SNF

COTTESMORE OF LIFE CARE

CCN: 505499 · GIG HARBOR, WA 98335 · Pierce County

Overview

Address
2909 14TH AVENUE NORTHWEST, GIG HARBOR, WA 98335
Phone
2538515433
Certified beds
108
Avg daily residents
101 (94% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1996-12-06
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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

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
 4.32 4.36 3.83 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.09 0.76 0.96 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.79 0.97 0.70 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.44 2.63 2.16 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.88 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.13 — — —

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)
3.58
hrs / resident / day
RN (weekend)
0.55
hrs / resident / day
Total nurse (adjusted, weekend)
3.17
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
53.4%
annual
RN turnover
34.5%
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) 2025-01-13 20 18 2 136 1 136
Cycle 2/3 (prior) 2024-02-08 12 7 5 68 1 68
Total weighted health score
119.0
lower is better

Deficiencies (52)

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).

2 A/B/C No actual harm — minor
48 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2026-01-09 2026-01-28
0760 Ensure that residents are free from significant medication errors. G 2025-08-18 2025-09-02
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 2025-01-13 2025-02-27
0584 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. D 2025-01-13 2025-02-27
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. E 2025-01-13 2025-02-27
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. E 2025-01-13 2025-02-27
0645 PASARR screening for Mental disorders or Intellectual Disabilities E 2025-01-13 2025-02-27
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-01-13 2025-02-27
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-01-13 2025-02-27
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-01-13 2025-02-27
0692 Provide enough food/fluids to maintain a resident's health. D 2025-01-13 2025-02-27
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-01-13 2025-02-27
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-01-13 2025-02-27
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2025-01-13 2025-02-27
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-01-13 2025-02-27
0761 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. E 2025-01-13 2025-02-27
0790 Provide routine and 24-hour emergency dental care for each resident. D 2025-01-13 2025-02-27
0791 Provide or obtain dental services for each resident. D 2025-01-13 2025-02-27
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-01-13 2025-02-27
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-01-13 2025-02-27
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-05-30 2024-06-21
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2024-02-08 2024-03-14
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-02-08 2024-03-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-02-08 2024-03-14
0791 Provide or obtain dental services for each resident. D 2024-02-08 2024-03-14
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. B 2024-02-08 2024-03-14
0808 Ensure 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. E 2024-02-08 2024-03-14
0849 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. D 2024-02-08 2024-03-14
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2023-10-26 2023-11-21
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-08-30 2023-09-30
0610 Respond appropriately to all alleged violations. D 2023-08-30 2023-09-30
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. D 2023-06-21 2023-07-12
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2023-01-11 2023-02-14
0585 Honor 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. D 2023-01-11 2023-02-14
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. E 2023-01-11 2023-02-14
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. E 2023-01-11 2023-02-14
0637 Assess the resident when there is a significant change in condition E 2023-01-11 2023-02-14
0641 Ensure each resident receives an accurate assessment. D 2023-01-11 2023-02-14
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-01-11 2023-02-14
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-01-11 2023-02-14
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 2023-01-11 2023-02-14
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-01-11 2023-02-14
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2023-01-11 2023-02-14
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-01-11 2023-02-14
0692 Provide enough food/fluids to maintain a resident's health. D 2023-01-11 2023-02-14
0727 Have 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. E 2023-01-11 2023-02-14
0732 Post nurse staffing information every day. C 2023-01-11 2023-02-14
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. D 2023-01-11 2023-02-14
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-01-11 2023-02-14
0761 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. E 2023-01-11 2023-02-14

Showing 50 most recent of 52. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$18,233
Date Type Fine amount
2023-10-26 Fine $18,233

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 24.1% Medicaid 51.4% Other 24.4%

Operating performance

Operating Margin
-2.3%
Total Margin
-1.7%
Occupancy Rate
80.8%
Cost per Resident Day
$65

Revenue & costs

Net Patient Revenue
$14.3M
Total Costs
$2.1M
Net Income
-$249K

Balance sheet

Total Assets
$9.3M
Total Liabilities
$13.0M
Fund Balance
-$3.7M
Current Ratio
0.40

