Cedar River Healthcare Center
17420 106th Pl SE, Renton, WA 98055 · King County · 60 certified beds · avg 55 residents/day · certified since Apr 25, 2019
Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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)
▲ Immediate jeopardy, facility-wide · Aug 13, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Sep 13, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 13, 2024 · F-0550 · triggered by a complaint
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Why it matters: Being treated without dignity harms a resident's self-worth, mental health, and overall quality of life.
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 13, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (31)
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 |
|---|---|---|
| Jun 25, 2026 | 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. · from a complaint |
| Apr 20, 2026 | E · Potential for harm, repeated | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint |
| Apr 21, 2025 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Apr 21, 2025 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 21, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 21, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Apr 21, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 21, 2025 | 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. |
| Apr 21, 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. |
| Apr 21, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 21, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 21, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 21, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 21, 2025 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. |
| Aug 13, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Aug 13, 2024 | ▲ G · Actual harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 13, 2024 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Aug 13, 2024 | E · Potential for harm, repeated | 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 |
| Aug 13, 2024 | E · Potential for harm, repeated | 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 |
| Aug 13, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Mar 22, 2024 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 22, 2024 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Mar 22, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 22, 2024 | 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. |
| Feb 24, 2023 | 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. |
| Feb 24, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Feb 24, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (8 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 14 | 2 | L ▲ |
| 2025 | 12 | 0 | F |
| 2026 | 2 | 0 | E |
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 $74,815.
| Date | Type | Amount / length |
|---|---|---|
| Aug 13, 2024 | Fine | $74,815 |
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) | 4.84 | 4.24 | 3.95 | top 12% in Washington; top 16% in the U.S. |
| Registered Nurse hours | 1.06 | 0.91 | 0.69 | top 24% in Washington; top 13% in the U.S. |
| Weekend total nurse staffing | 4.02 | 3.69 | 3.50 | top 20% in Washington; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.62 | 0.67 | 0.48 | bottom 46% in Washington; top 22% in the U.S. |
| Total nursing staff turnover (%) | 39.3 | 45.1 | 45.8 | top 35% in Washington; top 35% in the U.S. |
| RN turnover (%) | 38.5 | 45.4 | 42.9 | top 39% in Washington; top 44% in the U.S. |
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 5.18, RN 1.13, weekend 4.30. Staffing rating: 5/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Apt, Frederick | Individual | Corporate Officer | NOT APPLICABLE | 01/10/2025 |
| Branch Banking & Trust Company | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/10/2025 |
| Brucell, Zoee | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/07/2025 |
| Brucell, Zoee | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/07/2025 |
| Brucell, Zoee | Individual | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| James, Beth | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/10/2025 |
| Jergensen, Joshua | Individual | Corporate Officer | NOT APPLICABLE | 01/10/2025 |
| Malone, Tyrone | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/10/2025 |
| Mercado, Neriza | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/10/2025 |
| Mercado, Neriza | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/10/2025 |
| Mercado, Neriza | Individual | ADP of the SNF | NOT APPLICABLE | 01/10/2025 |
| Mitchell, John | Individual | Corporate Officer | NOT APPLICABLE | 01/10/2025 |
| Providence Administrative Consulting Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/22/2025 |
| Rosal, Patrick | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/10/2025 |
| Sichel, Terra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/10/2025 |
| Truist Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/10/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 |
|---|---|---|---|---|---|
| Valley View Skilled Nursing and Rehabilitation | 0.7 mi | Renton, WA | ★★★☆☆ | 3/5 | |
| Renton Health & Rehabilitation | 2.6 mi | Renton, WA | ★★☆☆☆ | 2/5 | |
| Benson Heights Rehabilitation Center | 3.1 mi | Kent, WA | ★★★☆☆ | 2/5 | |
| Puget Sound Transitional Care | 5.7 mi | Des Moines, WA | ★★☆☆☆ | 2/5 | |
| Wesley Homes Des Moines Health Center | 6.2 mi | Des Moines, WA | ★★★★★ | 4/5 | |
| Judson Park Health Center | 6.9 mi | Des Moines, WA | ★★★★★ | 3/5 | |
| Caroline Kline Galland Home | 6.9 mi | Seattle, WA | ★★★☆☆ | 2/5 | |
| Avamere Rehabilitation of Burien | 7.5 mi | Burien, WA | ★★☆☆☆ | 2/5 | |
| North Auburn Care | 8.0 mi | Auburn, WA | ★★☆☆☆ | 1/5 | |
| Kin on Health Care Center | 8.3 mi | Seattle, WA | ★★☆☆☆ | 2/5 | |
| Briarwood at Timber Ridge | 8.4 mi | Issaquah, WA | ★★★★★ | 4/5 | |
| Lea Hill Rehabilitation and Care Center | 9.1 mi | Auburn, WA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 505532.