ElderGrade
D

52/100

Below average

Alderwood Post Acute & Rehabilitation

3701 188Th Street Southwest, Lynnwood, WA 98037

CMS 2/5 stars #15 of 17 in Snohomish County (425) 775-9222
Certified beds
113
Occupancy
93%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $190,519 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

8/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 4 actual-harm citation(s) in the last 3 years
  • -10 for 123 total citations against a national median of 17

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.19 total nurse hours per resident per day (national median 3.77)
  • 0.92 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 57% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $190,519 in federal fines across 4 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.15 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.92 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.79 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 56.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 123 citations

Last standard health inspection: August 20, 2025 (1 year ago).

D May 21, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Mar 30, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Mar 30, 2026 F0688 From a complaint

Quality of Life and Care Deficiencies

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.

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0627 From a complaint

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

No actual harm, potential for more than minimal harm

G Dec 3, 2025 F0698 From a complaint

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Actual harm to a resident

D Nov 13, 2025 F0627 From a complaint

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

No actual harm, potential for more than minimal harm

F Sep 3, 2025 F0727 From a complaint

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

D Sep 3, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of HILL VALLEY HEALTHCARE, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
IDELS, SHIMON Individual CONTRACTED MANAGING EMPLOYEE
IDELS, SHIMON Individual CORPORATE OFFICER
WASH 6 SNF OPERATIONS HOLDINGS LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Alderwood Post Acute & Rehabilitation

What is the ElderGrade for Alderwood Post Acute & Rehabilitation? +

Alderwood Post Acute & Rehabilitation holds an ElderGrade of D (52 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Alderwood Post Acute & Rehabilitation? +

Residents receive an average of 4.15 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Alderwood Post Acute & Rehabilitation been cited for harming residents? +

Yes. 4 of the 123 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Alderwood Post Acute & Rehabilitation accept Medicaid? +

Yes, Alderwood Post Acute & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.