Home›Browse›Washington›Wapato›Emerald Care

Nursing homeFAID #12769

Emerald Care

209 NORTH AHTANUM AVENUE, WAPATO, WA, 98951

(509) 877-3175

82 licensed beds

CMS rates Emerald Care 4 out of 5 overall. Federal inspectors issued 43 citations across 12 inspections in the last three years, with $8,278 in fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

209 North Ahtanum Avenue

Wapato, WA 98951

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Public record summary

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Bed capacity

CMS facility ID

505265

Care type

Nursing home

County

Yakima

Facility name

Emerald Care

Street address

209 NORTH AHTANUM AVENUE

City / state / ZIP

Wapato, WA 98951

Phone

(509) 877-3175

About this facility — Emerald Care

Emerald Care is a Medicare/Medicaid-certified skilled nursing facility in Wapato, Washington. It is licensed for 82 beds — below the median for skilled nursing facilities in Washington (97 beds).

It is one of 1 senior care facility in Wapato and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Emerald Care 43 times across 12 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $8,278 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Non profit - Corporation

Registered owners & officers

Bonus, Michelle

Operational control · Additional disclosable party — since 2024

Emmans, Paul

Operational control · Additional disclosable party — since 2013

Hoon, Kelly

Director · Operational control — since 2018

Hoon, Michael

Director — since 2025

Pascua, Reynaldo

Director — since 2003

Regulatory standing

Licensed / certified since

1982-06-01

CMS overall rating

4 of 5 stars

Health deficiencies

14 at the last standard inspection

Federal fines

$8,278 total

Last standard inspection

2026-01-30

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$394 per day (≈ $11,980/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

88% Medicaid · 4% Medicare · 8% private/other

Occupancy

91% (fiscal year 2023)

Vs. state median

18% below the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-24Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-04-13

2026-01-30Health inspectionComplaint-triggered13 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-02-27

F-0607

E · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-02-27

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-02-27

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-02-27

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-02-27

F-0646

E · No harm found

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2026-02-27

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-27

F-0688

D · No harm found

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.

Corrected 2026-02-27

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-02-27

F-0726

E · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2026-02-27

F-0801

F · No harm foundFood safety

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.

Corrected 2026-02-27

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-02-27

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-27

6 earlier / fire-safety inspections (29 citations)

2025-02-04Health inspection5 citations

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-03-07

F-0761

D · No harm found

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.

Corrected 2025-03-07

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-07

F-0839

D · No harm found

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2025-03-07

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-03-07

2024-09-11Health inspectionComplaint-triggered1 citation

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-10-15

2024-03-05Health inspection3 citations

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-04-09

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-04-09

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-09

2026-01-30Fire-safety inspection3 citations

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-01-30

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-01-30

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-02-06

2025-02-04Fire-safety inspection10 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-02-12

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-02-12

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-02-03

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-14

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-06

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-07

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-07

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-14

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-02-14

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-14

2024-03-05Fire-safety inspection7 citations

E-0030

D · No harm found

List the names and contact information of those in the facility.

Corrected 2024-03-08

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-03-08

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-08

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-08

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-03-08

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-22

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-08

Federal penalties

2026-03-24Fine$8,278

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 505265.

Quality of care & staffing

How it compares in Washington.

Inspection citations, 3 years

More than 12% of nursing homes in the state

State median: 78

Federal fines, 3 years

$8,278

More than 42% of nursing homes in the state

State median: $13,065

Nurse staffing, hours per resident per day

3.7

Higher than 18% of nursing homes in the state

State median: 4.1

Nursing staff turnover, annual

36%

Higher than 26% of nursing homes in the state

State median: 43%

Resident outcomes

On 21 federal quality measures, this facility does better than the Washington average on 9 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	17.5%	13.8%	13.5%	Worse than state
Lose too much weight	3.2%	5.6%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.9%	0.8%	0.7%	Worse than state
With a urinary tract infection	1.1%	1.7%	1.5%	Better than state
Have depressive symptoms	50.9%	17.9%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	3.8%	2.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.2%	93.7%	Near state average
Ability to walk independently worsened	14.9%	15.6%	12.7%	Near state average
Received an antianxiety or hypnotic medication	1.4%	12.5%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	98.7%	94.3%	95.3%	Near state average
With pressure ulcers	1.3%	4.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	22.2%	21.6%	18.3%	Near state average
Received an antipsychotic medication	10.2%	15.0%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.31	1.26	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	0.94	1.54	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	97.6%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	2.8%	1.3%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	54.5%	84.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	8.8%	19.7%	23.4%	Better than state
Had an outpatient emergency department visit	4.5%	13.0%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0610 2 inspections. Respond appropriately to all alleged violations.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0511 2 inspections. Have properly installed electrical wiring and gas equipment.
K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-0345 2 inspections. Have approved installation, maintenance and testing program for fire alarm systems.

Verify & compare

Where to check, and what's nearby.

Who to contact in Washington

Licensing: Washington State Department of Social and Health Services (DSHS), Residential Care Services (RCS)
File a complaint: 800-562-6078 · Online
Long-Term Care Ombudsman: 800-562-6028. A free advocate for residents and families.
Adult Protective Services: 877-734-6277. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Astria Toppenish Hospital, about 7.5 miles.
Astria Sunnyside Hospital, about 22 miles. CMS rating 2 of 5.
Prosser Memorial Hospital, about 36 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Linden Post Acute, Toppenish, about 7.4 miles. CMS rating 4 of 5.
Parkside Care, Union Gap, about 7.6 miles. CMS rating 1 of 5.
Garden Village, Yakima, about 11 miles. CMS rating 2 of 5.
Good Samaritan Health Care Ctr, Yakima, about 12 miles. CMS rating 5 of 5.
Summitview Rehab and Health Center, Yakima, about 12 miles. CMS rating 5 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 43 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered