Nursing HomeInspections

Garden Terrace Healthcare Center of Federal Way

Nursing home in Federal Way, WA

Medicare-certified5★ overall (CMS)

Call (253) 661-2226Send a messageMap ↗

Public-record details

Address
491 South 338th Street, Federal Way, WA 98003
Phone
(253) 661-2226
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
505512
Overall star rating
5 of 5 ★★★★★
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
5 of 5
Certified beds
70
Average residents per day
62
Ownership
For-profit, limited Liability company
Legal business name
Federal Way Medical Investors, LLC
Chain
Life Care Centers of America (194 facilities)
Certified for
Medicare
First approved by Medicare/Medicaid
Jun 12, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 505512. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 16, 2025. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 21, 2023 to Sep 12, 2025): 8 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 12, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 16, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 16, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 16, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 16, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jun 16, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 16, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 16, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 16, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 16, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 16, 2025Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 16, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 46. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.45 hours
Registered nurse (RN) time per resident per day
1.52 hours
Nurse aide time per resident per day
2.93 hours
Total nurse staffing on weekends
4.60 hours
Nursing staff turnover (yearly)
31%
RN turnover (yearly)
32%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Federal Way

Avalon Care Center Federal Way, L.L.C.135 South 336th Street · Federal Way, WA 98003 · (253) 835-7453 · For-profit48 health citations in 3 inspection cycles · last standard inspection Nov 21, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Hallmark Manor32300 First Avenue South · Federal Way, WA 98003 · (253) 874-3580 · For-profit60 health citations in 3 inspection cycles · last standard inspection May 13, 2025 · $32,175 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Life Care Center Of Federal Way1045 South 308th Street · Federal Way, WA 98003 · (253) 946-2273 · For-profit82 health citations in 3 inspection cycles · last standard inspection Mar 18, 2025 · $98,970 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 4 in Federal Way →