2800 SOUTH 224TH STREET,, DES MOINES, WA 98198
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Regional estimate — not this community's rate
$7,600 – $11,400/mo
Typical skilled nursing costs in Washington range from $7,600 to $11,400/month. Contact this community directly for their specific rate.
Based on Genworth Cost of Care Survey, 2023. This is a regional benchmark, not a quote from this facility.
Source: Centers for Medicare & Medicaid Services (CMS). Updated nightly.
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Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare
3.4h
Hrs/resident · weekday
Expected: 3.4h
2.9h
Hrs/resident · weekend
vs 3.4h on weekdays
Not reported
30-day hospital readmission rate
High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.
Administrator turnover: 1 in the past year
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected: Jul 31, 2025
45 standard deficiencies in the last 3 years
View allProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Keep all essential equipment working safely.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Implement a program that monitors antibiotic use.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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.
Ensure medication error rates are not 5 percent or greater.
Try 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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide activities to meet all resident's needs.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Ensure services provided by the nursing facility meet professional standards of quality.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Ensure each resident receives an accurate assessment.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide and implement an infection prevention and control program.
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure medication error rates are not 5 percent or greater.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide 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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide activities to meet all resident's needs.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure services provided by the nursing facility meet professional standards of quality.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure each resident receives an accurate assessment.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
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.
No civil monetary penalties on record.
No hospitals found within 10 miles.
Proximity to emergency care is especially important for medically complex residents.
RIVER OTTER HEALTHCARE LLC· For profit - Corporation
Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →
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