Bridges to Home
18904 Burke Ave N, Shoreline, WA 98133 · King County · 12 certified beds · avg 6 residents/day · certified since Aug 30, 2024
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 4, 2025 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 18, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint |
| Aug 4, 2025 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 4, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 4, 2025 | E · Potential for harm, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Aug 4, 2025 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Aug 4, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 4, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 4, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 4, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Aug 4, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 4, 2025 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 10 | 1 | G ▲ |
| 2026 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,278, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| Aug 18, 2025 | Payment Denial | 21 days from Nov 18, 2025 |
| Aug 4, 2025 | Fine | $8,278 |
| Aug 4, 2025 | Payment Denial | 3 days from Nov 4, 2025 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Washington avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 0.00 | 4.24 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.91 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.69 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.67 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 45.1 | 45.8 | — |
| RN turnover (%) | 0.0 | 45.4 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: —/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Freeborn, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 01/01/1991 |
| Grady, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2011 |
| Henson, Jefferson | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/15/2022 |
| Maaz, Ken | Individual | Corporate Officer | NOT APPLICABLE | 09/11/2024 |
| Maaz, Ken | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/12/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you explain health changes and treatment options to residents and their families?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Richmond Beach Rehab | 1.9 mi | Shoreline, WA | ★★★★☆ | 3/5 | |
| Fircrest Nursing Facility | 2.3 mi | Seattle, WA | ★★★★★ | 4/5 | |
| Avamere Rehabilitation of Shoreline | 2.6 mi | Seattle, WA | ★★☆☆☆ | 1/5 | |
| Edmonds Post Acute | 2.7 mi | Edmonds, WA | ★☆☆☆☆ | 1/5 | |
| Pine Ridge Post Acute | 2.9 mi | Edmonds, WA | ★★★★☆ | 3/5 | |
| Shoreline Health and Rehabilitation | 2.9 mi | Seattle, WA | ★★★★★ | 4/5 | |
| The Broadview Center | 3.1 mi | Seattle, WA | ★★☆☆☆ | 1/5 | |
| Lynnwood Post Acute Rehabilitation Center | 4.5 mi | Lynnwood, WA | ★★★★☆ | 3/5 | |
| Cascades of St Anne | 4.6 mi | Seattle, WA | ★★☆☆☆ | 2/5 | |
| Ballard Center | 4.9 mi | Seattle, WA | ★★☆☆☆ | 2/5 | |
| Bothell Health Care | 5.0 mi | Bothell, WA | ★★☆☆☆ | 2/5 | |
| Alderwood Post Acute & Rehabilitation | 5.1 mi | Lynnwood, WA | ★★☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 505535.