nursing home in Gig Harbor, WA

Cottesmore of Life Care

2909 14th Avenue Northwest, Gig Harbor, WA 98335 · (253) 851-5433

★★★★★5
Much above average
CMS overall star rating
  • Health inspections★★★★★4
  • Staffing★★★★★4
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Cottesmore of Life Care at a glance

Cottesmore of Life Care is a 108-bed for-profit nursing home in Gig Harbor, Washington (Pierce County).

CMS gives it 5 out of 5 stars on its overall star rating, better than the Washington average of 3.3.

Residents receive about 4.3 hours of nursing care per day (1.1 of them from registered nurses), close to the state average of 4.4 hours.

Its most recent standard health inspection (February 27, 2026) found 8 health citations. The Washington average is 15.8.

Federal regulators fined it 2 times in the past three years, totaling $29,595.

Nursing staff turnover is 44.3% per year (state average 45.1%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
108
Certified for
Medicare and Medicaid
Chain / affiliated entity
Life Care Centers of America
Medicare-certified since
December 6, 1996
Resident/family council
Resident
County
Pierce County
CMS Certification Number
505499

Ratings

MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)5 / 53.3 / 53 / 5Better
Health inspection rating ⓘ (higher is better)4 / 52.8 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)4 / 53.6 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)5 / 54 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.1 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)5 / 53.9 / 53.3 / 5Better

Staffing

This facility4.32 hrsWashington average4.36 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.32 hrs4.36 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)1.14 hrs0.94 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.40 hrs2.66 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.54 hrs3.80 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)44.3%45.1%45.8%Average
Registered nurse turnover (yearly) (lower is better)16%45.4%42.9%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility8Washington average16U.S. average9
Health citations in the most recent inspection: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)8169Better
Citations from complaint investigations (latest cycle) (lower is better)143Better
Weighted health inspection score ⓘ (lower is better)65116.680.6Better

Penalties

This facility2Washington average1U.S. average1
Fines in the past 3 years: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$29,595$52,633$30,972Average
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Certified beds10897107
Average residents per day1037686
Occupancy94.9%79.4%80.9%

Long-stay residents

This facility6.8%Washington average2.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)6.8%2.6%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)2%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)17.1%15.1%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.4%1.6%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%1%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)4.7%14.2%13.9%Better
Long-stay residents whose walking worsened (lower is better)7.8%17.2%14.1%Better
Long-stay residents who lose too much weight (lower is better)3.3%5.5%5.2%Better
Long-stay residents with depressive symptoms (lower is better)4.3%17.7%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)14.2%12.4%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)26%22.5%19%Worse
Long-stay residents given a flu vaccine (higher is better)97.3%93.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)88.1%96%93.6%Worse

Short-stay residents

This facility2.4%Washington average1.3%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)2.4%1.3%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)97.3%82%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)97%88.3%82%Better

Inspection citations

State inspectors cited this home for 36 health deficiencies and 27 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.

DateCitationSeverityStatus
February 27, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected March 25, 2026
February 27, 2026
Fire safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926
F
Potential harm, widespread
Corrected March 25, 2026
February 27, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected March 25, 2026
February 27, 2026
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
E
Potential harm, pattern
Corrected March 25, 2026
February 27, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected March 25, 2026
February 27, 2026
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
D
Potential harm, isolated
Corrected March 25, 2026
February 27, 2026
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
D
Potential harm, isolated
Corrected March 25, 2026
February 27, 2026
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected March 25, 2026
February 27, 2026
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected March 25, 2026
February 27, 2026
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
E
Potential harm, pattern
Corrected March 26, 2026
February 27, 2026
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected March 26, 2026
February 27, 2026
Standard
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 Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected March 26, 2026
February 27, 2026
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected March 26, 2026
February 27, 2026
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected March 26, 2026
February 27, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected March 26, 2026
February 27, 2026
Standard
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Tag F0577
C
No harm, widespread
Corrected March 26, 2026
January 9, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected January 28, 2026
August 18, 2025
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
G
Actual harm, isolated
Corrected September 2, 2025
January 13, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected February 12, 2025
January 13, 2025
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected February 12, 2025
January 13, 2025
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
F
Potential harm, widespread
Corrected February 12, 2025
January 13, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected February 12, 2025
January 13, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected February 12, 2025
January 13, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected February 12, 2025
January 13, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected February 12, 2025
January 13, 2025
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
D
Potential harm, isolated
Corrected February 12, 2025
January 13, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected February 27, 2025
January 13, 2025
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
E
Potential harm, pattern
Corrected February 27, 2025
January 13, 2025
Standard
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
E
Potential harm, pattern
Corrected February 27, 2025
January 13, 2025
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
E
Potential harm, pattern
Corrected February 27, 2025
January 13, 2025
Standard
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 Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected February 27, 2025
January 13, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected February 27, 2025
January 13, 2025
Standard
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 Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected February 27, 2025
January 13, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
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 Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · Tag F0790
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
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 Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Tag F0791
D
Potential harm, isolated
Corrected February 27, 2025
January 13, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected February 27, 2025
May 30, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected June 21, 2024
February 8, 2024
Fire safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926
F
Potential harm, widespread
Corrected March 7, 2024
February 8, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected March 7, 2024
February 8, 2024
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
F
Potential harm, widespread
Corrected March 7, 2024
February 8, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected March 7, 2024
February 8, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected March 7, 2024
February 8, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected March 7, 2024
February 8, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected March 7, 2024
February 8, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected March 7, 2024
February 8, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected March 7, 2024
February 8, 2024
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
D
Potential harm, isolated
Corrected March 7, 2024
February 8, 2024
Standard
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Tag F0808
E
Potential harm, pattern
Corrected March 14, 2024
February 8, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected March 14, 2024
February 8, 2024
Standard
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected March 14, 2024
February 8, 2024
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected March 14, 2024
February 8, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 14, 2024
February 8, 2024
Standard
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Tag F0791
D
Potential harm, isolated
Corrected March 14, 2024
February 8, 2024
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
B
No harm, pattern
Corrected March 14, 2024
October 26, 2023
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected November 21, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $29,595 in fines.

