All states › Washington › Seattle › Avamere Rehabilitation of Shoreline
1250 Northeast 145th Street Seattle, WA 98155 · King County
All 19 nursing homes in Seattle, WA (19 take Medicaid)
CMS certification number 505009 · See this home on Medicare Care Compare
Is Avamere Rehabilitation of Shoreline 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 Avamere Rehabilitation of Shoreline 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 4.31 hours per resident per day at Avamere Rehabilitation of Shoreline, above the Washington median of 4.15 (US median: 3.72). About 1.16 of those hours are from registered nurses. On weekends it falls to 3.41 hours, 21% below its all-week average. Ask how weekends are staffed. 39.4% of nursing staff left within a year (Washington median 43%). 2 administrators left in the past year.
About this nursing home
Paying for care at Avamere Rehabilitation of Shoreline: Medicare and Medicaid
Avamere Rehabilitation of Shoreline 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 17, 2025 and found 28 deficiencies, plus 18 from complaint inspections in the same period. In total, inspectors issued 96 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 96 citations at Avamere Rehabilitation of Shoreline across 21 inspection dates, 31 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 94 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were quality of life and care (21) and resident assessment and care planning (21). 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, May 17, 2025). 14 citations were under CMS's abuse, neglect and exploitation rules.
August 21, 2026 · 2 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.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
August 13, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 16, 2026 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
June 16, 2026 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
May 15, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 30, 2026 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
March 13, 2026 · 2 citations · includes complaint inspection
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
February 12, 2026 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
January 7, 2026 · 3 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 9, 2025 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
November 14, 2025 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
July 18, 2025 · 3 citations · includes complaint inspection
DRespond appropriately to all alleged violations.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
May 17, 2025 · 28 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EAllow residents to self-administer drugs if determined clinically appropriate.
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.
EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
EEnsure each resident receives an accurate assessment.
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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide safe and appropriate respiratory care for a resident when needed.
EPost nurse staffing information every day.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure each resident’s drug regimen must be free from unnecessary drugs.
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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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.
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.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DAssess the resident when there is a significant change in condition
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate foot care.
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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DProvide care or services that was trauma informed and/or culturally competent.
April 11, 2025 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
March 6, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
August 12, 2024 · 2 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure that residents are free from significant medication errors.
July 9, 2024 · 2 citations · includes complaint inspection
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide care and assistance to perform activities of daily living for any resident who is unable.
June 24, 2024 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
March 19, 2024 · 21 citations
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure services provided by the nursing facility meet professional standards of quality.
EPost nurse staffing information every day.
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 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.
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.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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.
DProvide or obtain dental services for each resident.
DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
February 14, 2024 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
December 22, 2022 · 16 citations
FEnsure 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.
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EAssure that each resident’s assessment is updated at least once every 3 months.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of Avamere Rehabilitation of Shoreline
- CMS cited the home under its abuse and neglect rules on August 13, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 49% of its beds filled. Are any units closed?
- 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
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 | 2/5 | 1/5 | 4/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 3/5 | 5/5 |
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Location
Hospitals near Avamere Rehabilitation of Shoreline
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.3 mi
-
4.9 mi
Swedish Edmonds Hospital EdmondsEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 7m for patients treated and sent home
- 5.0 mi
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 Avamere Rehabilitation of Shoreline › All nursing homes in Seattle ›
Compare Avamere Rehabilitation of Shoreline with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Shoreline Health and Rehabilitation · Seattle · 5 stars · 0.5 mi
- Fircrest Nursing Facility · Seattle · 5 stars · 2.2 mi
- Pine Ridge Post Acute · Edmonds · 5 stars · 5.3 mi
- Queen Anne Healthcare · Seattle · 5 stars · 6.5 mi
Other Avamere nursing homes in Washington
- Avamere Transitional Care of Puget Sound · Tacoma · 5 stars
- Queen Anne Healthcare · Seattle · 5 stars
- Avamere Rehabilitation of Cascade Park · Vancouver · 5 stars
- Avamere Rehabilitation at Ridgemont · Port Orchard · 5 stars
- Avamere Rehabilitation of Burien · Burien · 4 stars
- Richmond Beach Rehab · Shoreline · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 27 Avamere 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.