COLUMBIA LUTHERAN HOME
COLUMBIA LUTHERAN HOME, in SEATTLE, Washington, holds 116 certified beds and has been certified for Medicare and Medicaid since 1992-03-01, averaging 69.4 residents a day.
Has COLUMBIA LUTHERAN HOME been cited for violations?
CMS lists 46 health-inspection deficiencies for COLUMBIA LUTHERAN HOME since 2022-11-03, 40 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-02-06.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-06 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2025-03-20 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-03-20 | F0585, F0645, F0880 | 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide and implement an infection prevention and control program. | E |
| 2025-03-20 | F0554, F0641, F0656, F0657, F0658, F0695, F0801, F0803, F0887 | Allow residents to self-administer drugs if determined clinically appropriate. / Ensure each resident receives an accurate assessment. / 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 safe and appropriate respiratory care for a resident when needed. / 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. / 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. | D |
| 2024-02-28 | F0732, F0812 | Post nurse staffing information every day. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-02-28 | F0761 | 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. | E |
| 2024-02-28 | F0550, F0552, F0578, F0584, F0609, F0610, F0623, F0625, F0640, F0641, F0655, F0656, F0657, F0658, F0677, F0695, F0700, F0880, F0883, F0909 | Honor 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. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / 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. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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 safe and appropriate respiratory care for a resident when needed. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D |
| 2023-11-07 | F0582, F0609, F0610 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2022-11-03 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2022-11-03 | F0550, F0554, F0688, F0761, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
How is COLUMBIA LUTHERAN HOME staffed?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.33131 | 4.36934 |
| Total nursing staff turnover (%) | 41.0 | 45.1 |
| Average number of residents per day | 69.4 | 76.0 |
Who owns COLUMBIA LUTHERAN HOME?
COLUMBIA LUTHERAN HOME is registered with CMS as Non profit - Corporation, operates under the legal business name COLUMBIA LUTHERAN MINISTRIES.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | ALABACH, CAROLINE, MAHLER, KEITH, MCGINNESS, CHARLOTTE, RAMSEY, DEBORAH, SEARS, CINDY, SMITH, JANET | since 01/28/2016 |
| CORPORATE OFFICER | HEYER, DAVID | since 08/31/2015 |
| OPERATIONAL/MANAGERIAL CONTROL | HEYER, DAVID | since 08/31/2015 |
Were you or a family member harmed at COLUMBIA LUTHERAN HOME?