Garden Terrace Healthcare Center of Federal Way
491 South 338th Street · Federal Way, WA · 98003 · 2536612226
70 certified beds For profit - Limited Liability company Chain: Life Care Centers of America
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 80 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.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.54 | 0.55–0.75 |
| Weekend hours / resident-day | 4.82 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (46 in the current record)
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Potential for harm · D September 12, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 21, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 4, 2025 · Resident Rights
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Potential for harm · D June 16, 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 August 4, 2025 · Resident Rights
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Potential for harm · D June 16, 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 August 4, 2025 · Resident Rights
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Potential for harm · D June 16, 2025
Respond appropriately to all alleged violations.
Corrected August 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 16, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 16, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 2025
Provide activities to meet all resident's needs.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · E June 16, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 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 August 4, 2025 · Pharmacy Service
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Potential for harm · E June 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 4, 2025 · Nutrition and Dietary
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Potential for harm · D June 16, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 16, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · E June 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 4, 2025 · Infection Control
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Potential for harm · D February 7, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 26, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 3, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 9, 2025 · Resident Rights
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Potential for harm · D December 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · E April 16, 2024
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 May 23, 2024 · Resident Rights
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Potential for harm · D April 16, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected May 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2024
Ensure each resident receives an accurate assessment.
Corrected May 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 16, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 23, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 505512 · certified since June 12, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.