Bridges To Home

Source: CMS Provider Data Catalog — federal civil monetary penalties & payment denials, 2025–present.

🏗 How This Facility Compares to WA State Averages

Comparing a facility to others in the same state puts its score in context. A facility might have 8 citations and that could be above average in one state and below in another. Green means this facility is doing better than its peers; red means it's falling short.

📅 Inspection Timeline

State health inspectors visit nursing homes on a regular cycle — typically every 12 to 15 months — and document every deficiency they find. The timeline below shows the date and scale of each inspection visit over the past several years. A pattern of worsening surveys is a red flag even if the most recent visit looks clean.

Bar length proportional to citation count. Red = serious findings (severity G+). Orange = elevated. Green = low.

📄 Full Citation Record

Every time state inspectors visit a nursing home, they write up anything that doesn’t meet federal standards. Each write-up is called a citation.

Each citation shows what the problem was and how serious it was, using a color-coded badge:

A Repeat tag means the same problem appeared in a previous inspection — it was not fully corrected the first time. Citations shown cover the last two years.

💬 Questions to Ask Before Touring

These questions are generated specifically from this facility's score profile and citation history — not a generic checklist. A facility's willingness to answer them openly, and the quality of their answers, is itself an important signal. Bring this list when you tour or call.

1. Your recent inspection identified multiple deficiencies. For each finding, can you explain exactly what happened and confirm which corrective actions have been fully completed — not just planned?
2. CMS data shows this facility is significantly below the state average for total nurse hours and RN-specific hours per resident day. What is the actual RN coverage on evenings, nights, and weekends — not the regulatory minimum, but what residents consistently receive?
3. What is your 90-day CNA and nurse turnover rate? How do you ensure a resident sees the same familiar caregivers across a given week?
4. This facility has a significant CMS enforcement history. Can you identify each action in the past three years, what it was for, and what systemic — not just procedural — changes were made to prevent recurrence?
5. Some resident outcome measures are below average here. What is your current approach to fall prevention, pain management, and quarterly medication review?
6. 1 citation in the public record were rated as causing actual harm to a resident. Can you describe what occurred in each case and what specific safeguards are now in place?
7. Can we speak privately with two or three current residents or their families?

👪 Family Decision Guide

This guide translates this facility's data into practical next steps for families. It is not a recommendation for or against placement — it is a structured framework for the conversations you need to have before making a decision.

📈 Score History

The score is recalculated every time CMS releases updated data (typically monthly). A consistent downward trend is more concerning than a single low score. An improving trend after a period of poor performance may indicate management changes are taking effect. Use the free facility-watch form above to get email alerts when this facility's record changes materially.

🏢 Ownership & Operators

Ownership matters because large corporate chains sometimes prioritize cost controls over care quality. CMS requires every nursing home to disclose its owners, operators, and managing employees. Frequent ownership changes can disrupt staffing and operations — which is why we flag facilities that changed ownership in the past 12 months.

🔔 Monthly tracking is now free

We check CMS data monthly. Use the tracking form above and we will email you when new citations appear, scores change, or enforcement actions are added.