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Nursing home report

MARIANWOOD HEALTH AND REHABILITATION

ISSAQUAH, WA · Medicare-certified · 117 beds

Needs attention
For-profitChain member
3 of 5 overall

Marianwood Health and Rehabilitation has a 3 out of 5 overall rating, with a 2-star staffing rating and nurse staffing below the federal benchmark (3.82 vs. 4.1 hours per resident day). It also had $64,574 in fines in the last 24 months and a recent federal penalty, with recent inspection issues including accident hazards/supervision, abuse protection, and pressure ulcer care.

Facility ratings

Health inspections

Staffing

3.8156 hrs/resident/day

Quality measures

Last inspection: November 21, 2025Penalties, last 24 months: $64,574recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8156.

Staffing detail

Registered nurses
0.91
Licensed practical nurses
0.60
Nurse aides
2.31
Weekend nursing
3.27

Hours per resident per day.

Total staff turnover: 73%
Registered nurse turnover: 69%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

16.9%Improving

Residents with a fall causing major injury

0.4%Improving

Residents with pressure ulcers (bedsores)

3.7%Worsening

Residents with a urinary tract infection

4%Improving

Residents who lost too much weight

8.4%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

12.4%Improving

Residents whose ability to walk got worse

24.8%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

14.4%Improving

Short-stay residents newly given an antipsychotic

1.3%Worsening

Residents with a long-term catheter

2%Improving

Residents with new or worsening incontinence

22.8%Worsening

Residents with depressive symptoms

3.3%Worsening

Long-stay residents given the seasonal flu vaccine

92.8%Steady

Long-stay residents given the pneumonia vaccine

86.6%Improving

Short-stay residents given the seasonal flu vaccine

76.2%Steady

Short-stay residents given the pneumonia vaccine

91.6%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

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

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $31,694 was recorded.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $32,880 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $64,574 in total fines.

  • Federal fine

    Feb 28, 2025

    $31,694
  • Federal fine

    Aug 1, 2024

    $32,880

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
79.8 residents on an average day (68% of 117 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.