GIG HARBOR HEALTH AND REHABILITATION

CMS abuse icon · Pierce · WA · For profit - Limited Liability company · HILL VALLEY HEALTHCARE chain · 120 certified beds · CCN 505436 · GIG HARBOR SNF OPERATIONS LLC


GIG HARBOR HEALTH AND REHABILITATION operates 120 certified beds in GIG HARBOR, Washington. Its Medicare and Medicaid certification dates to 1992-01-01. It averages 95.7 residents a day.

What harm was found in the violations cited at GIG HARBOR HEALTH AND REHABILITATION?

CMS lists 118 health-inspection deficiencies for GIG HARBOR HEALTH AND REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-06-18.

Survey dateTagDeficiencySeverity
2026-06-18F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2026-06-05F0760Ensure that residents are free from significant medication errors.G
2026-04-22F0600, F0842Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-03-26F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2026-02-11F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-12-09F0865Have a plan that describes the process for conducting QAPI and QAA activities.F
2025-12-09F0552, F0565, F0641, F0655, F0657, F0684, F0692, F0812, F0880, F0883, F0887, F0908, F0921Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to organize and participate in resident/family groups in the facility. / 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-12-09F0558, F0561, F0578, F0610, F0645, F0656, F0658, F0675, F0676, F0685, F0689, F0742, F0745, F0755, F0757, F0761, F0791Reasonably accommodate the needs and preferences of each resident. / 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. / Respond appropriately to all alleged violations. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Honor each resident's preferences, choices, values and beliefs. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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 the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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.D
2025-08-27F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2025-08-27F0675Honor each resident's preferences, choices, values and beliefs.D
2025-06-25F0880Provide and implement an infection prevention and control program.D
2025-06-05F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2025-05-13F0760Ensure that residents are free from significant medication errors.D
2025-04-24F0610Respond appropriately to all alleged violations.D
2025-04-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-01-30F0697Provide safe, appropriate pain management for a resident who requires such services.D
2025-01-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-12-11F0880Provide and implement an infection prevention and control program.H
2024-12-11F0865Have a plan that describes the process for conducting QAPI and QAA activities.F
2024-12-11F0585, F0623, F0645, F0657, F0688, F0698, F0757, F0759, F0761, F0847, F0881Honor 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. / 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. / 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, appropriate dialysis care/services for a resident who requires such services. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Implement a program that monitors antibiotic use.E
2024-12-11F0552, F0600, F0609, F0610, F0641, F0656, F0677, F0684, F0685, F0690, F0692, F0695, F0745, F0758, F0812Ensure that residents are fully informed and understand their health status, care and treatments. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / 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. / Assist a resident in gaining access to vision and hearing services. / 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 enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2024-12-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-07-17F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-04-30F0658Ensure services provided by the nursing facility meet professional standards of quality.E
2024-04-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-02-28F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2024-02-28F0800, F0801, F0802, F0804, F0806, F0812, F0880, F0882, F0908Provide 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Keep all essential equipment working safely.F
2024-02-28F0552, F0578, F0609, F0655, F0657, F0757, F0758, F0883, F0887, F0921Ensure 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2024-02-28F0585, F0610, F0644, F0645, F0660, F0677, F0685, F0686, F0689, F0690, F0692, F0695, F0697, F0698, F0756, F0881Honor 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. / 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 / Plan the resident's discharge to meet the resident's goals and needs. / 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 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement a program that monitors antibiotic use.D
2024-02-28F0732Post nurse staffing information every day.C
2023-08-21F0584, F0770Honor 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, quality laboratory services/tests to meet the needs of residents.E

Why was GIG HARBOR HEALTH AND REHABILITATION fined 2 times?

DateTypeAmount
2025-06-05Fine$12,438
2024-02-28Fine$115,343

Has GIG HARBOR HEALTH AND REHABILITATION had payment denied by Medicare more than once?

Payment denial startLength in days
2025-01-1141
2024-04-1127

How is GIG HARBOR HEALTH AND REHABILITATION staffed relative to the WA average?

MeasureThis facilityWA average
Total nurse staffing hours per resident per day3.937244.36934
Total nursing staff turnover (%)67.945.1
Average number of residents per day95.776.0

Who owns GIG HARBOR HEALTH AND REHABILITATION, and what chain is it in?

GIG HARBOR HEALTH AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name GIG HARBOR SNF OPERATIONS LLC and belongs to the HILL VALLEY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTWASH 6 SNF OPERATIONS HOLDINGS LLCsince 02/08/2023
CORPORATE OFFICERIDELS, SHIMON, SCHWARTZ, STEVENsince 04/01/2023
OPERATIONAL/MANAGERIAL CONTROLGIG HARBOR SNF OPERATIONS MANAGER LLC, IDELS, SHIMON, SCHWARTZ, STEVENsince 04/01/2023

Were you or a family member harmed at GIG HARBOR HEALTH AND REHABILITATION?