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LIFE CARE CENTERS OF AMERICA

Chain ID
311
Facilities in chain
194
Legal business name
GIG HARBOR OPERATIONS, LLC
Chain-average star ratings (for peer context)
Overall
3.5
Health
2.9
Staffing
3.3
QM
4.6

Owner / manager organizations (3)

Organization Role Association
DEVELOPERS INVESTMENT COMPANY INC OPERATIONAL/MANAGERIAL CONTROL since 02/26/1996
GIG HARBOR OPERATIONS, LLC OPERATIONAL/MANAGERIAL CONTROL since 05/01/1996
LIFE CARE CENTERS OF AMERICA, INC. OPERATIONAL/MANAGERIAL CONTROL since 02/01/1996

Owner / manager individuals (15)

Name Role Association
FLETCHER, TODD 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/26/1996
PRESTON, FORREST 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/26/1996
BUTNER, NANCY OPERATIONAL/MANAGERIAL CONTROL since 09/16/2018
FLETCHER, TODD OPERATIONAL/MANAGERIAL CONTROL since 02/26/1996
LOCKWOOD, RYAN OPERATIONAL/MANAGERIAL CONTROL since 10/31/2023
PRESTON, AUBREY OPERATIONAL/MANAGERIAL CONTROL since 03/06/2025
PRESTON, FORREST OPERATIONAL/MANAGERIAL CONTROL since 02/26/1996
SEKERAMAYI, MAGGIE OPERATIONAL/MANAGERIAL CONTROL since 08/01/2022
VERLINDA, CATHY OPERATIONAL/MANAGERIAL CONTROL since 01/02/2024
CROSS, CINDY CORPORATE OFFICER since 02/01/1996
HENRY, TERRY CORPORATE OFFICER since 08/16/1999
LAY, LISA CORPORATE OFFICER since 02/09/2018
SWANKER, RICHARD CORPORATE OFFICER since 04/01/2011
THURMOND, JOAN CORPORATE OFFICER since 09/22/2000
ZIEGLER, JAMES CORPORATE OFFICER since 08/16/1999

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

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $65 metrics.cost_per_resident_day
Cost Report Current Ratio 0.40 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 51.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 24.1% metrics.medicare_day_share
Cost Report Net Income ($) $-248,668 metrics.net_income
Cost Report Net Patient Revenue ($) $14,295,723 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 80.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -2.3% metrics.operating_margin
Cost Report Total Assets ($) $9,345,374 metrics.total_assets
Cost Report Total Costs ($) $2,069,766 metrics.total_costs
Cost Report Total Fund Balances ($) $-3,668,995 metrics.fund_balance
Cost Report Total Liabilities ($) $13,014,369 metrics.total_liabilities
Cost Report Total Margin (%) -1.7% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.70156 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.16271 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.96288 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.82715 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.16889 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 101.3 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 0.96695 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.62796 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.76217 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.35708 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.84031 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.3 Chain Average Staffing Rating
Provider Information Chain ID 311 Chain ID
Provider Information Chain Name LIFE CARE CENTERS OF AMERICA Chain Name
Provider Information City/Town GIG HARBOR City/Town
Provider Information CMS Certification Number (CCN) 505499 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 1996-12-06 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 47.2845 Latitude
Provider Information Legal Business Name GIG HARBOR OPERATIONS, LLC Legal Business Name
Provider Information Location 2909 14TH AVENUE NORTHWEST,GIG HARBOR,WA,98335 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -122.56 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 108 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 194 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.54352 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.12040 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 - Limited Liability company 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 2909 14TH AVENUE NORTHWEST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name COTTESMORE OF LIFE CARE 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 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 136 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 2 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 18 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 136 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 20 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-08 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 68 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 5 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 68 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 12 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.54948 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 34.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.87833 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.79171 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.44063 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.12660 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.08661 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 4.31896 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 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 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State WA State
Provider Information Telephone Number 2538515433 Telephone Number
Provider Information Total Amount of Fines in Dollars 18233.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.57611 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 53.4 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 119.000 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 98335 ZIP Code