All states › Washington › Federal Way › Garden Terrace Healthcare Center of Federal Way
491 South 338th Street Federal Way, WA 98003 · King County
All 4 nursing homes in Federal Way, WA (3 take Medicaid)
CMS certification number 505512 · See this home on Medicare Care Compare
Is Garden Terrace Healthcare Center of Federal Way a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Garden Terrace Healthcare Center of Federal Way as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Washington average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.35 hours per resident per day at Garden Terrace Healthcare Center of Federal Way, above the Washington median of 4.15 (US median: 3.72). About 1.60 of those hours are from registered nurses. On weekends it falls to 4.48 hours, 16% below its all-week average. Ask how weekends are staffed. 31% of nursing staff left within a year (Washington median 43%). That is lower than most homes in Washington, a sign of a steadier team.
About this nursing home
Paying for care at Garden Terrace Healthcare Center of Federal Way: Medicare and Medicaid
Garden Terrace Healthcare Center of Federal Way is certified for Medicare but not Medicaid. It can provide short-term skilled nursing and rehab covered by Medicare Part A, but if long-term care is needed and Medicaid becomes the payer, a move to a Medicaid-certified home would be needed. 3 other homes in Federal Way accept Medicaid. Nursing homes that accept Medicaid in Washington.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 16, 2025 and found 12 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 49 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 49 citations at Garden Terrace Healthcare Center of Federal Way across 8 inspection dates, 11 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 49 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (18) and resident assessment and care planning (10). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, April 16, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 14, 2026 · 3 citations · includes complaint inspection
EHonor 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.
EHonor 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
September 12, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 16, 2025 · 15 citations · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DHonor 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.
DHonor 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.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DProvide safe, appropriate pain management for a resident who requires such services.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure 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.
DProvide or get specialized rehabilitative services as required for a resident.
February 7, 2025 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
January 16, 2025 · 1 citation · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
December 3, 2024 · 2 citations · includes complaint inspection
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 16, 2024 · 18 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ENotify 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide safe, appropriate pain management for a resident who requires such services.
EProvide and implement an infection prevention and control program.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
DImplement 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.
DDispose of garbage and refuse properly.
DProvide or get specialized rehabilitative services as required for a resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
March 21, 2023 · 8 citations
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor 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.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Garden Terrace Healthcare Center of Federal Way
- CMS cited the home under its abuse and neglect rules on June 16, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 3/5 | 5/5 | 5/5 |
| August 2026 | 5/5 | 3/5 | 5/5 | 5/5 |
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Location
Hospitals near Garden Terrace Healthcare Center of Federal Way
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.4 mi
St Francis Community Hospital Federal WayEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 22m for patients treated and sent home
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4.8 mi
Auburn Regional Medical Center AuburnEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 37m for patients treated and sent home
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6.6 mi
St Joseph Medical Center TacomaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 31m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Garden Terrace Healthcare Center of Federal Way › All nursing homes in Federal Way ›
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 194 Life Care Centers of America nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.