AUBURN POST ACUTE

Special Focus Facility candidate · CMS abuse icon · CCN 505355 · FORT EBEY HOLDINGS LLC · For profit - Limited Liability company · 96 certified beds · King · WA


AUBURN POST ACUTE is a 96-bed nursing home in AUBURN, Washington. CMS has certified it for Medicare and Medicaid since 1989-11-01. It averages 81.6 residents a day.

What harm was found in the violations cited at AUBURN POST ACUTE?

CMS lists 125 health-inspection deficiencies for AUBURN POST ACUTE since 2022-01-12, 86 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-06.

Survey dateTagDeficiencySeverity
2026-05-06F0919Make sure that a working call system is available in each resident's bathroom and bathing area.F
2026-05-06F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-02-26F0610, F0689Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2026-02-26F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-02-26F0835, F0926, F0947Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have policies on smoking. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2026-02-26F0600, F0851Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D
2025-08-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-01-31F0584, F0623, F0625, F0657, F0803, F0842, F0880Honor 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2025-01-31F0550, F0552, F0578, F0610, F0641, F0645, F0658, F0677, F0684, F0689, F0692, F0693, F0759Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / 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. / Ensure medication error rates are not 5 percent or greater.D
2024-08-29F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-07-31F0677, F0684Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-05-02F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2024-05-02F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.F
2024-05-02F0584, F0677, F0880Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program.E
2024-02-14F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-02-14F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E
2023-11-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-09-28F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.H
2023-09-28F0693Ensure 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.G
2023-09-28F0800, F0801, F0803, F0812, F0881Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use.F
2023-09-28F0565, F0584, F0610, F0623, F0636, F0638, F0641, F0642, F0645, F0656, F0657, F0658, F0677, F0684, F0692, F0758, F0759, F0804, F0880Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Ensure a qualified health professional conducts resident assessments. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / 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. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.E
2023-09-28F0550, F0552, F0561, F0578, F0609, F0625, F0655, F0679, F0685, F0689, F0690, F0698, F0761, F0770, F0842, F0883, F0887, F0908Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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. / Keep all essential equipment working safely.D
2022-01-12F0697Provide safe, appropriate pain management for a resident who requires such services.G
2022-01-12F0561, F0578, F0582, F0623, F0625, F0636, F0641, F0644, F0645, F0657, F0658, F0677, F0685, F0688, F0692, F0693, F0695, F0698, F0727, F0758, F0842, F0880, F0943Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / 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. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E
2022-01-12F0585, F0610, F0640, F0655, F0684, F0686, F0689, F0745, F0756, F0757, F0759, F0761, F0791, F0849, F0883Honor 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. / Respond appropriately to all alleged violations. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide or obtain dental services for each resident. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was AUBURN POST ACUTE fined 5 times?

DateTypeAmount
2026-02-25Fine$66,633
2024-07-31Fine$14,505
2024-05-02Fine$95,424
2024-02-14Fine$54,922
2023-09-28Fine$145,145

How is AUBURN POST ACUTE staffed relative to the WA average?

MeasureThis facilityWA average
Total nurse staffing hours per resident per day3.658104.36934
Total nursing staff turnover (%)44.345.1
Average number of residents per day81.676.0

Who owns AUBURN POST ACUTE?

AUBURN POST ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name FORT EBEY HOLDINGS LLC.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTFOUNDATION HEALTHCARE SERVICES LLCsince 02/01/2021
INDIRECT OWNERSHIP INTERESTFROST, STEVEN, LINDAHL, JEFFREY, LINDAHL, KIRKMAN, LINDAHL, SCOTTsince 01/01/2021
CORPORATE OFFICERFROST, STEVEN, LINDAHL, JEFFREY, LINDAHL, KIRKMAN, LINDAHL, SCOTTsince 01/01/2021
OPERATIONAL/MANAGERIAL CONTROLFOUNDATION RESOURCE CENTER LLC, ANDERSON, BRANDT, DE ORO, BRIANNA, FOLTZ, PAUL, FROST, STEVEN, LINDAHL, KIRKMAN, MCCARDLE, DORANNE, MERCADO, NERIZA, STOA, INGA, VELASCO, JODY, ZWAHLEN, JAYsince 01/01/2019
ADP OF THE SNFFOUNDATION RESOURCE CENTER LLC, WA2WEST LLC, ANDERSON, BRANDT, DE ORO, BRIANNA, FOLTZ, PAUL, FROST, STEVEN, LINDAHL, DAVID, MCCARDLE, DORANNE, MERCADO, NERIZA, STOA, INGA, VELASCO, JODY, ZWAHLEN, JAYsince 01/01/2021

Were you or a family member harmed at AUBURN POST ACUTE?