| 505188 |
Hallmark Manor is located in Federal Way, Washington.
Here are the financial assistance programs available to residents in Washington.
Hallmark Manor is in the 1st Avenue South neighborhood of Federal Way.
Hallmark Manor has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Hallmark Manor's occupancy is 59.0%.
Hallmark Manor is registered as a for-profit in WA.
Yes — there are 7 photos of Hallmark Manor in the photo gallery on this page.
Hallmark Manor is located at 32300 1St Ave S, Federal Way, WA 98003.
(253) 874-3580 will put you in contact with the team at Hallmark Manor.
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