Garden Terrace Healthcare Center of Federal Way

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

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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·(340)

    Overall rating

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

      4.3
    • Staff

      4.5
    • Meals

      3.8
    • Amenities

      4.6
    • Value

      1.3

    Pros

    • Compassionate, attentive nursing and caregiver staff
    • Strong occupational and physical therapy program
    • Clean, well-maintained, hotel-like facility
    • Pleasant landscaped grounds and wheelchair-accessible trail
    • Engaging activities and regular on-site entertainment
    • On-site comforts (ice cream parlor, living room, family room)
    • Dietary accommodations for special diets
    • Laundry and housekeeping services
    • Private and spacious rooms suitable for visitors
    • Supportive admission and rehab coordination
    • Helpful front-desk and reception staff
    • 24/7 wound-care capability and skin care attention
    • Positive family communication during care conferences
    • Pet-friendly environment and social interaction opportunities
    • Accessible physical layout and easy navigation

    Cons

    • Inconsistent staffing levels, especially nights and weekends
    • Delays and variability in call-button and medication response times
    • Communication and discharge-planning gaps with families and external providers
    • Medication-management and clinical-oversight inconsistencies
    • Incontinence-care and skin-integrity management concerns
    • Variable dining quality and dysphagia/texture management
    • Administrative and billing process errors
    • Front-desk and unit-coverage inconsistencies
    • Infection-control communication and entry/exit procedure gaps
    • Personal-property management weaknesses

    Summary of reviews

    Garden Terrace Healthcare Center of Federal Way elicits a strongly mixed but coherent picture: many families describe a clean, comfortable, and well-appointed facility with staff who are compassionate, skilled in rehabilitation, and attentive to patient needs. Occupational and physical therapy are repeatedly highlighted as strengths, with numerous accounts of functional progress and successful transitions home. The facility’s grounds, interior decor and amenities such as an ice cream parlor, common living room and family spaces contribute to a hotel-like, recovery-oriented environment appreciated by residents and visitors.

    Nursing and caregiver staff receive frequent praise for kindness, patience, and personal attention; specific caregivers are often named for going above and beyond. Front-desk personnel and reception are also commonly described as welcoming and helpful. Housekeeping and laundry services, along with overall maintenance, are cited as contributing to a pleasant, odor-free environment in many reports. Programming and activities — from weekly musicians to puzzles and seasonal events — are noted as supporting social engagement and morale.

    Contrasting the positives, recurring operational weaknesses appear across reviews. Staffing consistency is a primary concern: several accounts describe reduced coverage on nights and weekends, slow responses to call buttons, and longer waits for medication during shift changes. Related to staffing are patterns of variability in clinical oversight and medication management; reviewers cite delays in obtaining cultures or medications, occasional medication-timing issues, and questions about the appropriateness of some medication decisions.

    Clinical care concerns include intermittent issues with skin integrity and incontinence-care processes, which reviewers framed as lapses in timely personal care and wound prevention. Dining is generally serviceable and adaptable for special diets, but reviewers also report variability in meal quality and specific dysphagia/texture management problems that may require closer dietitian and therapy coordination.

    Administrative and systems issues are notable: families describe discharge-planning gaps, inconsistent communication from leadership, billing or paperwork errors, and occasional difficulty contacting administrators. There are also isolated accounts of personal belongings being misplaced and uneven front-desk coverage or unit staffing that affect admission and visitor experience. One review mentioned shortcomings in infection-control communication during an outbreak, raising questions about entrance/exit and family notification procedures.

    Overall, Garden Terrace presents a strong rehabilitation and hospitality profile with many dedicated caregivers and effective therapy services. Prospective residents and families should weigh those strengths against the facility-level operational patterns identified above — particularly staffing consistency, medication and clinical-oversight reliability, discharge communication, and certain sanitation/incontinence-care processes. For families prioritizing robust rehab services, a tour that specifically addresses overnight staffing, call-response times, dysphagia protocols, and discharge/billing procedures will help assess whether Garden Terrace’s strengths align with their expectations and clinical needs.

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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

    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 31 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

    8

    Reports

    4

    Type A Citations

    0

    Type B Citations

    0

    Complaints

    3

    Years

    24 Aug 2026Life Safety
    Found multiple deficiencies in life-safety documentation, testing, and maintenance, including missing records for inspections and emergency system testing.
    20 Jul 2026Life Safety
    Investigated a fire and life safety issue; found deficiencies and missing documentation related to annual fire door inspections and other life-safety requirements.
    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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