Avamere Rehabilitation of Burien
A nursing home in Burien, Washington 98146
1031 Southwest 130th Street, Burien, Washington 98146. (206) 242-3213.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 7 health citations at the latest inspection cycle Washington average: 15.7
- 4.03 nurse hours per resident per day Washington average: 4.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Jun 26, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Mar 27, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
55 citations in 4 months of the last 36. Last cited Jun 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 55 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 6 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 26, 2026: standard inspection7 citations
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Keep residents’ personal and medical records private and confidential.
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Respond appropriately to all alleged violations.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Ensure medication error rates are not 5 percent or greater.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Provide and implement an infection prevention and control program.
May 19, 2025: standard inspection13 citations
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Assist a resident in gaining access to vision and hearing services.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Provide or obtain dental services for each resident.
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Provide and implement an infection prevention and control program.
Mar 27, 2024: complaint inspection4 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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Ensure that residents are free from significant medication errors.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
Feb 28, 2024: standard inspection29 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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Ensure each resident receives an accurate assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough food/fluids to maintain a resident’s health.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide care or services that was trauma informed and/or culturally competent.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Keep all essential equipment working safely.
Feb 28, 2024: standard and complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 1, 1983.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 140 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $59,485 in all.
- No Medicare payment denials in the last three years.
- 6 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 28, 2024 | Fine | $59,485 |
Who does the caring?
4.03 nurse hours per resident per day
The Washington average is 4.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Washington average |
|---|---|---|
| Nurse hours per resident per day | 4.03 | 4.42 |
| Of which registered nurses | 0.76 | 0.99 |
| At weekends | 3.61 | 3.82 |
| Nursing staff turnover | 22% | 43.9% |
| Registered nurse turnover | 28.6% | 43.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Ariso LLC owns 100% directly since Feb 1, 2023.
- Avamere Skilled Advisors LLC and Midcap Finco LLC and Avamere Health Services LLC run it.
- 41 owners or officers are people: Karl Rickard Miller (owns a share through other companies, 100%); Leslie Aronson (additional disclosable party (controls, leases property to, or provides services to the home)); Michelle Funderberg (on the governing body (managing control)); Michelle Funderberg (additional disclosable party (controls, leases property to, or provides services to the home)); Vineeta Chand (runs it (operational or managerial control)); Vineeta Chand (additional disclosable party (controls, leases property to, or provides services to the home)); Katherine Fowler (additional disclosable party (controls, leases property to, or provides services to the home)); Dennis Armstrong (runs it (operational or managerial control)); Dennis Armstrong (additional disclosable party (controls, leases property to, or provides services to the home)); Charles Nielson (additional disclosable party (controls, leases property to, or provides services to the home)); Glen Robert Cavallo (on the governing body (managing control)); Carolyn Staples (on the governing body (managing control)); Carolyn Staples (additional disclosable party (controls, leases property to, or provides services to the home)); Tonya Fisher (runs it (operational or managerial control)); Todd Inskeep (on the governing body (managing control)); Todd Inskeep (additional disclosable party (controls, leases property to, or provides services to the home)); Roberto Garcia (runs it (operational or managerial control)); Roberto Garcia (on the governing body (managing control)); Roberto Garcia (additional disclosable party (controls, leases property to, or provides services to the home)); Colby Strunk (on the governing body (managing control)); Colby Strunk (additional disclosable party (controls, leases property to, or provides services to the home)); Loriel Fanunal (runs it (operational or managerial control)); Loriel Fanunal (additional disclosable party (controls, leases property to, or provides services to the home)); Kim Games (additional disclosable party (controls, leases property to, or provides services to the home)); Mary Kofstad (runs it (operational or managerial control)); Mary Kofstad (on the governing body (managing control)); Mary Kofstad (additional disclosable party (controls, leases property to, or provides services to the home)); Yolanda Presley (runs it (operational or managerial control)); Yolanda Presley (additional disclosable party (controls, leases property to, or provides services to the home)); Kensie Tyler (runs it (operational or managerial control)); Kensie Tyler (additional disclosable party (controls, leases property to, or provides services to the home)); Cody Feakin (runs it (operational or managerial control)); Cody Feakin (on the governing body (managing control)); Cody Feakin (additional disclosable party (controls, leases property to, or provides services to the home)); Misty Dawn Reid (runs it (operational or managerial control)); Misty Dawn Reid (on the governing body (managing control)); Misty Dawn Reid (additional disclosable party (controls, leases property to, or provides services to the home)); Neriza Gomez Mercado (runs it (operational or managerial control)); Neriza Gomez Mercado (additional disclosable party (controls, leases property to, or provides services to the home)); Carrie Vanderzanden (on the governing body (managing control)); Carrie Vanderzanden (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Avamere (27 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ari Operations LLC | Owns a share through other companies | 100% | Feb 1, 2023 |
| Midcap Finco LLC | Holds 5% or more security interest | 100% | Feb 1, 2023 |
| Ariso LLC | Owns a share directly | 100% | Feb 1, 2023 |
| Karl Rickard Miller Jr Revocable Trust | Owns a share through other companies | 100% | Feb 1, 2023 |
| Avamere Group LLC | Owns a share through other companies | 100% | Feb 1, 2023 |
| Avamere Skilled Advisors LLC | Runs it (operational or managerial control) | Feb 1, 2023 | |
| Avamere Skilled Advisors LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 15, 2025 | |
| Sabra Health Care Reit Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Pacific Medical Specialty Group | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Midcap Finco LLC | Runs it (operational or managerial control) | Feb 1, 2023 | |
| Avamere Health Services LLC | Runs it (operational or managerial control) | Feb 1, 2023 | |
| Avamere Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 14, 2025 | |
| Snapmedtech,inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 8, 2025 | |
| Consolidated Billing Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Rande Holdings, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Sabra Health Care Limited Partnership | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Incovate Solutions, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Sabra Health Care, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Moss Adams LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Washington average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 7.5 miles, this one had the 12th most health citations at the latest inspection cycle (7; the middle value was 14.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avamere Rehabilitation of Burien This nursing home | 7 | |
| Caroline Kline Galland Home | 5.0 | 19 |
| Providence Mount St Vincent | 5.2 | 18 |
| Wesley Homes Des Moines Health Center | 5.6 | 10 |
| Kin on Health Care Center | 5.7 | 11 |
| Renton Health & Rehabilitation | 6.1 | 11 |
| Washington Care Center | 6.4 | 12 |
| Puget Sound Transitional Care | 6.4 | 25 |
| Judson Park Health Center | 6.9 | 20 |
| Avamere Rehabilitation at Park West | 7.3 | 21 |
| Valley View Skilled Nursing and Rehabilitation | 7.3 | 13 |
| Cedar River Healthcare Center | 7.5 | 16 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.