Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 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 View Ridge Care Center during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in its kitchen, dining rooms, and nourishment refrigerators, risking foodborne illnesses. Observations showed soiled refrigerators, broken light fixtures with insects, and a dishwashing machine not reaching required temperatures. The kitchen had dust and debris, missing flooring, and lint around vents. Staff were unclear on cleaning responsibilities.
The facility failed to ensure proper storage and expiration management of medications and biologicals, as observed in two medication carts and a medication room. An LPN found an unrefrigerated probiotic and expired glucometer solutions on Cart 4, while an RN identified an expired medication on Cart 3. In the medication room, vaccines were improperly dated and expired, with inconsistent temperature log entries confirmed by a Patient Care Coordinator/RN.
A resident placed on hospice services did not receive a timely Significant Change in Status Assessment (SCSA) within the required 14-day timeframe, as required by the RAI 3.0 User's Manual. Interviews revealed a communication breakdown among staff, with the MDS Coordinator not informed of the resident's change in condition due to the absence of the Patient Care Coordinator and a lapse in communication by the Director of Nursing.
The facility failed to accurately complete MDS assessments for two residents, leading to potential risks in care planning. One resident with Schizophrenia and Bipolar disorder frequently refused medications and exhibited behaviors, but these were not reflected in the MDS. Another resident with dental issues affecting their ability to chew had these concerns unaddressed in their care plan and MDS. The LPN/MDS Coordinator admitted to incomplete documentation review.
The facility failed to complete the federally required PASRR forms for two residents with mental health diagnoses before their admission. One resident was admitted with Major Depressive Disorder, and their PASRR incorrectly indicated no mood disorders. Another resident's PASRR was incomplete, missing required information. The clinical team did not ensure the accuracy and completion of these forms.
A resident with multiple health conditions, including vision impairment, did not have their visual needs addressed in their care plan. Despite being cognitively intact, the resident was unaware of meal options due to difficulty reading menus. Staff interviews revealed a lack of awareness about the resident's vision issues, and the MDS Coordinator could not explain why these needs were omitted from the care plan, risking unmet care needs and diminished quality of life.
A facility failed to ensure proper communication and management of anticoagulant therapy for a hospice resident. The resident, with a history of pressure ulcers and long-term anticoagulant use, had elevated INR levels without proper monitoring or documentation. Facility staff were unclear about the resident's medication management, and there was a lack of coordination with the hospice provider, leading to a deficiency in resident-centered care.
A resident under hospice care did not receive their prescribed antidepressant medication on multiple occasions due to unavailability, with no notification to the physician or pharmacy. The resident experienced sleep difficulties, and staff were unaware of the issue until later. The facility failed to follow procedures for medication unavailability, placing the resident at risk.
A facility failed to monitor and reduce unnecessary psychotropic medications for a resident with dementia. The staff did not identify or monitor target behaviors for antipsychotic medication use and did not attempt a Gradual Dose Reduction (GDR) for Risperdal, despite a pharmacy recommendation. The resident, who exhibited physical behaviors but no hallucinations or delusions, was on hospice care. A second antipsychotic was added but not administered, and there was no psychotic behavior monitoring in place. Staff acknowledged the lack of specific behavior monitoring and that dementia is not an approved diagnosis for antipsychotic use.
A facility failed to ensure residents with swallowing difficulties were fed by trained staff. An Activities Manager, without a nursing license or specialized training, assisted a resident with a swallowing problem during breakfast. The resident's care plan required assistance from one staff member and specified a minced and moist texture diet. Despite the facility's claim of not using paid feeding assistants, the Director of Nursing confirmed that non-nursing staff should not provide feeding assistance.
The facility failed to follow infection control procedures, including the use of PPE and proper storage of respiratory equipment. A nurse did not wear a gown during a dressing change for a resident on Enhanced Barrier Precautions, and respiratory equipment was improperly stored. Additionally, a Maintenance Supervisor entered a contact precaution room without proper hand hygiene or gowning, and did not disinfect equipment used in the room.
