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491 SOUTH 338TH STREET, FEDERAL WAY, WA, 98003
SunsetWell Score®
24th percentile in WA
“Below Average” on our 1–10 composite scale
The score uses the same calculation nationwide: 8.0 is computed the same way in every state. The percentile compares the facility with state peers, so the same score can have a different local standing. Full explanation
Data: CMS Provider Data Catalog, refreshed June 2026
How we score →This Medicare-certified nursing home has 70 certified beds and reports 5.5 total nursing hours per resident per day, above the state median of 4.1. Nursing staff turnover of 30% per year is below the state median of 45%. CMS records show 38 health citations in the last 3 years and 5 substantiated complaints; most recent inspection September 2025.
Summary generated from this facility's CMS inspection, staffing, and enforcement records. Every statement is derived directly from federal data — nothing is estimated or invented.
Most families pick a facility under time pressure — research on hospital discharges finds proximity and immediate availability drive the decision far more than quality ratings do. But once someone moves in, what families say matters most changes: national ombudsman complaint data puts slow responses to requests for help among the top concerns, and satisfaction studies consistently point to staff attitude and communication, food, activities, and residents' autonomy as what separates a good experience from a bad one.
You can't tour those things in an afternoon, but this page holds useful proxies for them:
Based on federal long-term-care ombudsman complaint categories and peer-reviewed family-satisfaction research. How we measure quality
From Medicare claims — hospital admissions, emergency visits, readmissions, discharge back to the community, and infections requiring hospitalization. Facilities cannot self-report these.
Source: CMS claims-based quality measures, refreshed 2026-07-05. Small facilities have fewer residents, so we adjust for sample size to reduce the effect of a few unusual months.
Staffing levels are one of the strongest predictors of nursing home quality. These figures are reported by the facility to CMS through payroll records, as hours of care available per resident per day.
Weekend nursing coverage drops about 17% versus a typical weekday at this facility.
High staffing reliability (60/100)
CMS Payroll-Based Journal, CY2025 Q4
Being made to leave — an involuntary discharge or eviction — is the single most common complaint families bring to long-term-care ombudsmen nationwide.
In the last 3 years of inspections, this facility was cited 1 time under federal transfer and discharge requirements — rules covering involuntary transfers or discharges, required notices, and safe transfer planning (most recent: 2024-12-03). For context, the average across all nursing homes in WA is 0.73 such citations per facility over the same period. The inspection details below have specifics. On a tour, it's fair to ask how many involuntary discharges the facility initiated in the past year and under what circumstances.
CMS health-inspection citations (F-622, F-623, F-624) · refreshed 2026-07-05
State inspectors survey every nursing home roughly once a year and after complaints. Citations and fines below come from federal inspection records for the last three years.
Health citations, last 3 years
38
Most recent inspection
September 12, 2025
Federal fines, last 3 years
$0
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Respond appropriately to all alleged violations.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Citations are common — what matters is severity and pattern. Learn how to read inspection reports →
You can store a research request with SunsetWell. Individual review and a response are not guaranteed, so contact facilities directly for current details.
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Always confirm current inspection status with your state regulatory agency. SunsetWell compiles public CMS and state data but encourages families to tour facilities and speak directly with administrators.