01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-13 | 18 | 2026-04-13 | 11 |
| Cycle 2 | 2025-01-10 | 30 | 2025-01-10 | 4 |
| Cycle 3 | 2023-10-27 | 17 | 2023-10-27 | 14 |
CMS CCN 5051822026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Providence Mount St Vincent
4831 35Th Avenue Southwest · Seattle, WA 98126 · King County
Certified beds215CMS provider file
Recent citation rows94current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
94 rows in the current release
4 rows carry G–L scope/severity codes; 0 carry J–L. 22 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-13 · FIREE0034Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Correction field: Deficient, Provider has date of correction · 2026-05-212026-04-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0825Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · HEALTHF0947Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-13 · FIREK0133Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2026-05-212026-04-13 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2026-05-212026-04-13 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2026-05-212026-04-13 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-05-212026-04-13 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-05-212026-04-13 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-2103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-06-10 | Fine | $42,114 | 0 |
| 2025-01-10 | Fine | $76,615 | 0 |
| 2024-05-14 | Fine | $10,839 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PROVIDENCE HEALTH & SERVICES - WASHINGTONOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/15/2009
- PROVIDENCE ST. JOSEPH HEALTHOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2016
- BLAIR, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- BUCK, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- CRAWFORD, ISIAAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2012
- DUFAULT, KARINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- HEJNA, DIANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- HUGHES, PHYLLISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- KINGSTON, MARY BETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2022
- LYONS, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- MARKHAM, DONNAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- MURPHY, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- O'QUINN, MARVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- RIOJAS, ROGELIOIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- SORENSON, CHARLESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- SPRUNK, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- ANDERSON, DONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2017
- ELMOUCHI, DARRYLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.29per resident day
RN hours1.23per resident day
Weekend nurse hours3.82per resident day
Staff turnover51.5%CMS reported field
06 / LOCAL RECORDS
Open the Seattle ledger →Other published facilities nearby
Avamere Rehabilitation At Park West137 beds · CMS overall 2/599 citation rowsAvamere Rehabilitation Of Shoreline115 beds · CMS overall 2/5141 citation rowsBailey-Boushay House35 beds · CMS overall 3/584 citation rowsBallard Center142 beds · CMS overall 2/5172 citation rowsCaroline Kline Galland Home205 beds · CMS overall 3/566 citation rowsCascades Of St Anne47 beds · CMS overall 2/5122 citation rowsColumbia Lutheran Home116 beds · CMS overall 4/573 citation rowsFircrest Nursing Facility110 beds · CMS overall 5/588 citation rows