AVAMERE REHABILITATION AT RIDGEMONT – Nursing Home, PORT ORCHARD, Washington
Medicare and Medicaid
Nursing homes in PORT ORCHARD, WA → · Recently updated in WA →
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 12 September 2025 · 99 health and 75 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
2051 POTTERY AVENUE
PORT ORCHARD, WA 98366
Phone: (360) 876-4461
Compare to WA average
See how this facility compares to the WA state average among rated nursing homes (205 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | WA average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 4 | 3.31 | 5 |
| Health inspection | 4 | 2.84 | 4 |
| Staffing | 3 | 3.48 | 3 |
| Quality measures | 4 | 4.1 | 5 |
| Certified beds | 96 | 94.9 | — |
| Citations on file (health + fire) | 174 | ~21.2 health* | — |
- AGILITY HEALTH AND REHABILITATION — 3★ overall
- ALDERWOOD MANOR — 3★ overall
- ALDERWOOD PARK HEALTH AND REHAB OF CASCADIA — 5★ overall
- ALDERWOOD POST ACUTE & REHABILITATION — 2★ overall
- ARLINGTON HEALTH AND REHABILITATION — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| NAIR OPERATIONS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 05/22/2023 |
| MILLER, KARL RICKARD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 62.36 | 05/22/2023 |
| NAIR SNF OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 05/22/2023 |
| SIMPSON, ANDREW | CORPORATE OFFICER | Individual | - | 06/01/2024 |
| AVAMERE HEALTH SERVICES LLC | OTHER | Organization | 0.00 | 10/31/2022 |
| NAIR LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 05/22/2023 |
| DILLON, RICHARD A | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 31.18 | 05/22/2023 |
| ODERMOTT, RONALD A | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 6.46 | 05/22/2023 |
| KRETCHMAR, JOSHUA B | CONTRACTED MANAGING EMPLOYEE | Individual | - | 11/01/2023 |
| KOFSTAD, MARY | CORPORATE OFFICER | Individual | - | 02/13/2024 |
| NAIR FACILITY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 05/22/2023 |
| CARLSTON, SCOTT | W-2 MANAGING EMPLOYEE | Individual | - | 05/06/2024 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
174 citations on file · Latest survey: 12 September 2025 · 99 health · 75 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-09-12 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-09-12 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-09-12 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-09-12 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-09-12 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-09-12 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-09-12 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-09-12 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-09-12 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-09-12 | F628 | E — Minimal harm, pattern | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| 2025-09-12 | F628 | E — Minimal harm, pattern | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| 2025-09-12 | F628 | E — Minimal harm, pattern | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| 2025-09-12 | F605 | E — Minimal harm, pattern | Health | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| 2025-09-12 | F605 | E — Minimal harm, pattern | Health | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| 2025-09-12 | F605 | E — Minimal harm, pattern | Health | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| 2025-04-23 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2025-04-23 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2025-04-23 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2024-10-23 | F684 | G — Actual harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-10-23 | F684 | G — Actual harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-09-12 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-09-12 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-09-12 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-09-12 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-09-12 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2025-09-12 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-09-12 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-09-12 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2025-09-12 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-09-12 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2025-09-12 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-09-12 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-09-12 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-09-12 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-09-12 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-07-31 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2025-07-31 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2025-07-31 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2024-08-27 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2024-08-27 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 3 |
| RN Staffing Rating | 3 |
| Reported CNA Staffing Hours per Resident per Day | 2.85611 |
| Reported LPN Staffing Hours per Resident per Day | 1.10951 |
| Reported RN Staffing Hours per Resident per Day | 0.6281 |
| Reported Licensed Staffing Hours per Resident per Day | 1.73762 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.26552 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.0654 |
| Casemix CNA Staffing Hours per Resident per Day | 2.41199 |
| Casemix LPN Staffing Hours per Resident per Day | 0.83717 |
| Casemix RN Staffing Hours per Resident per Day | 0.4184 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.66756 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.44456 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.91697 |
| Adjusted RN Staffing Hours per Resident per Day | 0.5191 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.52527 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-08-16 |
Date of Standard Health Survey (Cycle 2) | 2018-07-17 |
Total Number of Health Deficiencies (Cycle 1) | 14 |
Number of Standard Health Deficiencies (Cycle 1) | 14 |
Health Deficiency Score (Cycle 1) | 80 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 80 |
Total Number of Health Deficiencies (Cycle 2) | 14 |
Number of Standard Health Deficiencies (Cycle 2) | 13 |
Number of Complaint Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 76 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 76 |
Date of Standard Health Survey (Cycle 3) | 2017-09-20 |
Total Number of Health Deficiencies (Cycle 3) | 3 |
Number of Standard Health Deficiencies (Cycle 3) | 3 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 16 |
Total Health Score (Cycle 3) | 16 |
Total Weighted Health Survey Score | 48 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 2 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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