Nursing homes › Washington › Avamere Rehabilitation of Issaquah
805 Front Street, Issaquah, WA 98027 · 4253921271 · 140 certified beds
Per CMS filings, this facility is affiliated with Avamere, a group operating 28 facilities in 2 states. Group record: average rating 3.1/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $726,594 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 4.08 (Washington median: 4.15). RN hours: 0.59. Weekend total: 3.65. Nursing staff turnover: 42%.
All-time on record: 56 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-03-27 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Health | corrected 2025-05-14 |
| 2025-03-27 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-05-14 |
| 2025-03-27 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Provide activities to meet all resident's needs. | D | Health | corrected 2025-05-14 |
| 2025-03-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-05-14 |
| 2025-03-27 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2025-05-14 |
| 2024-02-06 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | complaint | corrected 2024-03-20 |
| 2024-02-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2024-03-20 |
| 2024-02-06 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2024-03-20 |
| 2024-02-06 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Health | corrected 2024-03-20 |
| 2024-02-06 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-03-20 |
| 2024-02-06 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-03-20 |
| 2024-02-06 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-03-20 |
| 2024-02-06 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2024-03-20 |
| Date | Type | Amount |
|---|---|---|
| 2024-02-06 | Fine | $48,663 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ARISO LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2023 |
| ARI OPERATIONS, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2023 |
| AVAMERE GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2023 |
| KARL RICKARD MILLER JR REVOCABLE TRUST | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2023 |
| MILLER, KARL | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2023 |
| CAVALLO, GLEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| FEAKIN, CODY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| FUNDERBERG, MICHELLE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| GARCIA, ROBERTO | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2026 |
| INSKEEP, TODD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| REID, MISTY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| STAPLES, CAROLYN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/01/2025 |
| STRUNK, COLBY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| VANDERZANDEN, CARRIE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| AVAMERE HEALTH SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2023 |
| AVAMERE SKILLED ADVISORS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2023 |
| MIDCAP FINCO LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2023 |
| FANUNAL, LORIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2023 |
| FEAKIN, CODY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2025 |
| FISHER, TONYA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/19/2026 |
| FOWLER, KATHERINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| GARCIA, ROBERTO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2026 |
| NESTERENKO, OKSANA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/08/2022 |
| PRESLEY, YOLANDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/2025 |
| REID, MISTY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505004. Corrections: data@carerecords.org.