Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Park Shore during CMS and state inspections, most recent first.
The facility failed to properly administer and document routine and as-needed medications for several residents, including not accurately accounting for or timely discarding controlled drugs. An LPN documented a medication as given before administration, and two residents received controlled medications without proper logbook documentation. Discrepancies were found between actual and recorded amounts of controlled substances, and discontinued medications were not destroyed as required.
The facility did not conduct thorough investigations into medication errors involving three residents, failing to interview other residents assigned to the involved RNs or document whether abuse or neglect was ruled out, despite policy and regulatory requirements. The incidents included missed or incorrect doses of pain medications for residents with severe cognitive impairment and one with intact cognition, with incomplete documentation and investigation steps.
The facility failed to properly label, date, and discard food items in two refrigerators and one freezer, risking foodborne illness. Unlabeled hollandaise sauce, expired coleslaw dressing, butter, heavy whipping cream, cheese, and inaccurately dated diced carrots were found. The Health Services Administrator expected adherence to food safety policies.
The facility failed to maintain an effective pest control program, leading to fruit flies in the kitchen. Observations revealed flies in dishwashing, hand wash, and fridge areas. A trash can was overflowing, and another was unclean, with flies on nearby walls and utensils. The Executive Chef and other staff acknowledged the issue as unacceptable.
The facility failed to properly disinfect glucometers, adhere to insulin administration protocols, and implement Enhanced Barrier Precautions for residents. Staff used alcohol wipes instead of EPA-registered disinfectants, did not clean insulin pen seals, and neglected hand hygiene and glove use. Additionally, gowns were not worn during high-contact care, increasing infection risk.
A facility failed to accurately assess a resident's anxiety diagnosis in the MDS. Despite having a physician's order for an antidepressant for anxiety and pain, the resident's quarterly MDS did not reflect anxiety in the diagnoses section. Facility staff confirmed the oversight, acknowledging the expectation for accurate MDS assessments.
The facility failed to complete PASARR forms accurately for three residents, leading to potential risks in their care. A resident's PASARR form omitted an anxiety diagnosis, preventing a necessary Level II evaluation. Another resident's form was incomplete, and a third resident's form contained conflicting information about SMI. Staff acknowledged these oversights, highlighting a lack of proper review and adherence to guidelines.
The facility failed to implement comprehensive care plans for three residents, leading to unmet care needs. A resident with severe cognitive impairment did not receive scheduled showers, another on diuretic medication lacked a timely care plan, and a third on antidepressants had an incomplete care plan. Staff interviews confirmed these deficiencies in care planning.
A facility failed to update a care plan for a resident receiving diuretic and psychoactive medications. The care plan lacked documentation for the diuretic medication and non-pharmacological interventions for antipsychotic use. Staff interviews confirmed the oversight, which violated the facility's policy requiring care plan updates after changes in medication or interventions.
A resident with severe cognitive impairment did not receive the scheduled showers as required, with documentation showing only sporadic showers over several months. Staff acknowledged the discrepancy but cited issues with documentation, leading to unmet care needs.
The facility failed to ensure proper communication and documentation for a resident receiving hospice care, as there was no documentation of hospice care referral orders or visit notes in the EHR. Additionally, the facility did not monitor adverse side effects or edema for a resident on diuretic medication, lacking necessary orders for monitoring. Staff confirmed these deficiencies, highlighting a lack of coordination and oversight.
The facility failed to identify and monitor target behaviors and non-pharmacological interventions for two residents on psychotropic medications. One resident on an antidepressant and another on an antipsychotic lacked documented interventions and monitoring, contrary to facility policy. Staff acknowledged these deficiencies, which risked unnecessary medication use and adverse effects.
The facility failed to properly label and store medications and biologicals, including controlled substances and vaccines, in accordance with its policies. An unlocked medication refrigerator contained a non-affixed narcotic box with controlled substances, and a plasma specimen was improperly stored in the same refrigerator. Additionally, the facility did not consistently monitor the refrigerator temperature as required.
