All states › Washington › Federal Way › Hallmark Manor
32300 First Avenue South Federal Way, WA 98003 · King County
All 4 nursing homes in Federal Way, WA (3 take Medicaid)
CMS certification number 505313 · See this home on Medicare Care Compare
Is Hallmark Manor 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 Hallmark Manor as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 4.22 hours per resident per day at Hallmark Manor, about the same as the Washington median of 4.15 (US median: 3.72). About 0.92 of those hours are from registered nurses. On weekends it falls to 3.65 hours, 13% below its all-week average. 35.6% of nursing staff left within a year (Washington median 43%).
About this nursing home
Paying for care at Hallmark Manor: Medicare and Medicaid
Hallmark Manor is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Washington's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
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 May 13, 2025 and found 19 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 60 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 60 citations at Hallmark Manor across 7 inspection dates, 6 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on May 28, 2026. The most common areas cited were quality of life and care (16) and resident assessment and care planning (12). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, May 28, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 28, 2026 · 1 citation · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
May 13, 2025 · 19 citations
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DTry 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.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
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.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide and implement an infection prevention and control program.
August 19, 2024 · 2 citations · includes complaint inspection
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 12, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
May 10, 2024 · 2 citations · includes complaint inspection
EProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
DRespond appropriately to all alleged violations.
March 6, 2024 · 18 citations
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
EEnsure medication error rates are not 5 percent or greater.
EEnsure 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.
EEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
November 8, 2022 · 17 citations
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EHonor 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.
EPASARR screening for Mental disorders or Intellectual Disabilities
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide 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.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EImplement 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.
EProvide and implement an infection prevention and control program.
EImplement a program that monitors antibiotic use.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure medication error rates are not 5 percent or greater.
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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEnsure staff are vaccinated for COVID-19
Questions to ask on a tour of Hallmark Manor
- Inspectors cited the home at the actual-harm level on May 28, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 10, 2024. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
2 penalties in the last three years, including $46,555 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 12, 2026 | Fine | $14,380 |
| Jun 12, 2024 | Fine | $32,175 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
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Location
Hospitals near Hallmark Manor
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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1.4 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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4.7 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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7.2 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 Hallmark Manor › All nursing homes in Federal Way ›
Compare Hallmark Manor with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Garden Terrace Healthcare Center of Federal Way · Federal Way · 5 stars · 0.9 mi
- Judson Park Health Center · Des Moines · 5 stars · 5.4 mi
- Wesley Homes Des Moines Health Center · Des Moines · 5 stars · 6.6 mi
- Rainier Rehabilitation · Puyallup · 5 stars · 9.4 mi
Other Life Care Centers of America nursing homes in Washington
- Garden Terrace Healthcare Center of Federal Way · Federal Way · 5 stars
- Life Care Center of South Hill · Puyallup · 5 stars
- Cottesmore of Life Care · Gig Harbor · 5 stars
- Life Care Center of Port Orchard · Port Orchard · 5 stars
- Life Care Center of Port Townsend · Port Townsend · 5 stars
- Life Care Center of Skagit Valley · Sedro Woolley · 4 stars
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.