CareSentinel

Compiled from official CMS federal data

PARK ROSE CARE CENTER, TACOMA, WA — Violations & Inspection Reports

CCN 505239 · 3919 SOUTH 19TH STREET, TACOMA, WA, 98405

Record as of Jun 2026 · Updated monthly from CMS

Does PARK ROSE CARE CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), PARK ROSE CARE CENTER (CCN 505239), in TACOMA, WA, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 18 deficiencies; the most severe is rated F — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2025-07-02. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $256,703 in civil money penalties on file against the facility. The record also includes 7 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Jul 2025). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 7 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Jul 2025.
  • 2 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Jul 2025.
  • 4 pressure-ulcer care citations (F686) — the consumer term is "bedsores"; most recent Jul 2025.
  • 2 nutrition and hydration citations (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Jul 2025.
  • 26 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS has $256,703 in civil money penalties on file against this facility.

Below is this facility's federal inspection record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$256,703

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 76 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2024-09-18
HISTORICAL
F693S/S G

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

2024-02-08
HISTORICAL
F686S/S G

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

2024-01-24
HISTORICAL
F760S/S G

Ensure that residents are free from significant medication errors.

2025-07-02
CURRENT CYCLE
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

56 more citations on file — Abuse & neglect 6 · Accidents & supervision 1 · Pressure ulcers 3 · Nutrition & hydration 1 · Medication & pharmacy 8 · Resident rights 3 · Other citations 28 (expand)
2025-07-02
CURRENT CYCLE
F692S/S E

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

2025-07-02
CURRENT CYCLE
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2025-07-02
CURRENT CYCLE
F697S/S E

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

2025-07-02
CURRENT CYCLE
F689S/S E

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

2025-07-02
CURRENT CYCLE
F688S/S E

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.

2025-07-02
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-07-02
CURRENT CYCLE
F761S/S D

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.

2025-07-02
CURRENT CYCLE
F657S/S D

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

2025-07-02
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-07-02
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-07-02
CURRENT CYCLE
F684S/S D

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

2025-07-02
CURRENT CYCLE
F695S/S D

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

2025-07-02
CURRENT CYCLE
F686S/S D

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

2025-07-02
CURRENT CYCLE
F628S/S D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-07-02
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-07-02
CURRENT CYCLE
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2025-07-02
CURRENT CYCLE
F732S/S C

Post nurse staffing information every day.

2024-12-09
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-11-13
HISTORICAL
F684S/S D

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

2024-10-24
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-10-24
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-10-24
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2024-10-24
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-10-24
HISTORICAL
F688S/S D

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.

2024-09-18
HISTORICAL
F790S/S E

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

2024-09-18
HISTORICAL
F690S/S E

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

2024-09-18
HISTORICAL
F610S/S E

Respond appropriately to all alleged violations.

2024-09-18
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-09-18
HISTORICAL
F908S/S E

Keep all essential equipment working safely.

2024-09-18
HISTORICAL
F623S/S D

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

2024-09-18
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2024-09-18
HISTORICAL
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2024-09-18
HISTORICAL
F684S/S D

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

2024-09-18
HISTORICAL
F761S/S D

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.

2024-09-18
HISTORICAL
F695S/S D

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

2024-09-18
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-09-18
HISTORICAL
F686S/S D

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

2024-09-18
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-09-18
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-09-18
HISTORICAL
F732S/S C

Post nurse staffing information every day.

2024-07-11
HISTORICAL
F678S/S D

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2024-06-12
HISTORICAL
F684S/S D

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

2024-06-12
HISTORICAL
F600S/S D

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

2024-06-12
HISTORICAL
F623S/S D

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

2024-04-29
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-04-29
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-04-29
HISTORICAL
F585S/S D

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.

2023-10-23
HISTORICAL
F609S/S D

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

2023-08-07
HISTORICAL
F686S/S G

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

2023-08-07
HISTORICAL
F609S/S E

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

2023-08-07
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-08-07
HISTORICAL
F881S/S E

Implement a program that monitors antibiotic use.

2023-08-07
HISTORICAL
F610S/S E

Respond appropriately to all alleged violations.

2023-08-07
HISTORICAL
F887S/S E

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

2023-08-07
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-08-07
HISTORICAL
F756S/S E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.3

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

PARK ROSE CARE CENTER — Federal Record

CMS overall 1/5 · 18 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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Download the full federal record (PDF) →