The home failed to provide enough food and fluids to keep residents healthy. Cited March 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: K
Nursing home report
Alaska Gardens Health and Rehabilitation
TACOMA, WA · Medicare-certified · 123 beds
Needs attention
For-profitChain member
1 of 5 overall
Alaska Gardens Health and Rehabilitation has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing rating. It has a recent federal penalty, $170,372 in fines over the last 24 months, and reported nurse staffing of 3.86 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.8637 hrs/resident/day
Quality measures
Last inspection: October 9, 2025Penalties, last 24 months: $170,372recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8637.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 1.17
- Nurse aides
- 2.29
- Weekend nursing
- 3.45
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 75%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.5%Worsening
Residents with a fall causing major injury
3.1%Improving
Residents with pressure ulcers (bedsores)
3.1%Improving
Residents with a urinary tract infection
2.5%Improving
Residents who lost too much weight
5.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.8%Improving
Residents whose ability to walk got worse
34%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.3%Improving
Short-stay residents newly given an antipsychotic
0.7%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
24.4%Improving
Residents with depressive symptoms
4.7%Worsening
Long-stay residents given the seasonal flu vaccine
96.9%Steady
Long-stay residents given the pneumonia vaccine
99.1%Improving
Short-stay residents given the seasonal flu vaccine
83.8%Steady
Short-stay residents given the pneumonia vaccine
77.3%Worsening
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $12,438 was recorded.
- PENALTY
A federal fine of $157,934 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $196,648 in total fines.
- $12,438
Federal fine
Apr 29, 2025
- $157,934
Federal fine
Jan 22, 2025
- $26,276
Federal fine
Aug 17, 2023
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 110.9 residents on an average day (90% of 123 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.