Nursing homes › Washington › Columbia Lutheran Home
4700 Phinney Avenue North, Seattle, WA 98103 · 2066327400 · 116 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 5.33 (Washington median: 4.15). RN hours: 1.32. Weekend total: 4.74. Nursing staff turnover: 41%.
All-time on record: 46 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-06 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2026-03-02 |
| 2025-03-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-04-28 |
| 2025-03-20 | 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. | E | Health | corrected 2025-04-28 |
| 2025-03-20 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Health | corrected 2025-04-28 |
| 2025-03-20 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-28 |
| 2025-03-20 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-04-28 |
| 2025-03-20 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-28 |
| 2025-03-20 | 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 2025-04-28 |
| 2025-03-20 | 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 2025-04-28 |
| 2025-03-20 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-04-28 |
| 2025-03-20 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-04-28 |
| 2025-03-20 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Health | corrected 2025-04-28 |
| 2025-03-20 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Health | corrected 2025-04-28 |
| 2025-03-20 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2025-04-28 |
| 2024-02-28 | Post nurse staffing information every day. | F | Health | corrected 2024-04-09 |
| 2024-02-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-04-09 |
| 2024-02-28 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Health | corrected 2024-04-09 |
| 2024-02-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | 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 2024-04-09 |
| 2024-02-28 | 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. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Respond appropriately to all alleged violations. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | 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 2024-04-09 |
| 2024-02-28 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-04-09 |
| 2024-02-28 | 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 2024-04-09 |
| 2024-02-28 | 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 2024-04-09 |
| 2024-02-28 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-04-09 |
| 2024-02-28 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Health | corrected 2024-04-09 |
| 2023-11-07 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | complaint | corrected 2023-12-06 |
| 2023-11-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-12-06 |
| 2023-11-07 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-12-06 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ALABACH, CAROLINE | Corporate Director | Individual | NOT APPLICABLE | since 09/26/2013 |
| MAHLER, KEITH | Corporate Director | Individual | NOT APPLICABLE | since 01/30/2020 |
| MCGINNESS, CHARLOTTE | Corporate Director | Individual | NOT APPLICABLE | since 01/28/2016 |
| RAMSEY, DEBORAH | Corporate Director | Individual | NOT APPLICABLE | since 03/31/2016 |
| SEARS, CINDY | Corporate Director | Individual | NOT APPLICABLE | since 01/28/2016 |
| SMITH, JANET | Corporate Director | Individual | NOT APPLICABLE | since 12/02/2021 |
| HEYER, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2015 |
| HEYER, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2015 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505470. Corrections: data@carerecords.org.