DatePenaltyAmount / length
August 18, 2025Fine$11,362
October 26, 2023Fine$18,233

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FLETCHER, TODD
Individual
adp of the snfNOT APPLICABLE08/31/2000
GIG HARBOR OPERATIONS, LLC
Organization
adp of the snfNOT APPLICABLE08/31/2000
LIFE CARE CENTERS OF AMERICA, INC.
Organization
adp of the snfNOT APPLICABLE03/18/2025
LOCKWOOD, RYAN
Individual
adp of the snfNOT APPLICABLE03/18/2025
PRESTON, FORREST
Individual
adp of the snfNOT APPLICABLE08/31/2000
SEKERAMAYI, MAGGIE
Individual
adp of the snfNOT APPLICABLE03/18/2025
CROSS, CINDY
Individual
corporate officerNOT APPLICABLE02/01/1996
HENRY, TERRY
Individual
corporate officerNOT APPLICABLE08/16/1999
LAY, LISA
Individual
corporate officerNOT APPLICABLE02/09/2018
SWANKER, RICHARD
Individual
corporate officerNOT APPLICABLE04/01/2011
THURMOND, JOAN
Individual
corporate officerNOT APPLICABLE09/22/2000
ZIEGLER, JAMES
Individual
corporate officerNOT APPLICABLE08/16/1999
DEVELOPERS INVESTMENT COMPANY INC
Organization
direct ownership interestNOT APPLICABLE02/26/1996
PRESTON, FORREST
Individual
indirect ownership interestNOT APPLICABLE02/26/1996
BUTNER, NANCY
Individual
managing control - governing bodyNOT APPLICABLE09/16/2018
LOCKWOOD, RYAN
Individual
managing control - governing bodyNOT APPLICABLE10/31/2023
VERLINDA, CATHY
Individual
managing control - governing bodyNOT APPLICABLE01/02/2024
BUTNER, NANCY
Individual
operational/managerial controlNOT APPLICABLE09/16/2018
DEVELOPERS INVESTMENT COMPANY INC
Organization
operational/managerial controlNOT APPLICABLE02/26/1996
FLETCHER, TODD
Individual
operational/managerial controlNOT APPLICABLE02/26/1996
GIG HARBOR OPERATIONS, LLC
Organization
operational/managerial controlNOT APPLICABLE05/01/1996
LIFE CARE CENTERS OF AMERICA, INC.
Organization
operational/managerial controlNOT APPLICABLE02/01/1996
LOCKWOOD, RYAN
Individual
operational/managerial controlNOT APPLICABLE10/31/2023
PRESTON, AUBREY
Individual
operational/managerial controlNOT APPLICABLE03/06/2025
PRESTON, FORREST
Individual
operational/managerial controlNOT APPLICABLE02/26/1996
SEKERAMAYI, MAGGIE
Individual
operational/managerial controlNOT APPLICABLE08/01/2022
VERLINDA, CATHY
Individual
operational/managerial controlNOT APPLICABLE01/02/2024

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    • Abuse citation
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    ★★★★★2Below average
  5. Heron's Key

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  6. Agility Health and Rehabilitation

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Frequently asked questions

What is Cottesmore of Life Care's rating?

Cottesmore of Life Care has 5 out of 5 stars on the CMS overall star rating. The average for Washington nursing homes is 3.3 stars.

How many inspection citations did Cottesmore of Life Care receive?

Its most recent standard health inspection found 8 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.

Does Cottesmore of Life Care accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Cottesmore of Life Care?

It is for profit - limited liability company and part of Life Care Centers of America. The ownership section on this page lists the owners and managers reported to CMS.

Where is Cottesmore of Life Care and how do I contact it?

Cottesmore of Life Care is at 2909 14th Avenue Northwest, Gig Harbor, WA 98335. Phone: (253) 851-5433.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.