Medication Administration and Controlled Substance Management Deficiencies
Penalty
Summary
The facility failed to provide routine and as-needed medications as prescribed by physicians for three residents, and did not ensure controlled drugs were accurately accounted for or timely discarded for two residents. Specifically, medication administration records (MARs) showed that prescribed doses of controlled pain medications such as morphine sulfate and oxycodone were not properly documented as being removed from the controlled drug box or signed out in the controlled drugs logbook. In one instance, a resident received a dose of oxycodone from another resident's supply, and the discontinued medication was not destroyed as required. Additionally, discrepancies were found between the actual amounts of controlled substances in medication bottles and the amounts recorded in the controlled substance record book. For example, a bottle of liquid morphine sulfate had more medication remaining than what was documented, and staff could not account for the difference. Staff interviews confirmed that controlled drug counts were not always accurate and that discontinued medications were not destroyed in a timely manner. The facility also failed to document medication administration in accordance with professional standards. In one case, an LPN documented that a resident received their scheduled medication before it was actually administered. The resident subsequently left the facility for a medical appointment without taking the medication, but the electronic MAR still reflected that the dose had been given. Staff acknowledged that documentation should only occur after administration, and that the error would need to be corrected in the record.
Failure to Conduct Thorough Incident Investigations Involving Medication Errors
Penalty
Summary
The facility failed to conduct thorough investigations for three out of four residents reviewed for incident investigations, as required by both facility policy and regulatory guidelines. In each case, the investigations did not include interviews with other residents assigned to the staff involved in the incidents, nor did they document whether abuse or neglect was ruled out. The facility's policy and the referenced guidelines require systematic evidence collection, including interviews with all involved parties, to determine if abuse, neglect, or misappropriation occurred and to prevent recurrence. For one resident with severe cognitive impairment and on hospice care, a scheduled dose of morphine was not administered, and the responsible RN was unaware of the missed dose. The investigation did not include interviews with other residents assigned to that RN. Another resident, also with severe cognitive impairment and on hospice, missed several doses of a pain medication on multiple days when cared for by different contract RNs. Although the staff involved were interviewed, there was no documentation of interviews with other residents those staff cared for, despite a collateral contact reporting an attempted medication error by an unknown contract nurse. A third resident, with intact cognition and a history of gout, received the wrong dose of oxycodone from another resident's supply. The investigation included a statement from the responsible RN but did not document whether the resident was informed of the error or if other residents assigned to that RN were interviewed. The Health Services Director confirmed that interviews with other residents were not documented, and in some cases, not conducted, particularly for non-interviewable residents. These omissions were contrary to both facility policy and regulatory requirements.
Food Safety and Storage Deficiencies
Penalty
Summary
The facility failed to ensure proper labeling, dating, and discarding of food items in accordance with professional standards for food safety, as observed in two refrigerators and one freezer. In the Dairy Refrigerator, an unopened coleslaw dressing with an expired manufacturer date and butter with a past use-by date were found. Additionally, four jugs of hollandaise sauce were observed without any dates. Staff M, the Lead Cook, acknowledged that the coleslaw and butter should have been discarded and that the hollandaise sauce should have been dated when unboxed. In the Main Walk-In Refrigerator, an opened and undated container of heavy whipping cream and a half can of cheese with an expired preparation date were found. Staff M admitted that the heavy whipping cream should have been dated upon opening and the expired cheese discarded. In the Walk-In Freezer, seven bags of diced carrots were found with questionable use-by dates, which Staff M believed were inaccurate but still considered the carrots usable. The Health Services Administrator, Staff A, stated that the expectation was for kitchen staff to adhere to State and Federal guidelines and the facility's food safety policies.
Pest Control Deficiency in Kitchen Area
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in the presence of fruit flies in the kitchen area. Observations on October 15, 2024, revealed fruit flies in the dishwashing and hand wash areas, as well as in the fridge area where ready-to-eat cold food was stored. During a joint observation and interview with the Executive Chef, it was noted that one trash can was full and overflowing, while another was unclean with dark stains on the lid. Flies were observed on the wall near the trash can and on unwashed utensils returned from breakfast. The Executive Chef acknowledged the issue and stated that the area would be cleaned immediately. The Assistant Director of Nursing/Infection Preventionist and the Health Services Administrator both stated that the presence of flies in the kitchen was unacceptable.
Infection Control and Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure proper disinfection of glucometers for two residents, as observed when a Licensed Practical Nurse (LPN) used alcohol wipes instead of EPA-registered disinfectant wipes due to a shortage of the latter. This practice was confirmed by the Director of Nursing, who stated that alcohol wipes were routinely used for cleaning glucometers, contrary to the facility's policy. Additionally, the facility did not adhere to its insulin administration protocol for two residents. The LPN was observed attaching needles to insulin pens without cleaning the rubber seals and administering insulin without performing hand hygiene or wearing gloves. The Director of Nursing acknowledged that staff should sanitize hands and wear gloves during insulin administration. The facility also failed to implement Enhanced Barrier Precautions (EBP) for two residents. Staff did not wear gowns when handling a PICC line or during high-contact care activities, despite signage indicating the need for such precautions. Furthermore, hand hygiene practices were not followed during medication administration and dining observations, as staff did not sanitize hands between tasks or after glove removal, increasing the risk of infection.
