SNF
AGILITY HEALTH AND REHABILITATION
CCN: 505473 · UNIVERSITY PLACE, WA 98467 · Pierce County
Overview
- Address
- 5520 BRIDGEPORT WAY WEST, UNIVERSITY PLACE, WA 98467
- Phone
- 2535667166
- Certified beds
- 120
- Avg daily residents
- 111 (92% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1992-05-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.83 | 4.36 | 3.40 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.50 | 0.76 | 0.44 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.97 | 0.97 | 0.86 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.36 | 2.63 | 2.09 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.47 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.07 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.19
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
2.83
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
41.2%
annual
RN turnover
22.2%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.54
higher acuity than avg
Case-Mix Index Ratio
1.12
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-11 | 17 | 14 | 3 | 84 | 1 | 84 |
| Cycle 2/3 (prior) | 2024-05-09 | 11 | 8 | 3 | 56 | 1 | 56 |
Total weighted health score
77.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (34)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
1 A/B/C No actual harm — minor
33 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0610 | Respond appropriately to all alleged violations. | E | 2025-11-25 | 2025-12-17 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-11-25 | 2025-12-17 |
| 0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-11-25 | 2025-12-17 |
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-04-11 | 2025-05-15 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-04-11 | 2025-05-15 |
| 0578 | 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. | D | 2025-04-11 | 2025-05-15 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-11 | 2025-05-15 |
| 0610 | Respond appropriately to all alleged violations. | D | 2025-04-11 | 2025-05-15 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-11 | 2025-05-15 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-04-11 | 2025-05-15 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-11 | 2025-05-15 |
| 0732 | Post nurse staffing information every day. | C | 2025-04-11 | 2025-05-15 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2025-04-11 | 2025-05-15 |
| 0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-04-11 | 2025-05-15 |
| 0791 | Provide or obtain dental services for each resident. | D | 2025-04-11 | 2025-05-15 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-04-11 | 2025-05-15 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-04-11 | 2025-05-15 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-05-09 | 2024-06-06 |
| 0641 | Ensure each resident receives an accurate assessment. | E | 2024-05-09 | 2024-06-06 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-05-09 | 2024-06-06 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-05-09 | 2024-06-06 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-09 | 2024-06-06 |
| 0693 | 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. | D | 2024-05-09 | 2024-06-06 |
| 0791 | Provide or obtain dental services for each resident. | D | 2024-05-09 | 2024-06-06 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-05-09 | 2024-06-06 |
| 0887 | 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. | E | 2023-11-21 | 2023-12-12 |
| 0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2023-08-30 | 2023-09-25 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-30 | 2023-09-25 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-04-07 | 2023-05-01 |
| 0625 | Notify 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. | D | 2023-04-07 | 2023-05-01 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-04-07 | 2023-05-01 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-04-07 | 2023-05-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-04-07 | 2023-05-01 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2023-04-07 | 2023-05-01 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 8.6% Medicaid 72.2% Other 19.2%
Operating performance
Operating Margin
6.7%
Total Margin
6.8%
Occupancy Rate
82.4%
Cost per Resident Day
$47
Revenue & costs
Net Patient Revenue
$5.3M
Total Costs
$563K
Net Income
$359K
Balance sheet
Total Assets
$7.9M
Total Liabilities
$7.2M
Fund Balance
$704K
Current Ratio
1.61
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: VERTICAL HEALTH SERVICES
- Chain ID
636- Facilities in chain
- 18
- Legal business name
- BRIDGEPORT WAY W HEALTHCARE LLC
Chain-average star ratings (for peer context)
Overall
1.6
Health
2.1
Staffing
1.4
QM
3.5
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| BRIDGEPORT WAY W CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2023 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| DENOR, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2025 |
| MILLER, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2023 |
| SHURMAN, LARRY | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $47 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.61 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 72.2% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 8.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $359,309 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $5,300,676 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 82.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 6.7% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $7,896,384 | metrics.total_assets |
| Cost Report | Total Costs ($) | $562,823 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $703,940 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $7,192,444 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 6.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.85873 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.09438 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.44268 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.39579 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.82711 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 110.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.96704 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.62819 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.76224 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.35747 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.84065 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 636 | Chain ID |
| Provider Information | Chain Name | VERTICAL HEALTH SERVICES | Chain Name |
| Provider Information | City/Town | UNIVERSITY PLACE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 505473 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Pierce | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1992-05-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 47.207 | Latitude |
| Provider Information | Legal Business Name | BRIDGEPORT WAY W HEALTHCARE LLC | Legal Business Name |
| Provider Information | Location | 5520 BRIDGEPORT WAY WEST,UNIVERSITY PLACE,WA,98467 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.53 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 120 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 18 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.54366 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.12050 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 5520 BRIDGEPORT WAY WEST | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | AGILITY HEALTH AND REHABILITATION | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 260 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 84 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 3 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 14 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-11 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 84 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 17 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-05-09 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 56 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 56 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 11 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.34832 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 22.2 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.46878 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.96917 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.36374 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.06733 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.49961 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.83252 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | WA | State |
| Provider Information | Telephone Number | 2535667166 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.19070 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 41.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 77.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 98467 | ZIP Code |