Snohomish County, Washington · Nursing home
Alderwood Post Acute & Rehabilitation
2 of 5 overall from CMS
3701 188th Street Southwest, Lynnwood, WA 98037
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 4.15 hours Below the state average of 4.36
- Nursing staff who left in a year 56.7% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 128 4 at the harm level or above
- Fines in 3 years $190,519 4 fines
- Certified beds in use 93.3% of 113 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Alderwood Post Acute & Rehabilitation is a 113-bed nursing home in Lynnwood, Washington (Snohomish County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.15 nurse staffing hours per resident per day, below the Washington average of 4.36. CMS lists 4 fines totaling $190,519 in the past three years.
- Certified beds
- 113
- Residents per day (average)
- 105.4
- Certified since
- 1988 (38 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Hill Valley Healthcare (43 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Alderwood Post Acute & Rehabilitation
Chosen from this home's public data.
- CMS lists 4 fines totaling $190,519 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 42 health deficiencies in the latest inspection cycle (the standard inspection on Aug 20, 2025 plus complaint and infection-control inspections); the Washington average is 15.8. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 56.7%, above the Washington average of 45.1%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Washington average 3.3
- Health inspections 1 of 5 Washington average 2.8
- Staffing 4 of 5 Washington average 3.6
- Quality measures 5 of 5 Washington average 4.0
The vertical line marks the Washington average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.15 h Washington average 4.36
- Nurse aides 2.35 h Washington average 2.66
- Licensed practical nurses 0.87 h Washington average 0.77
- Registered nurses 0.92 h Washington average 0.94
- All staff, weekends 3.79 h Washington average 3.80
How much nurse staffing is enough? All bars share one scale, 0 to 17 hours. The vertical line marks the Washington average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover56.7%
- Washington average45.1%
- Registered nurse turnover61.8%
- Washington average45.4%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Washington and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.7% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.1% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.4% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.6% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% | 2.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% | 96.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 3.6% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% | 93.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.8% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.3% | 22.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.8% | 15.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.52 | 1.78 |
Short-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% | 88.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.6% | 82.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.8% | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% | 13.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 128 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 36 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Dec 3, 2025: Provide safe, appropriate dialysis care/services for a resident who requires such services.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 20, 2025 | 42 | 12 |
| Nov 15, 2024 | 47 | 11 |
| Dec 14, 2023 | 39 | 33 |
Washington homes averaged 15.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (128)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has plan of correction (Aug 25, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has plan of correction (Aug 25, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has plan of correction (Aug 25, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has plan of correction (Aug 25, 2026)
-
DPotential for more than minimal harm, isolated
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has plan of correction (Aug 25, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 11, 2026)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 24, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 24, 2026)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 23, 2026)
-
GActual harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 7, 2026)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 16, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 1, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 1, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 1, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 1, 2025)
-
GActual harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 1, 2025)
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 1, 2025)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 1, 2025)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 1, 2025)
Showing the 30 most recent of 128.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 13, 2025 | Fine | $70,083 |
| Jun 24, 2025 | Fine | $17,345 |
| Jun 7, 2024 | Fine | $65,636 |
| Dec 14, 2023 | Fine | $37,455 |
Washington homes averaged 1.2 fines and $52,633 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Washington
- Size62 of 193 by certified beds
- Washington average residents per day76.0
- ChainHill Valley Healthcare
- Chain average overall rating1.7 of 5
- Resident or family councilResident
- Homes in Snohomish County17
Common questions
What is the CMS star rating for Alderwood Post Acute & Rehabilitation?
Alderwood Post Acute & Rehabilitation has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 5.
How many beds does Alderwood Post Acute & Rehabilitation have?
Alderwood Post Acute & Rehabilitation has 113 certified beds. It averages 105.4 residents per day, about 93.3% of its certified beds.
How much nursing care do residents get at Alderwood Post Acute & Rehabilitation?
The home reports 4.15 hours of nurse staffing per resident per day, including 0.92 hours from registered nurses. The Washington average is 4.36 hours and 0.94 hours from registered nurses.
Has Alderwood Post Acute & Rehabilitation been fined?
Yes. CMS lists 4 fines totaling $190,519 in the past three years.
Does Alderwood Post Acute & Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Lynnwood Post Acute Rehabilitation Center 67beds 91.0%in use 3.64nurse hours a day
- 1 of 5 Edmonds Post Acute 128beds 90.0%in use 3.79nurse hours a day
- 4 of 5 Pine Ridge Post Acute 80beds 96.1%in use 4.16nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Snohomish County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 505319. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.