CCN 505512 · King County, Washington
Garden Terrace Healthcare Center of Federal Way
491 South 338th Street, Federal Way, WA 98003
Garden Terrace Healthcare Center of Federal Way is a 70-bed for-profit nursing home in Federal Way, Washington, first certified for Medicare or Medicaid in 2003. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 62.2 residents a day, about 89% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 70
- Average residents per day
- 62.2 (88.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare
- Legal business name
- Federal Way Medical Investors, LLC
- Certified since
- Jun 12, 2003
- Chain or affiliated group
- Life Care Centers of America (194 facilities, chain average 3.4 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Washington median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 22 at 1, 46 at 2, 36 at 3, 38 at 4, 50 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 5.45 | 4.10 | 3.68 |
| RN hours per resident per day | 1.52 | 0.91 | 0.58 |
| Weekend nurse hours per resident per day | 4.60 | ||
| Nursing staff turnover | 31.3% | 43.1% | 44.9% |
| Occupancy (residents / beds) | 88.9% | 81.8% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 16 (Jun 16, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Garden Terrace Healthcare Center of Federal Way meets that part today: 5 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Developers Investment Company IncOrganization | Operational / Managerial Control | n/a | 10/20/2006 |
| Federal Way Medical Investors, LLCOrganization | Operational / Managerial Control | n/a | 10/01/2003 |
| Life Care Centers of America, Inc.Organization | Operational / Managerial Control | n/a | 07/28/2003 |
| Butner, NancyIndividual | Operational / Managerial Control | n/a | 09/16/2018 |
| Fletcher, ToddIndividual | Operational / Managerial Control | n/a | 12/13/2024 |
| Gilbert, DennisIndividual | Operational / Managerial Control | n/a | 02/10/2025 |
| Pacio, GlennIndividual | Operational / Managerial Control | n/a | 10/01/2011 |
| Preston, AubreyIndividual | Operational / Managerial Control | n/a | 12/13/2014 |
| Viola, EddieIndividual | Operational / Managerial Control | n/a | 04/21/2025 |
| Ziegler, JamesIndividual | Operational / Managerial Control | n/a | 12/13/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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