Avamere Rehabilitation of Issaquah
805 Front Street · Issaquah, WA · 98027 · 4253921271
140 certified beds For profit - Limited Liability company Chain: Avamere
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.73 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $48,663 |
Inspection citations (58 in the current record)
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Potential for harm · D March 27, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected May 14, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 14, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 14, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Ensure each resident receives an accurate assessment.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 27, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 14, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 14, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide activities to meet all resident's needs.
Corrected May 14, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected May 14, 2025 · Administration
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Potential for harm · E March 27, 2025
Provide and implement an infection prevention and control program.
Corrected May 14, 2025 · Infection Control
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Potential for harm · D March 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 14, 2025 · Quality of Life and Care
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Immediate jeopardy · J February 6, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 6, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 20, 2024 · Quality of Life and Care
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Actual harm · G February 6, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 20, 2024 · Quality of Life and Care
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Potential for harm · D February 6, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 20, 2024 · Resident Rights
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Potential for harm · D February 6, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected March 20, 2024 · Resident Rights
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Potential for harm · D February 6, 2024
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected March 20, 2024 · Resident Rights
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Potential for harm · D February 6, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected March 20, 2024 · Resident Rights
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Potential for harm · E February 6, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 20, 2024 · Resident Rights
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Potential for harm · E February 6, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 20, 2024 · Resident Rights
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Potential for harm · D February 6, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected March 20, 2024 · Resident Rights
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Potential for harm · E February 6, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 20, 2024 · Resident Rights
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Potential for harm · D February 6, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 20, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 6, 2024 | Fine | $48,663 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505004 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.