Fircrest Nursing Facility
Strong Medicare quality ratings; families often praise dedicated care for individuals with intellectual disabilities. Still worth an in-person visit.
based on 13 Google reviews

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What this means for your family
Fircrest is highly regarded by community members as a vital resource for adults with intellectual disabilities. However, because recent feedback is limited and includes a serious complaint about staff professionalism, we recommend scheduling an in-person tour to observe staff interactions and asking specifically about their training protocols regarding resident confidentiality.
Google Reviews
Google Reviews
13 reviews on Google“Fircrest Nursing Facility primarily serves individuals with intellectual and developmental disabilities, with long-term advocates praising its necessity and the care provided. However, recent feedback is sparse and includes a serious allegation regarding staff professionalism and confidentiality, highlighting a potential gap in personnel management.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated care for individuals with intellectual disabilities
- Essential community resource for vulnerable populations
- Long-term advocacy from community members
Concerns
- Unprofessional and disrespectful staff conduct
Rating Trends
Tap a year to see what changed
Distribution · 14 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about how this facility serves as a dedicated community resource for individuals with intellectual disabilities; how do you tailor your programming to meet those specific needs?
- 2Since your facility has such a strong reputation for long-term community advocacy, how do you involve families in the care planning process?
- 3What steps are in place to ensure consistent and professional communication between the nursing staff and family members regarding daily updates?
- 4How does the clinical team manage medical emergencies or sudden changes in health status during the overnight hours?
- 5What kind of daily activities or social engagement opportunities are available to help residents stay connected with one another?
- 6With the recent focus on addressing state violations, what specific improvements has the facility implemented to ensure the highest standard of care?
Personalized based on this facility's data
Key Review Excerpts
“A place to be for persons with intellectual disability, caring and active treatment is the best”
“A home for alot of development disabled adults and a place for many people to work. It's always being threatened to be closed down. We're are these people supposed to go. A very much needed facility!!”
“For someone dealing with the medical field she’s very disrespectful is no help and tbh should be reevaluated as an employee for the line of work that she is in will not recommend anyone deal with her… she knows what confidentiality is but does not apply this her lips are lose and extremely degrading and not true.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
9
measures
4
measures
2
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Fircrest Nursing Facility shows concerning patterns with 7 complaint-triggered surveys indicating families have filed reports about safety hazards, abuse reporting failures, and care planning issues. The facility has recurring problems across multiple areas including fire safety systems, emergency preparedness, resident assessments, and accident prevention that persist across recent surveys, suggesting ongoing compliance challenges that may impact resident safety and care quality.
Nov 7, 2025Routine23
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Construction Deficiencies
Meet other general requirements.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Aug 20, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 19, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 6, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 12, 2025Complaint1
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Nov 7, 2024Routine27
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Quality of Life and Care Deficiencies
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 Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Ownership & Operations
Who Operates This Facility
Fircrest Nursing Facility
government
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
13 reviews from families & visitors
Official Website
Visit dshs.wa.gov
Medicare data downloads
Original nursing home datasets
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