LINDEN GROVE HEALTH CARE CENTER
LINDEN GROVE HEALTH CARE CENTER is a 130-bed nursing home in PUYALLUP, Washington. CMS has certified it for Medicare and Medicaid since 1993-08-04. It averages 108.2 residents a day.
What harm was found in the violations cited at LINDEN GROVE HEALTH CARE CENTER?
CMS lists 103 health-inspection deficiencies for LINDEN GROVE HEALTH CARE CENTER, all 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 2026-06-17.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-17 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2026-05-21 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E |
| 2026-05-21 | F0600, F0684 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2026-04-14 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2026-01-14 | F0725, F0730, F0804, F0850 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Hire a qualified full-time social worker in a facility with more than 120 beds. | F |
| 2026-01-14 | F0554, F0628, F0641, F0657, F0677, F0695, F0757, F0812, F0880, F0883 | Allow residents to self-administer drugs if determined clinically appropriate. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. | E |
| 2026-01-14 | F0552, F0558, F0582, F0584, F0604, F0605, F0607, F0609, F0656, F0658, F0684, F0689, F0692, F0693, F0697, F0759, F0761, F0887 | Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Give 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / 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. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / 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 |
| 2025-10-09 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-08-20 | F0760 | Ensure that residents are free from significant medication errors. | J |
| 2025-05-22 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-01-29 | F0552, F0604, F0609, F0686, F0727, F0757, F0865 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Have a plan that describes the process for conducting QAPI and QAA activities. | E |
| 2025-01-29 | F0578, F0584, F0600, F0623, F0625, F0641, F0645, F0656, F0657, F0658, F0684, F0689, F0692, F0695, F0697, F0756, F0758 | 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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. / Ensure each resident receives an accurate assessment. / 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 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management 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 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. | D |
| 2025-01-23 | 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 |
| 2025-01-23 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-12-05 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D |
| 2024-05-30 | F0727 | 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. | F |
| 2024-01-26 | F0688 | 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. | G |
| 2024-01-26 | F0725, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | F |
| 2024-01-26 | F0657, F0677, F0684, F0757, F0758, F0812, F0850 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Hire a qualified full-time social worker in a facility with more than 120 beds. | E |
| 2024-01-26 | F0552, F0565, F0578, F0584, F0610, F0623, F0645, F0689, F0698, F0761, F0790, F0791, F0849, F0883 | Ensure 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. / 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. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 routine and 24-hour emergency dental care for each resident. / 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 |
| 2023-12-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-12-06 | F0625 | 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. | E |
| 2023-10-17 | F0660, F0684 | Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-10-02 | F0727, F0851, F0895 | 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. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Have a Compliance and Ethics Program. | F |
| 2023-10-02 | F0656, F0661 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |
| 2023-08-22 | F0657, F0689 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
Why was LINDEN GROVE HEALTH CARE CENTER fined 6 times?
| Date | Type | Amount |
|---|---|---|
| 2025-10-09 | Fine | $23,273 |
| 2025-08-20 | Fine | $16,149 |
| 2025-05-22 | Fine | $16,624 |
| 2025-01-23 | Fine | $24,502 |
| 2024-01-26 | Fine | $80,012 |
| 2023-12-06 | Fine | $20,086 |
How is LINDEN GROVE HEALTH CARE CENTER staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.63727 | 4.36934 |
| Total nursing staff turnover (%) | 60.2 | 45.1 |
| Average number of residents per day | 108.2 | 76.0 |
Who owns LINDEN GROVE HEALTH CARE CENTER, and what chain is it in?
LINDEN GROVE HEALTH CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name 400 29TH STREET NORTHEAST OPERATIONS LLC and belongs to the GENESIS HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BQ OPERATIONS HOLDINGS LLC | since 02/03/2020 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BOLD QUAIL HOLDINGS LLC, NEWGEN LLC, ROBIN, AARON, TRESS, AVROHOM | since 02/03/2020 |
| INDIRECT OWNERSHIP INTEREST | 9560 PICO LLC, PICO AR LLC | since 04/20/2026 |
| MANAGING CONTROL - GOVERNING BODY | ROBIN, AARON, TRESS, AVROHOM | since 11/03/2025 |
| CORPORATE OFFICER | BERG, MICHAEL, ROBIN, AARON, TRESS, AVROHOM | since 02/03/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | BERG, MICHAEL, CALRSON, PAM, CHHEDA, NEEL, ROBIN, AARON, ROWE, ROBERT, TRESS, AVROHOM | since 02/01/2020 |
| ADP OF THE SNF | 400 29TH STREET NORTHEAST PROPERTY LLC, 9560 PICO LLC, BQ MASTER TENANT LLC, BQ REALTY HOLDINGS LLC, NEWGEN ADMINISTRATIVE SERVICES, LLC, NEWGEN LLC, PICO AR LLC, CALRSON, PAM, CHHEDA, NEEL, ROBIN, AARON, ROWE, ROBERT, TRESS, AVROHOM | since 02/01/2020 |
Were you or a family member harmed at LINDEN GROVE HEALTH CARE CENTER?