RIVER OTTER HEALTHCARE LLC
DES MOINES, WA · King County · For profit - Corporation · 165 certified beds
📍 2800 South 224th Street,, Des Moines, WA 98198 · 📞 (206) 824-0600
Medicare ID: 505513 · Last Medicare inspection: Aug 27, 2025
Score Breakdown
What the numbers mean
RIVER OTTER HEALTHCARE LLC scored 68 out of 100 — near the state average.
📋 Inspections: 60 citations over the last 36 months — 17 more than the state average (43). 1 was rated serious (G+) — an inspector determined it caused or risked harm to a resident. 14 findings recurred across inspection cycles — indicating a problem that was not fixed.
👥 Staffing: Staffing is within an acceptable range but not among the highest-performing facilities. Ask about nurse coverage on evenings, nights, and weekends when you visit.
⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.
💬 Complaints: Some complaint-driven inspections have occurred. These are unannounced visits triggered by formal concerns from residents, families, or staff. Ask the facility how they handle resident grievances.
⚠️ Resident quality outcomes: Some quality measures are below national benchmarks. Areas like fall prevention, pain management, or medication use may warrant closer attention.
What inspectors found (last 3 surveys)
Top concern areas
⚖ Penalties & Enforcement
Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.
📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.
Resident Wellbeing — Key Indicators
These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.
Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.
See every citation, score history, ownership, and get monthly alerts
Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.