4/5
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.
4/5
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.
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Receive top-notch care right at your doorstep with Happy Quest Home Care, based in Bellevue, WA, specializing in-home care. The community features a compassionate and highly trained team providing different levels of care including hospital-to-home care, specialized care, advanced home care, hourly home care, and respite home care, whenever and wherever needed. With round-the-clock availability, older adults and families are guaranteed to enjoy a comfortable and hassle-free lifestyle.
The community provides the highest quality of care while retaining residents’ independence by prioritizing their needs and choices. Live your later years without worries knowing a trusted home care provider is ready to help you whenever needed. Service areas include Seattle and Eastside cities like Bellevue, Issaquah, Redmond, and Kirkland.
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 61st 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.
| 1h 6m per day | ▲ 22% State avg: 54m 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.
| 46m per day | ▼ 3% State avg: 48m 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 28m per day | ▼ 8% State avg: 2h 41m per day · National avg: 2h 20m 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 34m per day | ▼ 9% State avg: 3h 57m per day · National avg: 3h 27m 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.
| 7m per day | ▲ 30% State avg: 6m 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.
| 35m per day | ▼ 9% State avg: 39m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% more 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 28 RN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
All 84 CNA Staff are full-time employees. No contractors work on this role.
84
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
470 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 84 | 0 | 84 | 22,138 | 92 | 100% | 8.2 |
| Registered Nurse | 28 | 0 | 28 | 7,201 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 28 | 0 | 28 | 6,661 | 92 | 100% | 8.5 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,584 | 76 | 83% | 8 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,840 | 82 | 89% | 7 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,496 | 87 | 95% | 6.4 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,157 | 92 | 100% | 6.5 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,124 | 80 | 87% | 6.5 |
| Dental Services Staff | 3 | 0 | 3 | 1,024 | 69 | 75% | 8.3 |
| Nurse Aide in Training | 7 | 0 | 7 | 801 | 63 | 68% | 7.3 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 520 | 64 | 70% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 464 | 63 | 68% | 7.4 |
| Qualified Social Worker | 1 | 0 | 1 | 459 | 59 | 64% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 452 | 59 | 64% | 7.7 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Physical Therapy Assistant | 3 | 0 | 3 | 412 | 53 | 58% | 7 |
| Occupational Therapy Aide | 0 | 3 | 3 | 360 | 49 | 53% | 6.9 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 67 | 6 | 7% | 11.2 |
| Medical Director | 0 | 1 | 1 | 44 | 3 | 3% | 14.5 |
| Other Physician | 1 | 0 | 1 | 15 | 3 | 3% | 5 |
Includes penalties issued in 2023
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)
78% lower than Washington averageWashington average: $82K
46% fewer fines than Washington averageWashington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 26, 2023 · $18K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023Last 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.
7.7
23% better than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.5
30% better than Washington averageWashington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
55% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
14.8%
32% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
12% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
113% worse than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
47% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
8.1%
40% worse than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
7.9%
51% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
14.7%
In line with Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
In line with Washington averageWashington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
12% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
27% worse than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
19% better than Washington averageWashington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
99Residents 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 Happy Quest Home Care 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 #22 / 94Payroll — State benchmarkedThis home is ranked 22nd 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 #51 / 94Payroll % — State benchmarkedThis home is ranked 51st 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 typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (46% of admissions), and a typical Medicare stay runs around 27 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.4 miles from city center
Estimated distance in miles from Bellevue's city center to Happy Quest Home Care's address, calculated via Google Maps.
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Happy Quest Home Care is located in Bellevue, Washington.
Here are the financial assistance programs available to residents in Washington.
Happy Quest Home Care is in the Northeast Bellevue neighborhood.
Happy Quest Home Care has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Happy Quest Home Care's occupancy is 80.8%.
Happy Quest Home Care is registered as a for-profit.
Yes — there are 5 photos of Happy Quest Home Care in the photo gallery on this page.
Happy Quest Home Care is located at 2018 156Th Ave Ne Suite 139 Building F, Bellevue, WA 98007.
(763) 561-0450 will put you in contact with the team at Happy Quest Home Care.
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