Grays Harbor Health & Rehabilitation Center

Name: Grays Harbor Health & Rehabilitation Center
Address: 920 ANDERSON DRIVE, Aberdeen, WA, 98520, US
Telephone: 3605325122

920 Anderson Drive, Aberdeen, WA 98520 · Grays Harbor County · 105 certified beds · avg 67 residents/day · certified since Jan 1, 1967

Part of chain: AVALON HEALTH CARE (16 facilities, chain avg rating 3.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.37

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · 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.

All citations in the current public record (26)

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
May 7, 2026	E · Potential for harm, repeated	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
May 7, 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.
May 7, 2026	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).
May 7, 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.
May 7, 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.
May 7, 2026	D · Potential for harm, one-off	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.
May 7, 2026	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.
May 7, 2026	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.
May 7, 2026	D · Potential for harm, one-off	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.
May 7, 2026	C · Minimal risk, facility-wide	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.
Mar 24, 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
Mar 24, 2026	D · Potential for harm, one-off	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
Sep 3, 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. · from a complaint
Aug 7, 2025	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
Mar 19, 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.
Mar 19, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 19, 2025	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Mar 19, 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.
Mar 19, 2025	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.
Mar 19, 2025	D · Potential for harm, one-off	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint
Feb 23, 2024	D · Potential for harm, one-off	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.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint
Aug 29, 2023	D · Potential for harm, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint
Aug 15, 2023	D · Potential for 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

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 10).

Year	Citations	Worst severity that year
2023	2	D
2024	4	D
2025	8	D
2026	12	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)

No fines or payment denials in the published 3-year window.

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)	4.37	4.24	3.95	top 28% in Washington; top 27% in the U.S.
Registered Nurse hours	0.44	0.91	0.69	bottom 1% in Washington; bottom 29% in the U.S.
Weekend total nurse staffing	3.96	3.69	3.50	top 23% in Washington; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.67	0.48	bottom 1% in Washington; bottom 18% in the U.S.
Total nursing staff turnover (%)	44.6	45.1	45.8	bottom 46% in Washington; top 49% in the U.S.
RN turnover (%)	33.3	45.4	42.9	top 26% in Washington; top 33% 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 4.17, RN 0.42, weekend 3.77. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Avalon Care LLC	Organization	5% or Greater Indirect Ownership Interest	100%	08/26/2003
920 Anderson Drive, L.L.C.	Organization	ADP of the SNF	NOT APPLICABLE	11/30/2024
Avalon Health Care INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2003
Avalon Health Care INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2003
Avalon Health Care Management INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2003
Avalon Health Care Management INC	Organization	ADP of the SNF	NOT APPLICABLE	04/07/2025
Chheda, Neel	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2023
Chheda, Neel	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2023
Clevenger, Keli	Individual	Operational/Managerial Control	NOT APPLICABLE	03/12/2023
Clevenger, Keli	Individual	ADP of the SNF	NOT APPLICABLE	03/12/2023
Dangerfield, David	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/05/2007
Dangerfield, David	Individual	Corporate Director	NOT APPLICABLE	04/05/2007
Harris, Bradford	Individual	Corporate Officer	NOT APPLICABLE	03/16/2026
Harris, Bradford	Individual	Operational/Managerial Control	NOT APPLICABLE	03/16/2026
Harris, Bradford	Individual	ADP of the SNF	NOT APPLICABLE	03/16/2026
Hash, Alan	Individual	Corporate Officer	NOT APPLICABLE	08/15/2017
Hash, Alan	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2017
Hash, Alan	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2017
Kirton, Byron	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/27/2024
Kirton, Byron	Individual	Corporate Director	NOT APPLICABLE	08/27/2024

Questions to ask on your visit

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

"Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
"How do you explain health changes and treatment options to residents and their families?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"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
Pacific Care and Rehabilitation	0.5 mi	Hoquiam, WA	★★★★★	5/5
Montesano Health-Rehab Center	12.3 mi	Montesano, WA		—/5

Compare this facility with the 2 closest →

All facilities in Aberdeen →

Facility data as of CMS processing date 2026-08-01. CCN 505016.

The Care File

Visit checklist — Grays Harbor Health & Rehabilitation Center

920 Anderson Drive, Aberdeen, WA 98520 · 3605325122

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "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 505016 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)