The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
AVAMERE OLYMPIC REHABILITATION OF SEQUIM
SEQUIM, WA · Medicare-certified · 90 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
2-star nursing home overall. It has a 1-star health inspection rating, a recent federal penalty with $48,828 in fines over the last 24 months, and staffing is above the federal benchmark (4.63 vs 4.1 hours per resident per day), while quality measures are rated 4 stars.
Facility ratings
Health inspections
Staffing
4.628 hrs/resident/day
Quality measures
Last inspection: May 19, 2026Penalties, last 24 months: $48,828recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.628.
Staffing detail
- Registered nurses
- 1.18
- Licensed practical nurses
- 0.63
- Nurse aides
- 2.82
- Weekend nursing
- 3.96
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 35%
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
3.1%12.5%Worsening
Residents with a fall causing major injury
4.3%2.1%Improving
Residents with pressure ulcers (bedsores)
6.1%7.8%Worsening
Residents with a urinary tract infection
2.2%2.1%No change
Residents who lost too much weight
2.5%2.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.4%17.4%Improving
Residents whose ability to walk got worse
—20.2%—
Long-stay residents on antianxiety or sleep medication
10%22.9%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%2%Worsening
Residents with new or worsening incontinence
24.9%27.7%Worsening
Residents with depressive symptoms
4.7%4.3%No change
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
—98.3%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.1%—
Short-stay residents given the pneumonia vaccine
97.9%99.3%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $48,828 was recorded.
- INSPECTION
Health inspection found 24 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $75,120 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $48,828 in total fines.
- $48,828
Federal fine
Dec 9, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AVAMERE · 28 homes · 3.1 stars avg
- Occupancy
- 69.9 residents on an average day (78% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.