Skilled nursing · Seattle, WA

Columbia Lutheran Home

4700 PHINNEY AVENUE NORTH, Seattle, WA 98103

4 / 5CMS 116 bedsCapacity Apr 2026Inspected
PALMELLE

75

Top 25%

Federal · State

Solid

The Palmelle read

Solid. Columbia Lutheran Home in Seattle is pulling off some impressive medical acrobatics, but they seem to be dropping the ball on the basic, human side of daily life. First, the good stuff: they’ve earned a HIGH_RN_COVERAGE flag with over an hour of registered nurse time per resident daily, meaning trained clinical eyes are actually watching for medical hiccups before they turn into emergencies. On top of that, their LOW_FALLS_MAJOR_INJURY flag proves that call lights are getting answered and aides are actually there to help people transfer safely, which is incredibly hard to pull off. However, we have to talk about the HIGH_WEIGHT_LOSS flag, where a double-digit rate usually means overworked staff are rushing through dinner and residents who need help eating just aren't getting it. Even more worrying is the HIGH_DEPRESSIVE_SYMPTOMS flag affecting nearly half the residents, a clear sign that people are likely marooned in their rooms without real social engagement or activities to keep them connected. Thankfully, they have zero federal fines on record. though we can't tell if that clean slate is from last month or five years ago. When you tour, skip the sales pitch and ask the director exactly how they plan to get residents out of their rooms and how many aides are actually in the dining room during the dinner rush.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Washington DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This
1.06
National
0.78

Annual nurse turnover

This
41%
National
53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This
13.7%
National
14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Washington state data

The full inspection record.

Federal CMS ratings

Overall★★★★4 / 5
Health inspection★★★★★3 / 5
Staffing★★★★4 / 5
Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This
1.06
Nat
0.78

Total nurse hours / resident, daily

This
5.2
Nat
3.62

Annual nurse turnover

This
41%
Nat
53%

Annual RN turnover

This
36%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
13.7%
Nat
14%

Sedative / sleep med

This
5.0%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
1.1%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID505470
OwnershipNon profit - Corporation
ChainIndependent
Beds116
Avg residents77
WA licenseOn file · #48
State administratorDavid Heyer
State bed count116

Citations · last 36 months

  • Flagged by CMS data

    Unplanned weight loss rate is 10.8% — above the national median of about 6%. In long-stay facilities this is almost always a feeding-assistance failure: residents who need help eating aren't getting it, especially at dinner when staffing thins. Worth asking how dinner-hour staffing compares to lunch.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Long-stay depressive-symptoms rate is 48.9% — above the national median of about 10%. Often indicates residents are alone in rooms with no activities program or social engagement. Pairs with mobility decline. Worth asking how many group activities residents actually attend per week.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Falls with major injury rate is 1.1% — well below the national median. Call lights are getting answered fast and aides are present during transfer-heavy hours. This is a hard number to keep low.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Registered nurse coverage is 1.06 hours per resident per day — well above the recommended minimum of 0.75 and on par with high-end facilities. More RN time means complex medical changes get caught before they become emergency room trips.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Washington DPH · Last reconciled May 29, 2026

State record

Washington licensing.

License number

48

Licensed beds

116

Administrator

David Heyer

Owner

Columbia Lutheran Ministries

County

King

Dually-certified beds

116

Ownership type

Non Profit Corporation

State vendor #

4104808

Source: Washington Department of Health · last scraped 2026-05-28

Questions families ask

Common questions.

What is the CMS rating for Columbia Lutheran Home?

Columbia Lutheran Home has an overall CMS Care Compare rating of 4 out of 5 stars. It scores 3 of 5 on health inspection, 4 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Columbia Lutheran Home been cited for resident harm?

CMS data flagged 4 concerns on the latest reconcile. The full record for Columbia Lutheran Home appears in the record section above.

Does Columbia Lutheran Home use antipsychotic medications?

13.7 percent of long-stay residents at Columbia Lutheran Home are on antipsychotic medications, in line with the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 5.0 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Columbia Lutheran Home's Palmelle Clarity Score?

Columbia Lutheran Home has a Palmelle Clarity Score of 75 out of 100, putting it above the national median. The score is a composite of federal CMS and Washington state inspection data. Higher is better.

How can I tour or contact Columbia Lutheran Home?

Columbia Lutheran Home is located at 4700 PHINNEY AVENUE NORTH, Seattle, WA 98103. Phone: (206) 632-7400. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Columbia Lutheran Home a special focus facility?

Columbia Lutheran Home is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on Columbia Lutheran Home's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Columbia Lutheran Home has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Columbia Lutheran Home compare to other Seattle skilled nursing facilities?

Columbia Lutheran Home holds a Palmelle Clarity Score of 75. Browse the full Seattle directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Columbia Lutheran Home?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Columbia Lutheran Home and two other facilities on your shortlist.

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