Inaccurate MDS Assessment for Resident's Anxiety Diagnosis
Penalty
Summary
The facility failed to accurately assess a resident's active diagnosis, specifically regarding anxiety, during the Minimum Data Set (MDS) assessment process. Resident 11, who was admitted to the facility, had a physician's order for an antidepressant medication prescribed for anxiety and pain. However, during the review of the resident's quarterly MDS, it was found that anxiety was not marked in the diagnoses section (Section I) of the MDS, indicating an inaccuracy in the assessment. Interviews with facility staff, including the Resident Care Manager/MDS Coordinator, Assistant Director of Nursing, and Director of Nursing, confirmed the oversight. Staff D acknowledged that anxiety should have been marked in Section I of the MDS for Resident 11, and both Staff C and Staff B expressed that they expected MDS assessments to be accurate, highlighting the deficiency in the assessment process.
Deficiencies in PASARR Form Completion for Residents
Penalty
Summary
The facility failed to ensure the completion of the Pre-Admission Screening and Resident Review (PASARR) forms for three residents, which is a federally required screening for individuals with Intellectual Disability (ID), Related Condition (RC), or Serious Mental Illness (SMI) prior to admission to a Medicaid-certified nursing facility. For Resident 11, the PASARR Level I form did not include the diagnosis of anxiety, which was necessary for the resident's antidepressant medication. This omission meant that the PASARR Level II evaluation was not conducted as required. Staff E, the Social Services Coordinator, acknowledged the oversight, and the Health Services Administrator confirmed that the form should have been accurate and referred for further evaluation. Resident 14's PASARR Level I form was incomplete, lacking the required four sections, which was identified during a joint record review with Staff E. The Health Services Administrator admitted that the form was not reviewed properly. For Resident 68, the PASARR Level I form contained conflicting information regarding the presence of SMI, with both 'yes' and 'no' marked in the SMI Indicators section. Staff E admitted to reviewing the form multiple times but missing the error. The Health Services Administrator stated that PASARR forms should be reviewed before a new resident's admission, especially for those with mental health diagnoses.
Deficiencies in Care Planning for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for three residents, leading to unmet care needs. Resident 2, who had severe cognitive impairment and required total assistance with showering, was scheduled to receive showers twice a week. However, documentation showed that Resident 2 received only two showers in July, none in August, and one in September, contrary to the care plan. Interviews with staff revealed inconsistencies in the shower schedule and a lack of proper documentation, indicating that the care plan was not followed. Resident 14 was prescribed a diuretic medication for edema starting in September, but a care plan for the medication was not developed until mid-October. Observations showed that Resident 14 had swelling in both legs, and staff interviews confirmed that a care plan should have been created immediately after the medication was prescribed. This delay in care planning for the diuretic use was a significant oversight in meeting the resident's medical needs. Resident 6 was on an antidepressant medication, but the care plan lacked target behaviors and non-pharmacological interventions. The care plan was revised in late August, but it did not include essential components required for managing the resident's depression. Staff interviews confirmed that these elements should have been included when the medication was initiated, highlighting a deficiency in the care planning process for psychoactive medication use.
Failure to Revise Care Plan for Medications
Penalty
Summary
The facility failed to revise a comprehensive care plan for a resident, identified as Resident 11, who was receiving diuretic and psychoactive medications. The care plan was not updated to include the use of a diuretic medication, which was ordered on August 6, 2024, and there were no non-pharmacological interventions documented for the antipsychotic medication, which was ordered on August 3, 2024. This oversight was identified during a review of the care plan printed on October 11, 2024, which showed the absence of necessary care planning for these medications. Interviews with facility staff, including the Resident Care Manager/Minimum Data Set Coordinator, Assistant Director of Nursing, and Director of Nursing, confirmed that the care plan should have included the diuretic medication and non-pharmacological interventions for the resident's targeted behaviors. The facility's policy on comprehensive resident-centered care plans, revised on February 9, 2024, mandates that care plans be reviewed and revised after each comprehensive and quarterly assessment, and updated upon changes in planned interventions, new diagnoses, and new medications. The failure to adhere to these policies placed the resident at risk for unmet care needs and a diminished quality of life.
