SNF

WASHINGTON SOLDIERS HOME

CCN: 505516 · ORTING, WA 98360 · Pierce County

Overview

Address
1301 ORTING-KAPOWSIN HWY E, ORTING, WA 98360
Phone
3608934515
Certified beds
97
Avg daily residents
92 (94% of beds filled)
Ownership
Government (state)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2007-01-01
Setting
Urban
4 /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.
★★★★★ 4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures — Data not available.

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
 4.62 3.70 4.82 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.89 0.65 0.92 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.98 0.82 1.03 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.75 2.23 2.87 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.87 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

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)
3.72
hrs / resident / day
RN (weekend)
0.39
hrs / resident / day
Total nurse (adjusted, weekend)
3.88
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
32.7%
annual
RN turnover
34.8%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.31
higher acuity than avg
Case-Mix Index Ratio
0.95
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) 2025-08-29 15 14 1 88 1 88
Cycle 2/3 (prior) 2024-07-18 12 12 0 56 1 56
Total weighted health score
80.0
lower is better

Deficiencies (30)

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
27 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2025-08-29 2025-10-13
0583 Keep residents' personal and medical records private and confidential. D 2025-08-29 2025-10-13
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 2025-08-29 2025-10-13
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-08-29 2025-10-13
0641 Ensure each resident receives an accurate assessment. D 2025-08-29 2025-10-13
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2025-08-29 2025-10-13
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-08-29 2025-10-13
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-08-29 2025-10-13
0687 Provide appropriate foot care. G 2025-08-29 2025-10-13
0688 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. D 2025-08-29 2025-10-13
0692 Provide enough food/fluids to maintain a resident's health. D 2025-08-29 2025-10-13
0732 Post nurse staffing information every day. C 2025-08-29 2025-10-13
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-08-29 2025-10-13
0791 Provide or obtain dental services for each resident. D 2025-08-29 2025-10-13
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-04-08 2025-05-23
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 2024-07-18 2024-08-28
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-07-18 2024-08-28
0610 Respond appropriately to all alleged violations. D 2024-07-18 2024-08-28
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-07-18 2024-08-28
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-07-18 2024-08-28
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-07-18 2024-08-28
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-07-18 2024-08-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-07-18 2024-08-28
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2024-07-18 2024-08-28
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-07-18 2024-08-28
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-07-18 2024-08-28
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 2024-07-18 2024-08-28
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-06-07 2023-07-12
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 2023-06-07 2023-07-12
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-06-07 2023-07-12

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 1.7% Medicaid 22.1% Other 76.2%

Operating performance

Operating Margin
-34.5%
Total Margin
-56.4%
Occupancy Rate
78.2%
Cost per Resident Day
$22

Revenue & costs

Net Patient Revenue
$13.8M
Total Costs
$623K
Net Income
-$7.8M

Balance sheet

Total Assets
$4.5M
Total Liabilities
$11K
Fund Balance
$4.5M
Current Ratio
16.60

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (2)

Organization Role Association
WASHINGTON STATE DEPARTMENT OF VETE 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/27/2006
WASHINGTON STATE DEPARTMENT OF VETE OPERATIONAL/MANAGERIAL CONTROL since 09/27/2006

Owner / manager individuals (9)

Name Role Association
MURRAY, DANIEL CORPORATE DIRECTOR since 02/01/2023
PUENTE, DAVID CORPORATE DIRECTOR since 02/01/2023
GILBERT, SOLOMON CORPORATE OFFICER since 05/22/2023
WESTHOFF, TERRANCE CORPORATE OFFICER since 09/01/2020
GILBERT, SOLOMON W-2 MANAGING EMPLOYEE since 05/22/2023
MURRAY, DANIEL W-2 MANAGING EMPLOYEE since 02/01/2023
PUENTE, DAVID W-2 MANAGING EMPLOYEE since 02/01/2023
SMITH, DANIEL W-2 MANAGING EMPLOYEE since 12/28/2022
WESTHOFF, TERRANCE W-2 MANAGING EMPLOYEE since 09/01/2020

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 ($) $22 metrics.cost_per_resident_day
Cost Report Current Ratio 16.60 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 22.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.7% metrics.medicare_day_share
Cost Report Net Income ($) $-7,802,370 metrics.net_income
Cost Report Net Patient Revenue ($) $13,755,843 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 78.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -34.5% metrics.operating_margin
Cost Report Total Assets ($) $4,473,544 metrics.total_assets
Cost Report Total Costs ($) $622,995 metrics.total_costs
Cost Report Total Fund Balances ($) $4,462,145 metrics.fund_balance
Cost Report Total Liabilities ($) $11,399 metrics.total_liabilities
Cost Report Total Margin (%) -56.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.02585 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.87116 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.92351 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.82053 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.87604 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 91.5 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 0.82198 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.23395 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.64790 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.70383 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.26453 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town ORTING City/Town
Provider Information CMS Certification Number (CCN) 505516 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 2007-01-01 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 47.0823 Latitude
Provider Information Legal Business Name STATE OF WASHINGTON WASHINGTON SOLDIERS HOME Legal Business Name
Provider Information Location 1301 ORTING-KAPOWSIN HWY E,ORTING,WA,98360 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -122.21 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 97 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 — 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 1.31210 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.95242 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Government - State 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 1301 ORTING-KAPOWSIN HWY E Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WASHINGTON SOLDIERS HOME 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 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 88 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 1 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 2025-08-29 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 88 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 15 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-07-18 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 0 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 12 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.39298 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 34.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.87005 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.98411 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.75433 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05554 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.88594 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 4.62438 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State WA State
Provider Information Telephone Number 3608934515 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 3.71833 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 32.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 80.000 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 98360 ZIP Code