AVAMERE REHABILITATION OF ISSAQUAH

CCN 505004 · ISSAQUAH OPERATIONS LLC · For profit - Limited Liability company · AVAMERE chain · 140 certified beds · King · WA


AVAMERE REHABILITATION OF ISSAQUAH is a 140-bed nursing home in ISSAQUAH, Washington. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 93.0 residents a day.

What harm was found in the violations cited at AVAMERE REHABILITATION OF ISSAQUAH?

CMS lists 56 health-inspection deficiencies for AVAMERE REHABILITATION OF ISSAQUAH since 2022-10-12, 46 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-03-27.

Survey dateTagDeficiencySeverity
2025-03-27F0645, F0880PASARR screening for Mental disorders or Intellectual Disabilities / Provide and implement an infection prevention and control program.E
2025-03-27F0569, F0585, F0623, F0641, F0657, F0658, F0677, F0678, F0679, F0689, F0770Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / 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 basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide timely, quality laboratory services/tests to meet the needs of residents.D
2024-02-06F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J
2024-02-06F0686, F0697Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate pain management for a resident who requires such services.G
2024-02-06F0727Have 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.F
2024-02-06F0582, F0584, F0623, F0641, F0657, F0658, F0677, F0688, F0695, F0812Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / 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 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 safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-02-06F0554, F0558, F0559, F0578, F0585, F0609, F0636, F0637, F0644, F0645, F0656, F0684, F0685, F0689, F0725, F0847, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / 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. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide and implement an infection prevention and control program.D
2023-11-09F0658, F0677Ensure 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.D
2022-10-12F0578, F0585, F0692Honor 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. / 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. / Provide enough food/fluids to maintain a resident's health.E
2022-10-12F0641, F0645, F0677, F0689, F0759, F0761, F0883Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was AVAMERE REHABILITATION OF ISSAQUAH fined?

DateTypeAmount
2024-02-06Fine$48,663

How is AVAMERE REHABILITATION OF ISSAQUAH staffed relative to the WA average?

MeasureThis facilityWA average
Total nurse staffing hours per resident per day4.082624.36934
Total nursing staff turnover (%)42.445.1
Average number of residents per day93.076.0

Who owns AVAMERE REHABILITATION OF ISSAQUAH, and what chain is it in?

AVAMERE REHABILITATION OF ISSAQUAH is registered with CMS as For profit - Limited Liability company, operates under the legal business name ISSAQUAH OPERATIONS LLC and belongs to the AVAMERE chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTARISO LLCsince 02/01/2023
INDIRECT OWNERSHIP INTERESTARI OPERATIONS, LLC, AVAMERE GROUP LLC, KARL RICKARD MILLER JR REVOCABLE TRUST, MILLER, KARLsince 02/01/2023
5% OR GREATER SECURITY INTERESTMIDCAP FINCO LLCsince 02/01/2023
MANAGING CONTROL - GOVERNING BODYCAVALLO, GLEN, FEAKIN, CODY, FUNDERBERG, MICHELLE, GARCIA, ROBERTO, INSKEEP, TODD, KOFSTAD, MARY, REID, MISTY, STAPLES, CAROLYN, STRUNK, COLBY, VANDERZANDEN, CARRIEsince 02/01/2026
OPERATIONAL/MANAGERIAL CONTROLAVAMERE HEALTH SERVICES LLC, AVAMERE SKILLED ADVISORS LLC, MIDCAP FINCO LLC, FANUNAL, LORIEL, FEAKIN, CODY, FELIU VARGAS, JOSE, FISHER, TONYA, FOWLER, KATHERINE, GARCIA, ROBERTO, HOBBS, SAMANTHA, KOFSTAD, MARY, MOKASHI, SAMIKSHA, NESTERENKO, OKSANA, PRESLEY, YOLANDA, REID, MISTYsince 01/02/2023
ADP OF THE SNFAVAMERE HEALTH SERVICES LLC, AVAMERE SKILLED ADVISORS LLC, CONSOLIDATED BILLING SERVICES INC, INCOVATE SOLUTIONS, LLC, MOSS ADAMS LLP, PACIFIC MEDICAL SPECIALTY GROUP, RANDE HOLDINGS, LLC, SABRA HEALTH CARE LIMITED PARTNERSHIP, SABRA HEALTH CARE REIT INC, SABRA HEALTH CARE, LLC, SNAPMEDTECH,INC., FANUNAL, LORIEL, FEAKIN, CODY, FELIU VARGAS, JOSE, FOWLER, KATHERINE, FUNDERBERG, MICHELLE, GAMES, KIM, GARCIA, ROBERTO, HOBBS, SAMANTHA, HOKENSON, LAURA, INSKEEP, TODD, KOFSTAD, MARY, MOKASHI, SAMIKSHA, NESTERENKO, OKSANA, NIELSON, CHARLES, PRESLEY, YOLANDA, REID, MISTY, STAPLES, CAROLYN, STRUNK, COLBY, VANDERZANDEN, CARRIE, WEISERT, MELANIEsince 01/01/2025

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