McKay Healthcare & Rehab Ctr

127 Second Avenue Southwest · Soap Lake, WA · 98851 · 5092461111

42 certified beds Government - Hospital district

  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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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

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

68% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 94
Staffing 20% 74
Federal penalties 15% 58
Trend 10% 89
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: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.233.48 min · 4.1 strong
RN hours / resident-day0.760.55–0.75
Weekend hours / resident-day3.78≈ weekday level
Nursing turnover / year68%median 45%
Fines (3-yr window)1 · $113,505

Inspection citations (40 in the current record)

  • Potential for harm · D March 18, 2026 · found via complaint

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

    Corrected April 7, 2026 · Quality of Life and Care

  • Potential for harm · E March 21, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 22, 2025 · Resident Rights

  • Potential for harm · D March 21, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected April 22, 2025 · Resident Rights

  • Potential for harm · D March 21, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 21, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025

    Ensure that residents are free from significant medication errors.

    Corrected April 22, 2025 · Pharmacy Service

  • Potential for harm · D March 21, 2025

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected April 22, 2025 · Administration

  • Potential for harm · D January 7, 2025 · found via complaint

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

    Corrected January 27, 2025 · Quality of Life and Care

  • Potential for harm · E January 7, 2025 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected January 27, 2025 · Nursing and Physician Services

  • Potential for harm · D August 22, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 24, 2024 · Resident Rights

  • Potential for harm · D August 22, 2024 · found via complaint

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

    Corrected September 24, 2024 · Pharmacy Service

  • Potential for harm · D June 26, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 23, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 25, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G February 9, 2024

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

    Corrected March 25, 2024 · Quality of Life and Care

  • Potential for harm · D February 9, 2024

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected March 25, 2024 · Resident Rights

  • Potential for harm · E February 9, 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 25, 2024 · Resident Rights

  • Potential for harm · D February 9, 2024

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected March 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 9, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 9, 2024

    Respond appropriately to all alleged violations.

    Corrected March 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 9, 2024

    Assess the resident when there is a significant change in condition

    Corrected March 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 9, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 9, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 9, 2024

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

    Corrected March 25, 2024 · Quality of Life and Care

  • Potential for harm · D February 9, 2024

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected March 25, 2024 · Quality of Life and Care

  • Potential for harm · D February 9, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 25, 2024 · Quality of Life and Care

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

Federal penalties

DateTypeAmount / length
February 9, 2024Fine$113,505

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505390 · certified since August 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.