Garden Terrace Healthcare Center of Federal Way

    491 S 338th St, Federal Way, WA 98003
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Exceptional short-term rehab and recovery

    I had a short-term rehab stay and was very pleased - the facility is beautiful, spotless, and conveniently located. The staff were kind, professional, and genuinely caring (PT/OT were excellent), and I saw real progress in my mobility. Meals, activities and family spaces were pleasant, and I would recommend this place for rehab and recovery.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.58·(335)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.6
    • Meals

      3.8
    • Amenities

      4.7
    • Value

      1.3

    Pros

    • Clean, well-maintained facility
    • Compassionate, attentive nursing and CNA staff
    • Strong physical and occupational therapy program
    • Rehab-focused culture with measurable progress
    • Pleasant, hotel-like interior and décor
    • Landscaped gardens and wheelchair-accessible outdoor paths
    • On-site amenities (ice cream parlor, family room, common living spaces)
    • Accommodating dietary services and special-diet options
    • Regular activities and music programs
    • Private rooms and visitor-friendly spaces
    • Laundry and housekeeping services
    • Helpful front-desk and administrative support
    • 24/7 wound-care availability and clinical support

    Cons

    • Inconsistent staffing levels, particularly nights and weekends
    • Delays in call-button response and medication administration during shift changes
    • Inconsistent discharge planning and follow-up communication
    • Gaps in infection-control communication and outbreak management
    • Incontinence-care delays and hygiene-response variability
    • Medication-management and timely-treatment gaps
    • Variable food quality and inconsistent texture-modification for dysphagia
    • Administrative process inconsistencies (billing, lost-property accountability)
    • Variability in clinical oversight and responsiveness from leadership

    Summary of reviews

    Garden Terrace Healthcare Center of Federal Way elicits strongly polarized views: many families and short-term rehab patients describe a clean, well-appointed, and rehab-focused environment with effective therapy outcomes, while other accounts describe operational shortfalls that affected individual stays. The facility’s physical plant, landscaping, and interior presentation are frequently praised — guests often note a hotel-like décor, pleasant gardens, wheelchair-accessible paths, private rooms, and visitor-friendly common areas such as a family room and on-site amenities.

    Clinical and caregiving strengths are regularly highlighted. Nursing staff, CNAs, and therapists receive repeated commendation for compassion, patience, and hands-on assistance. The physical and occupational therapy program is a consistent positive, with multiple mentions of measurable mobility gains and readiness for discharge. Several caregivers and staff members are named for exceptional support, and reviewers note services such as laundry, 24/7 wound-care availability, and administrative facilitation for family needs.

    Dining and activity programming show mixed but generally positive impressions. The facility offers accommodating dietary services, including special-diet options, and hosts regular activities and music programs; some families also appreciate smaller amenities such as an ice cream parlor. That said, reviewers raised concerns about inconsistent meal quality and problems with texture-modified diets for residents with swallowing needs, indicating a need for clearer staff education and consistency in dysphagia meal preparation.

    Facilities and day-to-day resident experience are often rated highly for cleanliness and aesthetics, but there are recurrent operational themes that temper the overall picture. The most consistent negative patterns relate to staffing variability (especially nights, weekends, and during shift changes), which reviewers associate with delays in call response, slower medication delivery, and occasional missed or delayed personal-care tasks. Several accounts describe lapses in hygiene responsiveness and timeliness of clinical interventions, which point to staffing and workflow pressures rather than the absence of trained personnel.

    Management and administrative areas show variability as well. Positive interactions with front-desk and social-work staff are common, yet some families report inconsistent discharge planning, follow-up, billing issues, and problems with property accountability. A few reviews cite concerns about communication during infection-control events, suggesting room for improved door-to-door and family-facing messaging during outbreaks or policy changes.

    Overall, Garden Terrace demonstrates clear strengths in rehabilitation therapy, a welcoming physical environment, and many dedicated frontline staff. However, prospective residents and families should be aware of operational variability tied to staffing patterns and administrative follow-through. If considering Garden Terrace, ask specific questions about night/weekend staffing ratios, medication-administration protocols during shift changes, dysphagia meal procedures, discharge coordination, and how the facility handles infection-control communication and property/billing accountability. These targeted inquiries can help align expectations with the facility’s strong rehabilitation offerings while identifying areas where additional oversight or advocacy may be needed.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Garden Terrace Healthcare Center of Federal Way

    Garden Terrace Healthcare Center of Federal Way is located at 491 S 338th St, Federal Way, WA, 98003.