Failure to Provide Scheduled Showers for Resident
Penalty
Summary
The facility failed to provide necessary assistance with showering/bathing for a resident with severe cognitive impairment, who required total assistance with these activities. The resident was scheduled to receive showers twice a week, with additional hospice services providing a shower every Monday. However, documentation showed that the resident received only two showers in July, none in August, and one in September, with no records of the resident refusing showers. Interviews with staff revealed inconsistencies in the shower schedule and a lack of proper documentation. Staff members, including the Assistant Director of Nursing and the Director of Nursing, acknowledged the discrepancy between the scheduled showers and the documented showers. They suggested that the resident might have received more showers than recorded, but were unable to provide evidence due to inadequate documentation. This lack of documentation and failure to adhere to the scheduled showering routine placed the resident at risk for unmet care needs and a diminished quality of life.
Deficiencies in Hospice Communication and Medication Monitoring
Penalty
Summary
The facility failed to ensure consistent communication and collaboration of care between the facility and hospice care for a resident receiving hospice services. Despite the resident being referred to hospice care, there was no documentation of the hospice care referral order or hospice visit notes in the resident's Electronic Health Records (EHR). Multiple staff members, including the Resident Care Manager, Medical Records Coordinator, Assistant Director of Nursing, and Social Services Coordinator, confirmed the absence of necessary documentation in the EHR. The Director of Nursing acknowledged that there should have been both verbal and written communication to coordinate care between the facility and hospice. Additionally, the facility failed to monitor adverse side effects for a diuretic medication and the monitoring of edema for another resident. The resident had an order for a diuretic medication, but there was no order to monitor the adverse side effects or the specific location of the edema. Staff members, including the Resident Care Manager and Assistant Director of Nursing, confirmed that there should have been an order for monitoring these aspects, and the Director of Nursing expected that diuretic medication side effects and edema were monitored.
Failure to Monitor Psychotropic Medication Interventions
Penalty
Summary
The facility failed to ensure that target behaviors and non-pharmacological interventions were identified and monitored for residents receiving psychotropic medications. This deficiency was observed in two residents. Resident 6, who was admitted to the facility and prescribed an antidepressant medication, did not have target behaviors identified or monitored, nor were non-pharmacological interventions in place as per the facility's policy. The Assistant Director of Nursing acknowledged the absence of these measures and updated the physician orders to include target behaviors only after the deficiency was identified. Similarly, Resident 11, who was prescribed an antipsychotic medication for dementia with combative behaviors, also lacked identified and monitored non-pharmacological interventions. The Resident Care Manager and the Director of Nursing both confirmed that these interventions should have been documented in the care plan and monitored in the Medication Administration Record (MAR) from the start of the medication. The absence of these measures placed the residents at risk for receiving unnecessary medications and potential adverse side effects.
Improper Storage and Labeling of Medications and Biologicals
Penalty
Summary
The facility failed to appropriately label and store drugs and biologicals, as observed in the medication refrigerator. An unlocked medication refrigerator was found in the medication room, containing a locked narcotic box that was not permanently affixed, which stored controlled substances such as liquid Ativan prescribed to a resident. Staff, including the LPN, Assistant Director of Nursing, and Director of Nursing, acknowledged that the narcotic box was not permanently affixed and that the refrigerator was not locked, contrary to the facility's policy and expectations for the safe storage of controlled substances. Additionally, a specimen tube of plasma was improperly stored in the medication refrigerator's freezer, which was against the facility's procedure for specimen collection and storage. The plasma specimen was later moved to the appropriate specimen refrigerator in the soiled utility room. Furthermore, the facility failed to monitor the refrigerator temperature twice daily as required when vaccines were present, as evidenced by the incomplete temperature log for several days. Staff acknowledged the failure to adhere to the facility's policies and procedures for the proper storage of vaccines.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,013 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Seattle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bailey-boushay House | 1.2 mi | — | 0 | 0 |
| Seattle Medical Post Acute Care | 2.4 mi | — | 44 | 0 |
| Mirabella | 2.6 mi | — | 2 | 0 |
| Transitional Care Of Seattle | 2.9 mi | — | 49 | 0 |
| The Terraces At Skyline | 3 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Park Shore.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.