Cottesmore of Life Care

2909 14th Avenue Northwest · Gig Harbor, WA · 98335 · 2538515433

108 certified beds For profit - Limited Liability company Chain: Life Care Centers of America

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 88
Staffing 20% 83
Federal penalties 15% 56
Trend 10% 82
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.343.48 min · 4.1 strong
RN hours / resident-day1.110.55–0.75
Weekend hours / resident-day3.57≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)2 · $35,713

Inspection citations (39 in the current record)

  • Potential for harm · D February 27, 2026

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected March 26, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 27, 2026

    Ensure each resident receives an accurate assessment.

    Corrected March 26, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 27, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 26, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 26, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected March 26, 2026 · Pharmacy Service

  • Potential for harm · D February 27, 2026

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected March 26, 2026 · Nutrition and Dietary

  • No harm found · C February 27, 2026

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected March 26, 2026 · Resident Rights

  • Potential for harm · E January 9, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 28, 2026 · Quality of Life and Care

  • Actual harm · G August 18, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected September 2, 2025 · Pharmacy Service

  • Potential for harm · D January 13, 2025

    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 February 27, 2025 · Resident Rights

  • Potential for harm · D January 13, 2025

    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 February 27, 2025 · Resident Rights

  • Potential for harm · E January 13, 2025

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected February 27, 2025 · Resident Rights

  • Potential for harm · E January 13, 2025

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected February 27, 2025 · Resident Rights

  • Potential for harm · E January 13, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected February 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 13, 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 February 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 13, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected February 27, 2025 · Pharmacy Service

  • Potential for harm · E January 13, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected February 27, 2025 · Pharmacy Service

  • Potential for harm · D January 13, 2025

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025

    Provide or obtain dental services for each resident.

    Corrected February 27, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 18, 2025Fine$17,480
October 26, 2023Fine$18,233

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505499 · certified since December 6, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.