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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.
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.
Timber Ridge has been around Issaquah’s Talus neighborhood for 19 years, running 26 beds in what amounts to a genuinely car-dependent pocket. The Walk Score sits at 19, which means if you’re planning to visit regularly or need anything within walking distance, you’ll need to drive. It’s not a criticism exactly, just a reality check for anyone factoring in location.
Right now, they’re at 88% occupancy with 23 residents. The average stay clocks in at 520 days, which tells you they’re managing a mix of people coming through for short stretches and others settling in longer. They take Medicare and private pay, so the funding question doesn’t automatically narrow your options the way it does at some places.
What’s interesting about the staffing: they’re putting five hours and 39 minutes of nursing care per resident per day, plus another three hours and 59 minutes from nursing aides. That’s real hands-on commitment, not the skeleton-crew scenario you see elsewhere. It actually matters when you’re thinking through whether someone’s going to get the attention they need.
The inspection history over the past four years reads as genuinely responsive. They’ve worked through deficiencies flagged on earlier rounds, things like policy transparency, privacy safeguards, water temperature, ventilation standards, housekeeping rigor, and how they handle pets. A fire safety inspection caught them with issues around extinguishers and extension cords, both of which they’ve since fixed. The pattern here suggests they take regulatory notes seriously instead of treating them like theater.
If you’re working through smaller communities that have actually been around for a while, and you can make peace with the car situation, Timber Ridge seems worth the site visit.
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 5th out of 89 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.
| 54m per day | ■ Avg 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.
| 47m per day | ■ Avg 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 59m per day | ▲ 11% 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.
| 4h 11m per day | ▲ 6% 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.
| 5m per day | ▼ 4% 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.
| 42m per day | ▲ 8% State avg: 39m per day · National avg: 29m per day |
Higher than the Washington average: 72.5%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, citation, 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.
| 18 | 31 | This facility has 42% fewer total deficiencies than a typical Washington nursing home (18 vs. WA avg 31).↓ 42% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 4.5 | 7.8 | This facility has 42% fewer deficiencies per year than a typical Washington nursing home (4.5 vs. WA avg 7.8).↓ 42% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Washington average 7.8
Last Health inspection on Oct 2024
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.
All 17 citations resulted from standard inspections.
100% better than Washington averageWashington average: 0.3
100% better than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% 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.
8 total: 7 full-time employees and 1 contractor.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
All 10 LPN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 40 CNA Staff are full-time employees. No contractors work on this role.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,385 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 40 | 0 | 40 | 11,554 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 10 | 0 | 10 | 2,438 | 91 | 99% | 8.1 |
| Registered Nurse | 7 | 1 | 8 | 2,290 | 92 | 100% | 8.3 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,141 | 88 | 96% | 7.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 856 | 62 | 67% | 8.6 |
| RN Director of Nursing | 1 | 0 | 1 | 591 | 64 | 70% | 9.2 |
| Dental Services Staff | 1 | 0 | 1 | 535 | 63 | 68% | 8.5 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 345 | 67 | 73% | 3.6 |
| Nurse Practitioner | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 267 | 54 | 59% | 4.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 209 | 47 | 51% | 4.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 183 | 41 | 45% | 4.5 |
| Qualified Social Worker | 0 | 2 | 2 | 140 | 37 | 40% | 3.8 |
| Medical Director | 0 | 1 | 1 | 104 | 26 | 28% | 4 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 58 | 13 | 14% | 4.5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
11.9
18% worse than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.3
In line with Washington averageWashington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
19.3%
18% worse than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
21.8%
In line with Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.7%
19% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
6.8%
158% worse than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
7.2%
47% worse than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.6%
63% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
4.3%
26% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
16.0%
10% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
In line with Washington averageWashington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
14% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
4.4%
206% worse than Washington averageWashington average: 1.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
55% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Timber Ridge based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #11 / 93Payroll — State benchmarkedThis home is ranked 11th out of 93 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
16.1 miles from city center
Estimated distance in miles from Issaquah's city center to Timber Ridge's address, calculated via Google Maps.
— 2.09 miles to nearest hospital (Swedish Issaquah Campus)
Add your location
Timber Ridge is located in Issaquah, Washington.
Here are the financial assistance programs available to residents in Washington.
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Timber Ridge |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Issaquah (Talus) | 26
Facility
26
WA AVG
82
Rank
#352 / 366 |
88.5%
Facility
88.5%
WA AVG
72.5%
Rank
#56 / 310 | +22% | 5.65
Facility
5.65
WA AVG
4.22
Rank
#5 / 89 | -34% | +34% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 91 | 17
Facility
17
WA AVG
48.9
Rank
#6 / 91 | 5.7
Facility
5.7
WA AVG
6.9
Rank
#37 / 91 | - | 23 | A+ |
19
Facility
19
WA AVG
51
Rank
#532 / 628 | Lcs Timber Ridge LLC | $36.1M
Facility
$36.1M
WA AVG
$13.2M
Rank
#6 / 93 | $13.6M
Facility
$13.6M
WA AVG
$5.7M
Rank
#11 / 93 | 37.7%
Facility
37.7%
WA AVG
45.5%
Rank
#76 / 93 | 505518 | ||||
| Avamere Rehabilitation of Issaquah |
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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Issaquah (Sycamore) | 140
Facility
140
WA AVG
82
Rank
#21 / 366 |
52.9%
Facility
52.9%
WA AVG
72.5%
Rank
#277 / 310 | -27% | 3.52
Facility
3.52
WA AVG
4.22
Rank
#76 / 89 | -24% | -17% | $48.7k
Facility
$48.7k
WA AVG
$87.7k
Rank
#59 / 91 | 60
Facility
60
WA AVG
48.9
Rank
#57 / 91 | 10.0
Facility
10.0
WA AVG
6.9
Rank
#72 / 91 | 4 | 83 | - |
16
Facility
16
WA AVG
51
Rank
#554 / 628 | Carl Tabor | $11.4M
Facility
$11.4M
WA AVG
$13.2M
Rank
#70 / 93 | $6.6M
Facility
$6.6M
WA AVG
$5.7M
Rank
#49 / 93 | 58.3%
Facility
58.3%
WA AVG
45.5%
Rank
#19 / 93 | 505004 |
Timber Ridge is in the Talus neighborhood of Issaquah.
Timber Ridge has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to WA state health department records, Timber Ridge's license number is 2602.
According to WA state health department records, Timber Ridge's license expires on February 28, 2027.
Timber Ridge's occupancy is 88%.
Timber Ridge has 26 beds.
Yes — there are 5 photos of Timber Ridge in the photo gallery on this page.
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