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
Data as of July 1, 2026
1 of 5 overall
Alaska Gardens Health and Rehabilitation has a 1 out of 5 overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It also has a recent federal penalty and $170,372 in fines over the last 24 months, with reported staffing of 3.90 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.8965 hrs/resident/day
Quality measures
Last inspection: May 15, 2026Penalties, last 24 months: $170,372recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8965.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 1.03
- Nurse aides
- 2.30
- Weekend nursing
- 3.53
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.7%17.5%Worsening
Residents with a fall causing major injury
3.7%2.2%Improving
Residents with pressure ulcers (bedsores)
1%5%Worsening
Residents with a urinary tract infection
2.5%1.1%Improving
Residents who lost too much weight
1.3%5.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.2%6.8%Improving
Residents whose ability to walk got worse
—18.6%—
Long-stay residents on antianxiety or sleep medication
16.9%8.5%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.8%11.5%Improving
Residents with depressive symptoms
0%3.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.9%—
Long-stay residents given the pneumonia vaccine
100%93.5%Worsening
Short-stay residents given the seasonal flu vaccine
—83.8%—
Short-stay residents given the pneumonia vaccine
86%63.8%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 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- 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
Recent ownership change · Jul 1, 2021
Now operated by Alaska Gardens Snf Operations LLC, previously Evergreen at Tacoma, L.l.c..
- Ownership
- For profit - Individual
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 44 homes · 2.5 stars avg
- Occupancy
- 110.3 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.