Emerald Care

209 North Ahtanum Avenue, Wapato, WA 98951 (opens Google Maps) · Yakima County · (509) 877-3175· 82 certified beds · avg 74 residents/day · certified since Jun 1, 1982 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

3/5

Health inspection rating (on-site)

inspected Jan 30, 2026

Serious findings on record

most recent Mar 24, 2026

$8,278

Fines, last 3 years

3.77

Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Mar 24, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 13, 2026 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.

Mar 24, 2026G · Actual harm, isolated
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 F-0689
Jan 30, 2026F · Potential for more than minimal harm, widespread
The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. F-0801
Jan 30, 2026F · Potential for more than minimal harm, widespread
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. F-0812

View all 23 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Mar 24, 2026	▲ G · Actual harm, isolated	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 · F-0689
Jan 30, 2026	F · Potential for more than minimal harm, widespread	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Jan 30, 2026	F · Potential for more than minimal harm, widespread	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. · F-0812
Jan 30, 2026	E · Potential for more than minimal harm, pattern	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. · from a complaint · F-0607
Jan 30, 2026	E · Potential for more than minimal harm, pattern	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 · F-0609
Jan 30, 2026	E · Potential for more than minimal harm, pattern	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 · F-0610
Jan 30, 2026	E · Potential for more than minimal harm, pattern	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. · F-0646
Jan 30, 2026	E · Potential for more than minimal harm, pattern	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Jan 30, 2026	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Jan 30, 2026	D · Potential for more than minimal harm, isolated	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. · F-0645
Jan 30, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jan 30, 2026	D · Potential for more than minimal harm, isolated	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. · F-0688
Jan 30, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jan 30, 2026	D · Potential for more than minimal harm, isolated	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. · F-0880
Feb 4, 2025	F · Potential for more than minimal harm, widespread	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. · F-0812
Feb 4, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Feb 4, 2025	D · Potential for more than minimal harm, isolated	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. · F-0761
Feb 4, 2025	D · Potential for more than minimal harm, isolated	The facility employed staff who were not licensed, certified, or registered as required by state law. · F-0839
Feb 4, 2025	D · Potential for more than minimal harm, isolated	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. · F-0880
Sep 11, 2024	E · Potential for more than minimal harm, pattern	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 · F-0610
Mar 5, 2024	E · Potential for more than minimal harm, pattern	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. · F-0880
Mar 5, 2024	D · Potential for more than minimal harm, isolated	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. · F-0657
Mar 5, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 13).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2024	4	0	E
2025	5	0	F
2026	14	1	G ▲

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)

How to file a complaint about care →

1 fine totaling $8,278.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Mar 24, 2026	Fine	$8,278

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityWashington averageU.S. average

Total nurse staffing (hours per resident per day)

3.77

4.24

3.95

Registered Nurse hours

0.76

0.91

0.69

Weekend total nurse staffing

3.02

3.69

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Washington avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.77	4.24	3.95	bottom 33% in Washington; top 50% in the U.S.
Registered Nurse hours	0.76	0.91	0.69	bottom 36% in Washington; top 31% in the U.S.
Weekend total nurse staffing	3.02	3.69	3.50	bottom 12% in Washington; bottom 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.67	0.48	bottom 33% in Washington; top 30% in the U.S.
Total nursing staff turnover (%)	46.3	45.1	45.8	bottom 43% in Washington; bottom 46% in the U.S.
RN turnover (%)	55.6	45.4	42.9	bottom 30% in Washington; bottom 28% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.98, RN 0.80, weekend 3.19.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.98 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Emerald Care. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bonus, Michelle	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Bonus, Michelle	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Emmans, Paul	Individual	Operational/Managerial Control	NOT APPLICABLE	02/04/2014
Emmans, Paul	Individual	ADP of the SNF	NOT APPLICABLE	09/03/2013
Hoon, Kelly	Individual	Corporate Director	NOT APPLICABLE	05/18/2019
Hoon, Kelly	Individual	Operational/Managerial Control	NOT APPLICABLE	05/18/2018
Hoon, Michael	Individual	Corporate Director	NOT APPLICABLE	05/21/2025
Pascua, Reynaldo	Individual	Corporate Director	NOT APPLICABLE	12/10/2003

All 8 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"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?"
"How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Washington midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 46% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Linden Post Acute	7.4 mi	Toppenish, WA	★★★★☆	4/5
Parkside Care	7.6 mi	Union Gap, WA	★☆☆☆☆	1/5
Garden Village	11.1 mi	Yakima, WA	★★☆☆☆	2/5
Good Samaritan Health Care Ctr	12.1 mi	Yakima, WA	★★★★★	5/5
Summitview Rehab and Health Center	12.2 mi	Yakima, WA	★★★★★	4/5
Crescent Health Care	12.5 mi	Yakima, WA	★★☆☆☆	2/5
Landmark Care and Rehabilitation	12.7 mi	Yakima, WA	★☆☆☆☆	1/5
Willow Springs Care and Rehabilitation	13.2 mi	Yakima, WA	★★★★☆	4/5
Yakima Valley School	15.5 mi	Selah, WA	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Yakima, WA — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Sunnyside Healthcare Center — Sunnyside, WA · overall 3/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Wapato →

Facility data as of CMS processing date 2026-08-01. CCN 505265.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Emerald Care

209 North Ahtanum Avenue, Wapato, WA 98951 · (509) 877-3175

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $8,278

Most serious findings on record:

▲ Mar 24, 2026 (F-0689, Actual harm, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "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?"
☐ "How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "Your weekend nurse staffing is reported below the Washington midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 46% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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 505265 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)