Sanitation Deficiencies in Kitchen and Dining Areas
Penalty
Summary
The facility failed to maintain sanitary conditions in its kitchen, dining rooms, and nourishment refrigerators, which placed residents at risk for foodborne illnesses. Observations revealed that the 2nd floor nourishment room refrigerator and freezer had sticky residue, scattered food debris, and a significant buildup of ice. Similarly, the 1st floor nourishment room refrigerator and freezer were soiled with food residue, and the refrigerator had a layer of frozen water. Additionally, the overhead light fixture in the nourishment room was broken and contained many dead insects. Interviews with staff indicated that housekeeping was responsible for cleaning these areas, but the cleaning was not adequately performed. The dishwashing machine consistently failed to maintain the required minimum wash cycle temperature of 120 degrees Fahrenheit, with recorded temperatures ranging from 103 to 119 degrees Fahrenheit on multiple occasions. The kitchen ceiling in the food preparation area had lint blowing from the air conditioner, and the flooring in front of the dishwashing area was missing linoleum. The food preparation shelving and coffee maker were covered in dust and debris, and several overhead light fixtures contained dead insects. The first-floor dining room ceiling had a buildup of lint and dust around the vents. Staff interviews revealed uncertainty about responsibilities for cleaning these areas, and there were plans to replace the kitchen flooring and potentially the dishwashing machine.
Medication Storage and Expiration Deficiencies
Penalty
Summary
The facility failed to ensure that medications and biologicals were properly stored and unexpired, as observed in two medication carts and one medication room. On Medication Cart 4, an opened bottle of acidophilus probiotic was found, which should have been refrigerated according to the label, and expired glucometer control solutions were present. Staff M, an LPN, confirmed that the probiotic was not stored in the refrigerator and acknowledged the expiration of the glucometer solutions. On Medication Cart 3, an expired bottle of calcium polycarbophil was found, and Staff K, an RN, confirmed its expiration and intended to remove it. In the first-floor medication room, the refrigerator contained several vaccines, including a multidose vial of Flucelvax quad vaccine and a vial of tubersol, both of which were open but not dated. The Flucelvax quad vaccine was also expired. Temperature logs for the refrigerator showed numerous missing entries for both July and August, indicating that temperatures were not consistently recorded twice a day as required. Staff J, a Patient Care Coordinator/RN, confirmed the absence of open dates on the vials and the failure to check refrigerator temperatures twice daily.
Failure to Complete Timely Significant Change Assessment for Hospice Resident
Penalty
Summary
The facility failed to identify a significant change in condition and complete a timely Significant Change in Status Assessment (SCSA) within the required 14-day timeframe for a resident who was reviewed for Hospice Services. The Long-Term Care Resident Assessment Instrument (RAI) 3.0 User's Manual requires that an SCSA be completed no later than 14 days from the determination date of a significant change in status, which includes when a terminally ill resident enrolls in a hospice program. In this case, the resident was placed on hospice services, but no significant change assessment was completed, placing the resident at risk for unmet care needs, decreased quality of care, and diminished quality of life. Interviews with facility staff revealed a breakdown in communication and responsibility. Staff O, the Licensed Practical Nurse/MDS Coordinator, stated that they rely on communication from the nurse manager during morning clinical meetings to identify residents with a change in condition. However, Staff J, the Registered Nurse/Patient Care Coordinator, was on vacation during the first two weeks the resident was on hospice services and was unsure who was responsible in their absence. Staff B, the Director of Nursing Services, acknowledged that they were aware of the coverage for Staff J but failed to communicate the resident's change in condition to the MDS coordinator, resulting in the missed assessment.
Inaccurate MDS Assessments for Residents
Penalty
Summary
The facility failed to ensure accurate completion of Minimum Data Set (MDS) assessments for two residents, leading to potential risks in care planning and quality of care. Resident 14, who was admitted with diagnoses including Schizophrenia and Bipolar disorder, frequently refused medications and exhibited behaviors such as yelling and cursing, as documented in progress notes. However, the MDS assessments inaccurately reported no behaviors or refusals of care. The Licensed Practical Nurse (LPN)/MDS Coordinator admitted to signing off on these sections without reviewing all relevant documentation, relying instead on incomplete nursing assistant records. Resident 6, admitted with conditions such as Congestive Heart Failure and Diabetes Mellitus Type 2, expressed interest in obtaining dentures due to missing teeth and cavities, which affected their ability to chew. Despite these issues being noted in a dietician's progress note, the MDS assessment inaccurately indicated no dental issues, and the care plan failed to address these concerns. The LPN/MDS Coordinator was unable to explain the discrepancy, indicating a lack of thorough assessment during the admission process.
