King County, Washington · Nursing home
Bridges To Home
2 of 5 overall from CMS
18904 Burke Ave N, Shoreline, WA 98133
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day Not reported
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 15 1 at the harm level or above
- Fines in 3 years $8,278 1 fine
- Certified beds in use 51.7% of 12 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.
Bridges To Home is a 12-bed nursing home in Shoreline, Washington (King County). CMS rates it 2 of 5 stars overall as of Sep 2026. CMS lists 1 fine totaling $8,278 in the past three years.
- Certified beds
- 12
- Residents per day (average)
- 6.2
- Certified since
- 2024 (2 yrs)
Non profit - Corporation Participates in Medicare and Medicaid
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.
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 Bridges To Home
Chosen from this home's public data.
- CMS lists 1 fine totaling $8,278 in the past three years. What changed after the most recent one?Penalties in CMS data
- About 51.7% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Washington average 3.3
- Health inspections 2 of 5 Washington average 2.8
- Staffing Not rated Washington average 3.6
- Quality measures Not rated 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 Not reported Washington average 4.36
- Nurse aides Not reported Washington average 2.66
- Licensed practical nurses Not reported Washington average 0.77
- Registered nurses Not reported Washington average 0.94
- All staff, weekends Not reported 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 turnoverNot reported
- Washington average45.1%
- Registered nurse turnoverNot reported
- Washington average45.4%
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 | Too few residents or stays to report | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.0% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | Too few residents or stays to report | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | Too few residents or stays to report | 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 | 0.0% | 2.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 96.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.0% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 93.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.0% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0.0% | 22.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | Too few residents or stays to report | 15.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Data missing or not submitted | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Data missing or not submitted | 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 | Too few residents or stays to report | 88.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 82.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Data missing or not submitted | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Data missing or not submitted | 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 15 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 5 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Aug 4, 2025: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 4, 2025 | 15 | 25 |
| Aug 8, 2024 | 0 | 2 |
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 (15)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 15, 2026)
-
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 (May 15, 2026)
-
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 (May 15, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jul 5, 2026)
Show 10 more
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Sep 18, 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 (Sep 18, 2025)
-
EPotential for more than minimal harm, pattern
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 18, 2025)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Nov 3, 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 (Sep 18, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 18, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Sep 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 18, 2025)
-
DPotential for more than minimal harm, isolated
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control · Deficient, Provider has date of correction (Sep 18, 2025)
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 |
|---|---|---|
| Aug 18, 2025 | Payment Denial | 21 days |
| Aug 4, 2025 | Fine | $8,278 |
| Aug 4, 2025 | Payment Denial | 3 days |
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
- Size192 of 193 by certified beds
- Washington average residents per day76.0
- ChainNone listed
- Resident or family councilNone
- Homes in King County47
Common questions
What is the CMS star rating for Bridges To Home?
Bridges To Home has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is not published and quality measures is not published.
How many beds does Bridges To Home have?
Bridges To Home has 12 certified beds. It averages 6.2 residents per day, about 51.7% of its certified beds.
Has Bridges To Home been fined?
Yes. CMS lists 1 fine totaling $8,278 in the past three years. It also lists 2 payment denials.
Does Bridges To Home 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 Richmond Beach Rehab 131beds 75.3%in use 4.05nurse hours a day
- 5 of 5 Fircrest Nursing Facility 110beds 78.3%in use 9.32nurse hours a day
- 2 of 5 Avamere Rehabilitation of Shoreline 115beds 47.2%in use 4.47nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in King County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 505535. 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.