The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
EVERETT TRANSITIONAL CARE SERVICES
EVERETT, WA · Medicare-certified · 62 beds
In good standing
Non-profit
5 of 5 overall
Everett Transitional Care Services in Everett, WA has an overall 5-star rating, with 5 stars for health inspections and quality measures and 4 stars for staffing. Reported nurse staffing is 5.15 hours per resident per day, above the federal benchmark of 4.1, with $0 in fines in the last 24 months; recent inspection citations included pressure ulcer care, respiratory care, and care plan completion/review.
Facility ratings
Health inspections
Staffing
5.146 hrs/resident/day
Quality measures
Last inspection: December 15, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.146.
Staffing detail
- Registered nurses
- 1.64
- Licensed practical nurses
- 0.79
- Nurse aides
- 2.72
- Weekend nursing
- 4.51
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 67%
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
13.8%10%Improving
Residents with a fall causing major injury
2%0%Improving
Residents with pressure ulcers (bedsores)
2.9%5.3%Worsening
Residents with a urinary tract infection
0%4.2%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.9%5%Improving
Residents whose ability to walk got worse
—21.2%—
Long-stay residents on antianxiety or sleep medication
17.4%13.6%Improving
Short-stay residents newly given an antipsychotic
0%2.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.3%23.1%Worsening
Residents with depressive symptoms
32.6%26.1%Improving
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
—85%—
Long-stay residents given the pneumonia vaccine
91.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—81.2%—
Short-stay residents given the pneumonia vaccine
86.9%99.2%Improving
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to properly watch nurse aides' work and provide regular training. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $21,863 in total fines.
- $21,863
Federal fine
Jul 26, 2023
Operator & ownership
- Ownership
- Non profit - Other
- Occupancy
- 47.7 residents on an average day (77% of 62 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 6 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.