Incomplete PASRR Forms for Residents with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure the completion of the Pre-Admission Screening and Resident Review (PASRR) forms for two residents, which is a federally required screening process for individuals with Intellectual Disabilities or serious mental illnesses prior to admission to a Medicaid-certified nursing facility. For Resident 5, who was admitted with a diagnosis of Major Depressive Disorder and was on Sertraline, the Level 1 PASRR indicated no mood disorders on preadmission, which was incorrect. The Director of Nursing acknowledged the error, and it was revealed that a revision was started but not completed. Resident 47 was admitted with a diagnosis of depression, and their admission Minimum Data Set (MDS) assessment showed intact cognition and prescription of an antidepressant. However, the Level 1 PASRR for Resident 47 was incomplete, with a required section left blank. Staff O confirmed that the clinical team, which includes the unit nurse manager, admission coordinator, Director of Nursing Services, and themselves, failed to ensure the PASRR was completed and accurate prior to admission.
Failure to Address Vision Impairment in Resident Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with multiple diagnoses, including congestive heart failure, chronic obstructive pulmonary disease, diabetes mellitus type 2, cataracts, and displacement of intraocular lens. Despite the resident being cognitively intact, the care plan did not address their vision issues, which were documented in the Care Area Assessment (CAA) as requiring large print documents or having information read aloud. This oversight was evident when the resident expressed difficulty in reading the menu due to limited vision and was unaware of meal options available to them. Interviews with staff revealed a lack of awareness regarding the resident's visual impairment. A Licensed Practical Nurse (LPN) admitted to not knowing about the resident's limited vision and stated that accommodations would have been made if they had been informed. The Dietary Staff was observed reading the menu to the resident, allowing them to choose their meals. The MDS Coordinator acknowledged that the care plan should have included the resident's vision impairment, as it was documented in the CAA, but could not explain why it was omitted. This failure to incorporate the resident's visual needs into their care plan placed them at risk for unmet care needs and diminished quality of life.
Deficiency in Communication and Anticoagulant Management for Hospice Resident
Penalty
Summary
The facility failed to ensure resident-centered care and treatment in accordance with professional standards of practice by not maintaining consistent communication and collaboration with hospice care for a resident receiving hospice services. The deficiency involved the management of a high-risk medication, an anticoagulant, which required regular monitoring of blood clotting levels through PT/INR tests. The facility did not have an order to monitor these levels, and there was a lack of documentation and communication between the facility and the hospice provider regarding the management and monitoring of the anticoagulant. Resident 29, who was on hospice services, had a history of pressure ulcers, long-term use of anticoagulants, and osteomyelitis. The resident's care plan was not updated to reflect their goals and choices for end-of-life care, and the anticoagulant medication was not managed properly. Despite having elevated INR levels, there was no clear documentation or communication between the facility and hospice provider about the necessary adjustments or monitoring of the medication. The facility's staff were unclear about the reasons for the resident's continued use of the anticoagulant and the lack of monitoring orders. Interviews with facility staff and hospice providers revealed a breakdown in communication and coordination of care. The hospice nurse had not documented care in the facility's electronic medical record, and there was confusion about who was responsible for managing the resident's anticoagulant therapy. The facility's Director of Nursing Services was unaware of the communication issues and expected that the hospice provider would document care within 24 hours of each visit. The deficiency was not identified until a significant delay had occurred, leaving the resident at risk for adverse effects from the anticoagulant therapy.
Failure to Provide Necessary Pharmaceutical Services
Penalty
Summary
The facility failed to provide necessary pharmaceutical services for Resident 29, who was under hospice care and had diagnoses including major depressive disorder and insomnia. The resident's physician had prescribed Trazadone HCL, an antidepressant, to be administered at bedtime. However, the medication was not available on multiple occasions throughout August 2024, specifically on the 11th, 12th, 14th, 20th, 21st, 25th, and 26th. Documentation indicated that the medication was not given due to unavailability, and there was no evidence that the physician or pharmacy was notified, nor was there any assessment of the resident's condition due to the missed medication. Interviews with the resident and staff revealed a lack of communication and follow-up regarding the unavailability of the medication. The resident expressed difficulty sleeping due to not receiving their medication. Staff members, including the Physician Assistant, Hospice RN, and Patient Care Coordinator, were unaware of the issue until it was brought to their attention later in the month. The Director of Nursing Services confirmed that the medication was not in the automated dispensing system and acknowledged the lack of action to resolve the issue. This deficiency in pharmaceutical services placed the resident at risk for adverse events related to missed medications.
