Hearth Record

Garden Terrace Healthcare Center of Federal Way

A nursing home in Federal Way, Washington 98003

491 South 338th Street, Federal Way, Washington 98003. (253) 661-2226.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 41 citations in 7 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (E). Every month

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?

18 health citations at the latest inspection cycle

The Washington average is 15.7.

Last standard inspection Jun 16, 2025.

Most serious in three years: E: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

41 citations in 7 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.

41 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 41 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 11 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Aug 14, 2026: complaint inspection3 citations
  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint.

  • 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.

    Rule F0585. E: no actual harm, potential for more than minimal harm. From a complaint.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint.

Sep 12, 2025: complaint inspection1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 21, 2025.

Jun 16, 2025: standard inspection12 citations
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • 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.

    Rule F0585. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

  • Provide or get specialized rehabilitative services as required for a resident.

    Rule F0825. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2025.

Jun 16, 2025: standard and complaint inspection3 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 4, 2025.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 4, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 4, 2025.

Feb 7, 2025: complaint inspection1 citation
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 26, 2025.

Jan 16, 2025: complaint inspection1 citation
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 18, 2025.

Dec 3, 2024: complaint inspection2 citations
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Rule F0623. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 9, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 9, 2025.

Apr 16, 2024: standard inspection18 citations
  • 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.

    Rule F0625. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Rule F0640. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Rule F0693. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Rule F0744. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Dispose of garbage and refuse properly.

    Rule F0814. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Provide or get specialized rehabilitative services as required for a resident.

    Rule F0825. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 23, 2024.

Is it certified, and in good standing?

  • Certified for Medicare since Jun 12, 2003.
  • 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.
  • 70 certified beds.
Source:

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.
  • 11 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

5.35 nurse hours per resident per day

The Washington average is 4.42.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeWashington average
Nurse hours per resident per day5.354.42
Of which registered nurses1.600.99
At weekends4.483.82
Nursing staff turnover31%43.9%
Registered nurse turnover34.8%43.8%
Administrators who left1Not given

Who owns it?

  • Developers Investment Company Inc. owns 1% directly since Apr 7, 1998.
  • Life Care Centers of America, Inc. and Developers Investment Company Inc. and Federal Way Medical Investors, LLC run it.
  • 22 owners or officers are people: Forrest L Preston (owns 5% or more directly, 74%); Todd Fletcher (owns 5% or more directly, 25%); Forrest L Preston (owns a share through other companies, 1%); Forrest L Preston (additional disclosable party (controls, leases property to, or provides services to the home)); Terry Henry (corporate officer); Dennis T Gilbert (runs it (operational or managerial control)); Dennis T Gilbert (on the governing body (managing control)); Dennis T Gilbert (additional disclosable party (controls, leases property to, or provides services to the home)); Todd Fletcher (runs it (operational or managerial control)); Todd Fletcher (additional disclosable party (controls, leases property to, or provides services to the home)); Aubrey Preston (runs it (operational or managerial control)); Joan E Thurmond (corporate officer); Nancy Butner (runs it (operational or managerial control)); Nancy Butner (on the governing body (managing control)); Cindy S Cross (corporate officer); Richard Swanker (corporate officer); Eddie L. Viola (runs it (operational or managerial control)); Eddie L. Viola (on the governing body (managing control)); Glenn A Pacio (runs it (operational or managerial control)); Glenn A Pacio (additional disclosable party (controls, leases property to, or provides services to the home)); Lisa M Lay (corporate officer); James Ziegler (runs it (operational or managerial control)).
  • Part of Life Care Centers of America (194 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Life Care Centers of America, Inc.Runs it (operational or managerial control)100%Jul 28, 2003
Developers Investment Company Inc.Owns a share directly1%Apr 7, 1998
Developers Investment Company Inc.Runs it (operational or managerial control)Oct 20, 2006
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 6, 2018
Life Care Centers of America, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)May 30, 2025
Federal Way Medical Investors, LLCRuns it (operational or managerial control)Oct 1, 2003
Federal Way Medical Investors, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 6, 2018

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Washington average 4.1).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating5 of 5
Health inspections3 of 5
Staffing5 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 7.5 miles, this one had the 8th most health citations at the latest inspection cycle (18; the middle value was 20).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Garden Terrace Healthcare Center of Federal Way This nursing home18
Avalon Care Center Federal Way, L.L.C.0.112
Hallmark Manor0.920
Life Care Center of Federal Way2.020
Auburn Post Acute5.232
Canterbury House5.314
North Auburn Care5.636
Lea Hill Rehabilitation and Care Center6.215
Judson Park Health Center6.320
Avamere at Pacific Ridge6.923
Puget Sound Transitional Care7.225
Wesley Homes Des Moines Health Center7.510

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

  • 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).

  • 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).

  • 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).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • 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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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