Cottesmore of Life Care

Name: Cottesmore of Life Care
Address: 2909 14TH AVENUE NORTHWEST, Gig Harbor, WA, 98335, US
Telephone: 2538515433

2909 14th Avenue Northwest, Gig Harbor, WA 98335 · Pierce County · 108 certified beds · avg 103 residents/day · certified since Dec 6, 1996

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

$29,595

Fines, last 3 years

3.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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 18, 2025 · F-0760 · triggered by a complaint

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 2, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Oct 26, 2023 · F-0686 · triggered by a complaint

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.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Nov 21, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (38)

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
Feb 27, 2026	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 27, 2026	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.
Feb 27, 2026	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.
Feb 27, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 27, 2026	D · Potential for harm, one-off	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.
Feb 27, 2026	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Feb 27, 2026	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Jan 9, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 18, 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. · from a complaint
Jan 13, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 13, 2025	E · Potential for harm, repeated	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.
Jan 13, 2025	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jan 13, 2025	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.
Jan 13, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 13, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 13, 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.
Jan 13, 2025	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.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 13, 2025	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.
Jan 13, 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.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 30, 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. · from a complaint
Feb 8, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 8, 2024	E · Potential for harm, repeated	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Feb 8, 2024	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.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Feb 8, 2024	B · Minimal risk, repeated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Oct 26, 2023	▲ G · Actual 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
Aug 30, 2023	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
Aug 30, 2023	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

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (18 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	1	G ▲
2024	8	0	E
2025	19	1	G ▲
2026	8	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)

2 fines totaling $29,595.

Date	Type	Amount / length
Aug 18, 2025	Fine	$11,362
Oct 26, 2023	Fine	$18,233

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)	3.96	4.24	3.95	bottom 50% in Washington; top 41% in the U.S.
Registered Nurse hours	1.05	0.91	0.69	top 25% in Washington; top 14% in the U.S.
Weekend total nurse staffing	3.25	3.69	3.50	bottom 29% in Washington; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.62	0.67	0.48	bottom 47% in Washington; top 22% in the U.S.
Total nursing staff turnover (%)	44.3	45.1	45.8	bottom 47% in Washington; top 48% in the U.S.
RN turnover (%)	16.0	45.4	42.9	top 4% in Washington; top 9% 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 4.32, RN 1.14, weekend 3.54. Staffing rating: 4/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Developers Investment Company INC	Organization	Direct Ownership Interest	NOT APPLICABLE	02/26/1996
Preston, Forrest	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/26/1996
Butner, Nancy	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/16/2018
Butner, Nancy	Individual	Operational/Managerial Control	NOT APPLICABLE	09/16/2018
Cross, Cindy	Individual	Corporate Officer	NOT APPLICABLE	02/01/1996
Developers Investment Company INC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/26/1996
Fletcher, Todd	Individual	Operational/Managerial Control	NOT APPLICABLE	02/26/1996
Fletcher, Todd	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2000
Gig Harbor Operations, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/1996
Gig Harbor Operations, LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/31/2000
Henry, Terry	Individual	Corporate Officer	NOT APPLICABLE	08/16/1999
Lay, Lisa	Individual	Corporate Officer	NOT APPLICABLE	02/09/2018
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/1996
Life Care Centers of America, INC.	Organization	ADP of the SNF	NOT APPLICABLE	03/18/2025
Lockwood, Ryan	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/31/2023
Lockwood, Ryan	Individual	Operational/Managerial Control	NOT APPLICABLE	10/31/2023
Lockwood, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	03/18/2025
Preston, Aubrey	Individual	Operational/Managerial Control	NOT APPLICABLE	03/06/2025
Preston, Forrest	Individual	Operational/Managerial Control	NOT APPLICABLE	02/26/1996
Preston, Forrest	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2000

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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"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
Gig Harbor Health and Rehabilitation	1.4 mi	Gig Harbor, WA	★★☆☆☆	1/5	abuse
Eliseo	2.4 mi	Tacoma, WA	★★★☆☆	2/5
Avamere Transitional Care of Puget Sound	2.8 mi	Tacoma, WA	★★★★☆	3/5
Park Rose Care Center	4.4 mi	Tacoma, WA	★★☆☆☆	2/5
Heron's Key	5.4 mi	Gig Harbor, WA	★★★★★	5/5
Agility Health and Rehabilitation	5.5 mi	University Place, WA	★★★☆☆	3/5
Orchard Park Health Care & Rehab Center	5.6 mi	Tacoma, WA	★☆☆☆☆	1/5	abuse
Birch Creek Post Acute & Rehabilitation	6.1 mi	Tacoma, WA	★☆☆☆☆	1/5
Avamere at Pacific Ridge	7.3 mi	Tacoma, WA	★★☆☆☆	2/5
Alaska Gardens Health and Rehabilitation	7.5 mi	Tacoma, WA	★☆☆☆☆	1/5
Avalon Healthcare - Tacoma	8.9 mi	Tacoma, WA	★★☆☆☆	2/5
The Oaks at Lakewood	9.5 mi	Tacoma, WA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Gig Harbor →

Facility data as of CMS processing date 2026-08-01. CCN 505499.

The Care File

Visit checklist — Cottesmore of Life Care

2909 14th Avenue Northwest, Gig Harbor, WA 98335 · 2538515433

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $29,595

Most serious findings on record:

▲ Aug 18, 2025 (F-0760, 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.
▲ Oct 26, 2023 (F-0686, Actual 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.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 505499 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)