Nursing homeFAID #12879
Garden Terrace Healthcare Center of Federal Way
★★★★★5/5CMS Five-Star overall3/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
70
State license
1631
CMS facility ID
505512
Care type
Nursing home
Facility name
Garden Terrace Healthcare Center of Federal Way
Street address
491 SOUTH 338TH STREET
City / state / ZIP
Federal Way, WA 98003
Phone
(253) 661-2226
Website
State license #
1631
About this facility — Garden Terrace Healthcare Center of Federal Way
Garden Terrace Healthcare Center of Federal Way is a Medicare/Medicaid-certified skilled nursing facility in Federal Way, Washington. It is licensed for 70 beds — below the median for skilled nursing facilities in Washington (97 beds).
It is one of 38 senior care facilities in Federal Way 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 Garden Terrace Healthcare Center of Federal Way 85 times across 11 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. 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 August 31, 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
Parent company
Life Care Centers of America
Ownership type
For profit - Limited Liability company
Administrator
Moss, Amanda N.
Registered owners & officers
Butner, Nancy
Governing body · Operational control — since 2018
Cross, Cindy
Officer — since 2003
Developers Investment Company Inc
Direct owner · Operational control — since 1998
Federal Way Medical Investors, Llc
Operational control · Additional disclosable party — since 2003
Fletcher, Todd
Operational control · Additional disclosable party — since 2018
Gilbert, Dennis
Governing body · Operational control · Additional disclosable party — since 2025
Henry, Terry
Officer — since 2003
Lay, Lisa
Officer — since 2018
Life Care Centers of America, Inc.
Operational control · Additional disclosable party — since 2003
Pacio, Glenn
Operational control · Additional disclosable party — since 2011
Preston, Aubrey
Operational control — since 2014
Preston, Forrest
Indirect owner · Additional disclosable party — since 1998
Swanker, Richard
Officer — since 2011
Thurmond, Joan
Officer — since 2003
Viola, Eddie
Governing body · Operational control — since 2025
Ziegler, James
Operational control — since 2024
Regulatory standing
Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
License status
Operating
Licensed / certified since
2003-06-12
License expires
2027-05-31
CMS overall rating
5 of 5 stars
Health deficiencies
16 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-06-16
Nurse staffing
5.4 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$913 per day (≈ $27,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
0% Medicaid · 61% Medicare · 39% private/other
Occupancy
65% (fiscal year 2023)
Vs. state median
90% above the WA median of $480/day — full state cost breakdown
Services & coverage
Licensed beds
70
Licensed as
Assisted Living
Memory care
Yes — dedicated memory care
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 2026-08-31. 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 4 food-safety citations on its three-year record — flagged below among the inspections.
2025-09-12Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-21
2025-06-16Health inspectionComplaint-triggered15 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-08-04
F-0584
D · No harm found
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.
Corrected 2025-08-04
F-0585
D · No harm found
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.
Corrected 2025-08-04
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2025-08-04
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-04
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-04
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-04
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-08-04
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-04
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-04
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-08-04
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 2025-08-04
F-0812
E · 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 2025-08-04
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-08-04
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-08-04
8 earlier / fire-safety inspections (69 citations)
2025-02-07Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-26
2025-01-16Health inspectionComplaint-triggered1 citation
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-18
2024-12-03Health inspectionComplaint-triggered2 citations
F-0623
E · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-09
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-09
2024-04-16Health inspection18 citations
F-0625
E · No harm found
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.
Corrected 2024-05-23
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-23
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-05-23
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-23
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-23
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-23
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-23
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-05-23
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-23
F-0697
E · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-23
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-05-23
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-05-23
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 2024-05-23
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-05-23
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-05-23
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-23
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-23
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-23
2023-03-21Health inspection8 citations
F-0578
D · No harm found
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.
Corrected 2023-04-25
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-25
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-25
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-25
F-0657
E · 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 2023-04-25
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-25
F-0812
E · 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 2023-04-25
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-25
2025-06-16Fire-safety inspection19 citations
E-0009
F · No harm found
Include a process for Emergency Preparedness collaboration.
Corrected 2025-07-14
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-07-14
E-0020
F · No harm found
Establish policies and procedures including evacuation.
Corrected 2025-07-14
E-0024
F · No harm found
Establish policies and procedures for volunteers.
Corrected 2025-07-14
E-0029
F · No harm found
Develop a communication plan.
Corrected 2025-07-14
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2025-07-14
E-0031
F · No harm found
Provide emergency officials' contact information.
Corrected 2025-07-14
E-0034
F · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2025-07-14
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-07-14
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 2025-07-14
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-07-14
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-07-14
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-05
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-07-14
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-05
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-14
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-07-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-05
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-07-14
2024-04-16Fire-safety inspection4 citations
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-05-14
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-14
K-0753
D · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2024-05-14
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-14
2023-03-21Fire-safety inspection16 citations
E-0018
F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-04-18
E-0020
F · No harm found
Establish policies and procedures including evacuation.
Corrected 2023-04-06
E-0033
F · No harm found
Establish methods for sharing information.
Corrected 2023-04-06
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2023-04-18
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2023-04-18
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-04-18
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-18
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-04-18
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-18
K-0362
D · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-04-18
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-18
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-18
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-18
K-0531
F · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-04-18
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-04-18
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-04-18
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 505512.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 85 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
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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