    About Garden Terrace Healthcare Center of Federal Way

    Garden Terrace Healthcare Center of Federal Way sits right in Federal Way and offers different levels of care for seniors, so some people live there on their own in independent living, while others get a hand with daily needs in assisted living, and there are special programs for people with Alzheimer's and dementia, too, and you'll see they have skilled nursing services if anyone needs medical help any time of the day or night, plus they run rehabilitation services both for people who need to stay there for a while and those who just come in for therapy and then go home, and I should mention it's licensed for 70 beds and holds Medicare certification, which means they've met certain standards for patients, and people often talk about how volunteers help out around the place, maybe sitting down for a chat, reading together, helping write letters, walking outside, or joining in on games and simple activities. Garden Terrace brings in groups for special entertainment, and you'll see they've got church and chaplain services, social services to help with any life issues, and support for finances and meals with their dietary services, and the staff run exercise sessions, rhythm bands, singalongs, support groups, and discussions where you can talk about current news. The center sits under the Life Care Centers of America umbrella, so people sometimes recognize the name from their wide network of facilities, and it's been recognized in the 2025 U.S. News & World Report Best Nursing Homes, and they put a lot of energy into post-acute care for those bouncing back from illness or surgery. The place itself offers things that make life feel more comfortable, like private rooms if you want a bit of space, courtyards to walk in, cable TV, and what they call fine dining, so meals are a bit nicer, and you'll find trained staff offering physical, occupational, and speech therapy right there on-site, which helps people recover or keep up their skills, and with 24-hour nursing care available, folks get extra peace of mind knowing help is always there.

    People often ask...

    Garden Terrace Healthcare Center of Federal Way offers assisted living, memory care, and skilled nursing.

    There are 29 photos of Garden Terrace Healthcare Center of Federal Way on Mirador.

    The full address for this community is 491 S 338th St, Federal Way, WA 98003.

    No, Garden Terrace Healthcare Center of Federal Way does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Washington, the Department of Social & Health Services licenses assisted living and adult family homes, publishing inspection, investigation, and fire-safety reports.

    License number1631
    StatusOp
    Facility typeAssisted Living Facility
    Capacity34 residents
    ExpiresMay 31st, 2027
    View the official license record

    Inspection Reports

    6

    Reports

    4

    Type A Citations

    0

    Type B Citations

    0

    Complaints

    3

    Years

    01 Oct 2025Inspection
    Identified widespread deficiencies across preadmission processing, service planning, staff training and background checks, food safety, medication management, documentation, and administrative reporting.
    • WAC 388-78A-2070Timing of preadmission assessment
    • WAC 388-78A-2090Full assessment topics
    • WAC 388-78A-2130Service agreement planning
    • WAC 388-78A-2150Signing negotiated service agreement
    • WAC 388-78A-2474Training and home care aide certification requirements
    • WAC 388-78A-2466Background checks
    • WAC 388-78A-2480Tuberculosis testing required
    • WAC 388-78A-2300Food and nutrition services
    • WAC 246-215-03360Preventing contamination from the premises - Food preparation
    • WAC 388-78A-2305Food sanitation
    • WAC 388-78A-2260Storing, securing, and accounting for medications
    • WAC 388-78A-2450Staff - qualifications and training records
    • WAC 388-78A-2600Policies and procedures
    • WAC 388-78A-2930Communication system
    • WAC 388-78A-2570Notification of change in administrator
    • WAC 388-78A-2665Resident rights - Medicaid payment source policy
    01 Oct 2025Investigation
    Investigated a report of medication diversion and tampering and identified deficiencies in medication services. The evidence showed unsafe handling and tampering with medications and related storage issues.
    • WAC 388-78A-2210(1)(b)Medication Services
    01 Aug 2025Enforcement Letters
    Cited four deficiencies related to preadmission assessments, service agreements, staff training, and background checks; civil fines totaling $1,600 were assessed.
    • WAC 388-78A-2070 (1)(2)Timing of preadmission assessment
    • WAC 388-78A-2130 (1)(a)(b)(c)(2)(5)(a)(b)(c)(d)(e)(6)(a)(i)(ii)(b)Service agreement planning
    • WAC 388-78A-2474 (2)(a)(c)(d)(e)Training and home care aide certification requirements
    • WAC 388-78A-2466 (1)(a)(b)(2)Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely
    20 May 2025Life Safety
    The inspection identified multiple deficiencies, including missing generator fuel sample records, a required heat survey for fusible links, and an obstructed exit.
    • Type AIFC 1203.4.3 2021Records of inspection, testing and maintenance of emergency and standby power systems
    • Type AIFC 904.5.2 2021Fixed temperature-sensing elements / Fusible link maintenance
    • Type AIFC 1032.2 2021Reliability (exit paths)
    • Type AIFC 1203.4.3 2021Records of inspection, testing and maintenance of emergency and standby power systems
    07 May 2024Life Safety
    Identified deficiencies related to extinguishing system maintenance and equipment mounting; previous violations were corrected.
    • IFC 904.13.5.2 (2021)Extinguishing System Service
    • IFC 906.7 (2021)Hangers and Brackets
    14 Dec 2023Inspection
    Found deficiencies in signing annual service agreements, notifying changes in administration, and meeting nutrition and activity requirements.
    • WAC 388-78A-2150Signing negotiated service agreement
    • WAC 388-78A-2300Food and nutrition services
    • WAC 388-78A-2730Licensee's responsibilities
    • WAC 388-78A-2570Notification of change in administrator

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Garden Terrace Healthcare Center of Federal Way. The information above has not been verified or approved by the owner or operator. For exact information, please contact Garden Terrace Healthcare Center of Federal Way directly. There is no cost for this service. We are compensated by the community you select.

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