ElderGrade
C

69.4/100

Average

Emerald Care

209 North Ahtanum Avenue, Wapato, WA 98951

CMS 4/5 stars #5 of 11 in Yakima County (509) 877-3175
Certified beds
82
Occupancy
90%
Ownership
Non-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.

  • 1 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.

  • $12,735 in federal fines

    CMS has fined this facility across 1 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 23.9/30 Staffing 13.5/30 Stability 9/15 Outcomes 15/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

23.9/30

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

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -2.1 for 23 total citations against a national median of 17

Staffing

13.5/30

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

  • 3.77 total nurse hours per resident per day (national median 3.77)
  • 0.8 RN hours per resident per day
  • Weekend staffing drops 20% against weekdays

Staff stability

9/15

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

  • 46% 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

8/10

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

  • $12,735 in federal fines across 1 action(s)

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 3.98 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.80 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 3.19 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 46.30%
National average 45.80% Below average

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

Recent inspection findings

All 23 citations

Last standard health inspection: January 30, 2026 (6 months ago).

G Mar 24, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

F Jan 30, 2026 F0801

Nutrition and Dietary Deficiencies

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.

No actual harm, potential for more than minimal harm

F Jan 30, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Jan 30, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

E Jan 30, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

E Jan 30, 2026 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

E Jan 30, 2026 F0646

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

No actual harm, potential for more than minimal harm

E Jan 30, 2026 F0726

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
HOON, KELLY Individual CORPORATE DIRECTOR
HOON, MICHAEL Individual CORPORATE DIRECTOR
PASCUA, REYNALDO Individual CORPORATE DIRECTOR
BONUS, MICHELLE Individual OPERATIONAL/MANAGERIAL CONTROL
EMMANS, PAUL Individual OPERATIONAL/MANAGERIAL CONTROL
HOON, KELLY Individual OPERATIONAL/MANAGERIAL CONTROL
BONUS, MICHELLE Individual ADP OF THE SNF
EMMANS, PAUL Individual ADP OF THE SNF

What families say

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Common questions about Emerald Care

What is the ElderGrade for Emerald Care? +

Emerald Care holds an ElderGrade of C (69.4 out of 100), which we describe as "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 Emerald Care? +

Residents receive an average of 3.98 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Emerald Care been cited for harming residents? +

Yes. 1 of the 23 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 Emerald Care accept Medicaid? +

Yes, Emerald Care 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.