Failure to Monitor and Reduce Unnecessary Psychotropic Medications
Penalty
Summary
The facility failed to ensure that a resident was free from unnecessary psychotropic medications. Specifically, the staff did not identify or monitor target behaviors for the use of antipsychotic medication and did not attempt a Gradual Dose Reduction (GDR) for the antipsychotic medication Risperdal, despite a recommendation from the pharmacy. The resident, who was readmitted with dementia and was rarely understood due to severely impaired cognition, exhibited physical behaviors such as grabbing and hitting. Despite these behaviors, there was no documentation of hallucinations or delusions, and the resident was placed on hospice care with a focus on comfort. The resident's physician's orders included Risperdal for dementia with behavior issues, and a second antipsychotic, Quetiapine Fumarate, was added for anxiety/agitation. However, the Quetiapine order had not been administered, and there was no psychotic behavior monitoring in place. Interviews with staff revealed a lack of specific behavior monitoring related to psychosis and an acknowledgment that dementia is not an approved diagnosis for antipsychotic medications. The facility's Director of Nursing Services and Social Services staff noted that the resident's behaviors were likely involuntary responses during care, and the goal was to discontinue antipsychotics.
Untrained Staff Providing Feeding Assistance
Penalty
Summary
The facility failed to ensure that residents with physical impairments and/or swallowing difficulties were fed by staff who were properly trained. This deficiency was observed when Staff L, an Activities Manager without a nursing license or specialized training, provided feeding assistance to Resident 22 during breakfast. Resident 22's care plan indicated the need for assistance from one staff member for eating, due to a swallowing problem, and specified a minced and moist texture diet. Despite the facility's assertion that they did not employ paid feeding assistants, Staff L was observed feeding Resident 22, which was confirmed by Staff B, the Director of Nursing Services. Staff B stated that non-nursing staff should not provide feeding assistance, although they could pass trays and hand items to residents. The lack of proper training and supervision for Staff L in providing feeding assistance posed a risk to Resident 22, who required specialized care due to their swallowing difficulties.
Infection Control and Equipment Storage Deficiencies
Penalty
Summary
The facility failed to ensure staff adhered to procedures for preventing the spread of disease, particularly in the context of Transmission Based Precautions (TBP) and the sanitary storage of respiratory equipment. In one instance, a Registered Nurse, identified as Staff P, entered a room with Enhanced Barrier Precautions (EBP) without wearing a gown, despite the presence of a sign indicating the need for such precautions. This oversight occurred during a dressing change for Resident 252, who was on EBP. Staff P later admitted to being unaware of the resident's precautionary status, highlighting a gap in communication or training. Additionally, the facility did not maintain respiratory equipment in sanitary conditions for Resident 252. Observations revealed that the resident's breathing treatment equipment, including a facemask, medication cup, and tubing, was left uncovered on a bedside table. This equipment was stored alongside personal items in a gray basin, contrary to the facility's policy, which required the equipment to be washed, air-dried, and stored in a labeled plastic bag. Staff K, an LPN, confirmed the correct procedure but noted the failure to adhere to it. Another deficiency was observed with Staff I, the Maintenance Supervisor, who entered a room under contact precautions without performing hand hygiene or wearing a gown. Despite applying an N95 respirator and gloves, Staff I failed to follow proper protocol by not disinfecting a metal cart used in the room and by handling items without appropriate hand hygiene. Staff I admitted to not realizing the room required such precautions, indicating a lack of awareness or training regarding infection control measures.
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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.
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Nursing homes near Everett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Madison Post Acute | 1.7 mi | — | 1 | 0 |
| Everett Transitional Care Services | 1.9 mi | — | 7 | 0 |
| Bethany At Pacific | 3 mi | — | 0 | 0 |
| Everett Center | 4 mi | — | 6 | 0 |
| Bethany At Silver Lake | 4.4 mi | — | 10 | 0 |
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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.