Richmond Beach Rehab
A nursing home in Shoreline, Washington 98177
19235 - 15th Avenue Northwest, Shoreline, Washington 98177. (206) 546-2666.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle Washington average: 15.7
- 3.85 nurse hours per resident per day Washington average: 4.42
- 0 fines in the last three years
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?
14 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Feb 25, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
24 citations in 4 months of the last 36. Last cited Apr 2026. Most serious: no actual harm, potential for more than minimal harm (D). 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 24 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. 4 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 21, 2026: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 25, 2026: standard inspection11 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Allow residents to self-administer drugs if determined clinically appropriate.
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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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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Assess the resident when there is a significant change in condition
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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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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 safe and appropriate respiratory care for a resident when needed.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Feb 25, 2026: standard and complaint inspection2 citations
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Jan 10, 2025: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nov 29, 2024: standard inspection9 citations
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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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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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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Post nurse staffing information every day.
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 18, 1994.
- 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.
- 131 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 4 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.85 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 | 3.85 | 4.42 |
| Of which registered nurses | 0.67 | 0.99 |
| At weekends | 3.36 | 3.82 |
| Nursing staff turnover | 29.2% | 43.9% |
| Registered nurse turnover | 33.3% | 43.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Ariso LLC owns 100% directly since Jan 6, 2006.
- Avamere Skilled Advisors LLC and Midcap Finco LLC and Avamere Health Services LLC run it.
- 57 owners or officers are people: Karl Rickard Miller (owns a share through other companies, 100%); Scott Woolsey (additional disclosable party (controls, leases property to, or provides services to the home)); Alison Scheiderer (runs it (operational or managerial control)); Alison Scheiderer (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)); Katherine Fowler (runs it (operational or managerial control)); Katherine Fowler (additional disclosable party (controls, leases property to, or provides services to the home)); Andrew Simpson (runs it (operational or managerial control)); Andrew Simpson (on the governing body (managing control)); Andrew Simpson (additional disclosable party (controls, leases property to, or provides services to the home)); Alida Mullenix (additional disclosable party (controls, leases property to, or provides services to the home)); Glen Robert Cavallo (on the governing body (managing control)); Carolyn Staples (additional disclosable party (controls, leases property to, or provides services to the home)); Dianne Mangio (runs it (operational or managerial control)); Dianne Mangio (additional disclosable party (controls, leases property to, or provides services to the home)); Ike Okoli (on the governing body (managing control)); Todd Inskeep (on the governing body (managing control)); Todd Inskeep (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)); Justin Polson (runs it (operational or managerial control)); Justin Polson (on the governing body (managing control)); Justin Polson (additional disclosable party (controls, leases property to, or provides services to the home)); Joshua Griffith (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)); Michele Powelson (runs it (operational or managerial control)); Michele Powelson (on the governing body (managing control)); Michele Powelson (additional disclosable party (controls, leases property to, or provides services to the home)); Tonia Hoskins (on the governing body (managing control)); Tonia Hoskins (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)); Jolynn Munro (runs it (operational or managerial control)); Jolynn Munro (on the governing body (managing control)); Jolynn Munro (additional disclosable party (controls, leases property to, or provides services to the home)); 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)); Amanda Sanders (on the governing body (managing control)); Arash Mirzaie Amirabadi (runs it (operational or managerial control)); Arash Mirzaie Amirabadi (additional disclosable party (controls, leases property to, or provides services to the home)); Kevin Hill (on the governing body (managing control)); Kevin Hill (additional disclosable party (controls, leases property to, or provides services to the home)); Darshni Raju (runs it (operational or managerial control)); Darshni Raju (additional disclosable party (controls, leases property to, or provides services to the home)); Damien Haskins (on the governing body (managing control)); Damien Haskins (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% | Jan 6, 2006 |
| Midcap Finco LLC | Holds 5% or more security interest | 100% | Jan 22, 2010 |
| Ariso LLC | Owns a share directly | 100% | Jan 6, 2006 |
| Karl Rickard Miller Jr Revocable Trust | Owns a share through other companies | 100% | Jul 11, 2011 |
| Avamere Group LLC | Owns a share through other companies | 100% | Jan 6, 2006 |
| Avamere Skilled Advisors LLC | Runs it (operational or managerial control) | Jan 1, 2005 | |
| Avamere Skilled Advisors LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 8, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 8, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 8, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 8, 2025 | |
| Midcap Finco LLC | Runs it (operational or managerial control) | Jan 22, 2010 | |
| Avamere Health Services LLC | Runs it (operational or managerial control) | Jan 1, 2005 | |
| Avamere Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 8, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 7, 2015 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 17, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 17, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 13, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 8, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 17, 2017 |
How do residents fare?
- CMS rates its quality measures 5 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 | 3 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 6.2 miles, this one had the 10th most health citations at the latest inspection cycle (14; the middle value was 18.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Richmond Beach Rehab This nursing home | 14 | |
| Bridges to Home | 1.9 | 15 |
| The Broadview Center | 3.2 | 35 |
| Pine Ridge Post Acute | 3.3 | 15 |
| Edmonds Post Acute | 3.4 | 37 |
| Avamere Rehabilitation of Shoreline | 4.0 | 46 |
| Fircrest Nursing Facility | 4.2 | 7 |
| Shoreline Health and Rehabilitation | 4.4 | 13 |
| Ballard Center | 4.9 | 32 |
| Lynnwood Post Acute Rehabilitation Center | 5.3 | 16 |
| Cascades of St Anne | 5.9 | 22 |
| Alderwood Post Acute & Rehabilitation | 6.2 | 21 |
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.