Life Care Center of Port Orchard

Name: Life Care Center of Port Orchard
Address: 2031 POTTERY AVENUE, Port Orchard, WA, 98366, US
Telephone: 3608768035

2031 Pottery Avenue, Port Orchard, WA 98366 · Kitsap County · 125 certified beds · avg 86 residents/day · certified since Aug 1, 1979

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.70

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: 5/5

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 (34)

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 2, 2026	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. · from a complaint
Apr 10, 2026	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.
Apr 10, 2026	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 10, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Apr 10, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Apr 10, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 10, 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.
Apr 10, 2026	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 10, 2026	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.
Apr 10, 2026	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 10, 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.
Apr 10, 2026	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Apr 10, 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.
Apr 10, 2026	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.
Apr 10, 2026	D · Potential for harm, one-off	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.
Apr 10, 2026	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.
Mar 26, 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. · from a complaint
Feb 28, 2025	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 28, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 28, 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.
Feb 28, 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.
Feb 28, 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.
Feb 28, 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.
Feb 28, 2025	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.
Feb 28, 2025	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.
Jun 18, 2024	D · Potential for harm, one-off	The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · from a complaint
Apr 23, 2024	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. · from a complaint
Dec 11, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Dec 11, 2023	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.
Dec 11, 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.
Dec 11, 2023	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.
Dec 11, 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.
Dec 11, 2023	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.
Dec 11, 2023	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 15).

Year	Citations	Worst severity that year
2023	7	E
2024	2	D
2025	9	E
2026	16	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)	3.70	4.24	3.95	bottom 26% in Washington; bottom 47% in the U.S.
Registered Nurse hours	1.01	0.91	0.69	top 27% in Washington; top 15% in the U.S.
Weekend total nurse staffing	3.06	3.69	3.50	bottom 15% in Washington; bottom 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.61	0.67	0.48	bottom 45% in Washington; top 22% in the U.S.
Total nursing staff turnover (%)	39.8	45.1	45.8	top 36% in Washington; top 36% in the U.S.
RN turnover (%)	25.0	45.4	42.9	top 13% in Washington; top 20% 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 3.84, RN 1.05, weekend 3.17. 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 - Corporation

Owner / manager	Type	Role	Stake	Since
Developers Investment Company INC	Organization	Direct Ownership Interest	NOT APPLICABLE	09/19/2008
Fletcher, Todd	Individual	Direct Ownership Interest	NOT APPLICABLE	09/19/2008
Preston, Forrest	Individual	Direct Ownership Interest	NOT APPLICABLE	09/19/2008
Preston, Forrest	Individual	Indirect Ownership Interest	NOT APPLICABLE	09/19/2008
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	10/30/2008
Developers Investment Company INC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/19/2008
Fletcher, Todd	Individual	Operational/Managerial Control	NOT APPLICABLE	09/19/2008
Fletcher, Todd	Individual	ADP of the SNF	NOT APPLICABLE	10/15/2004
Goodin, Sarah	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/08/2020
Goodin, Sarah	Individual	Operational/Managerial Control	NOT APPLICABLE	09/08/2020
Henry, Terry	Individual	Corporate Officer	NOT APPLICABLE	10/30/2008
Lay, Lisa	Individual	Corporate Director	NOT APPLICABLE	04/24/2017
Lay, Lisa	Individual	Corporate Officer	NOT APPLICABLE	02/09/2018
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	10/30/2008
Life Care Centers of America, INC.	Organization	ADP of the SNF	NOT APPLICABLE	02/27/2025
Miller, Jacob	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/03/2021
Miller, Jacob	Individual	Operational/Managerial Control	NOT APPLICABLE	05/03/2021
Miller, Jacob	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2025

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"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
Avamere Rehabilitation at Ridgemont	0.0 mi	Port Orchard, WA	★★★★☆	4/5
Washington Veteran Home-Retsil	2.7 mi	Pt Orchard, WA	★★★★☆	3/5
Port Washington Post Acute	3.2 mi	Bremerton, WA	★☆☆☆☆	1/5
Belmont Terrace	4.6 mi	Bremerton, WA	★★★☆☆	2/5
Bremerton Trails Post Acute	4.7 mi	Bremerton, WA	★☆☆☆☆	1/5	SFF
Bainbridge Island Health & Rehab Center	9.9 mi	Bainbridge Island, WA	★★★★★	5/5
Northwoods Lodge	10.9 mi	Silverdale, WA	★★★★★	4/5
Heron's Key	11.3 mi	Gig Harbor, WA	★★★★★	5/5
Providence Mount St Vincent	12.9 mi	Seattle, WA	★★★☆☆	2/5
Avamere Rehabilitation at Park West	13.1 mi	Seattle, WA	★★☆☆☆	2/5
Avamere Rehabilitation of Burien	14.2 mi	Burien, WA	★★☆☆☆	2/5
Martha and Mary Health Service	15.2 mi	Poulsbo, WA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Port Orchard →

Facility data as of CMS processing date 2026-08-01. CCN 505210.

The Care File

Visit checklist — Life Care Center of Port Orchard

2031 Pottery Avenue, Port Orchard, WA 98366 · 3608768035

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

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "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?"

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 505210 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)