The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
LEA HILL REHABILITATION AND CARE CENTER
AUBURN, WA · Medicare-certified · 36 beds
In good standing
Non-profit
5 of 5 overall
LEA HILL REHABILITATION AND CARE CENTER in Auburn, WA has a 5-star overall rating, with strong quality measures (5 stars), 4-star health inspection and staffing ratings, and reported nurse staffing above the federal benchmark (4.60 vs 4.1 hours per resident per day). It had $0 in fines over the last 24 months, but recent inspection citations included pressure ulcer care, food handling, and transfer/discharge notification.
Facility ratings
Health inspections
Staffing
4.6026 hrs/resident/day
Quality measures
Last inspection: September 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6026.
Staffing detail
- Registered nurses
- 1.02
- Licensed practical nurses
- 0.89
- Nurse aides
- 2.69
- Weekend nursing
- 3.82
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.6%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12%Steady
Residents whose ability to walk got worse
25.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
9.3%Steady
Short-stay residents newly given an antipsychotic
0.5%Improving
Residents with a long-term catheter
1.9%Steady
Residents with new or worsening incontinence
30%Steady
Residents with depressive symptoms
40.6%Steady
Long-stay residents given the pneumonia vaccine
93.9%Steady
Short-stay residents given the seasonal flu vaccine
89.9%Steady
Short-stay residents given the pneumonia vaccine
97%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited July 2024 — widespread issue, potential for harm.
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F-Tag 623 — 42 CFR §483.15 — S/S: F
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 676 — 42 CFR §483.24 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 34.8 residents on an average day (97% of 36 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 9 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.