ManorCare Health Services-Gig Harbor
Nursing Home Facility
3309 45th Street Court Northwest, Gig Harbor, WA 98335

Located on 45th Street Court Northwest in Gig Harbor, WA, ManorCare provides individualized post-hospital skilled nursing care in a comfortable environment. Our clinical and therapy teams are experienced in providing specialized care focused on your needs, interests and ability. This commitment results in a smoother and safer transition throughout your recuperation. You should look for a setting that specializes in providing vital medical care and rehabilitation in a warm and caring environment. We offer a range of services to meet your health care needs.
Operated by Hill Valley Healthcare, which runs 34 communities in our directory.
With 120 beds, ManorCare Health Services-Gig Harbor is one of the larger communities in the area, senior care communities in Gig Harbor average about 25 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 80% of its licensed beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Gig Harbor average about 3.0 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in December 2025 and recorded 40 deficiencies.
Residents receive about 3.9 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 68%, which is high and can affect continuity of care.
The community is located in Pierce County, WA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 118 problems at ManorCare Health Services-Gig Harbor. 5 findings involved harm to a resident. 25 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $127,781. Medicare also stopped paying for new admissions twice in that period.
Findings from the most recent inspection cycle
-
Caused harm to a resident, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
-
Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Show 32 more
-
Could cause more than minimal harm, widespread
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
-
Could cause more than minimal harm, a pattern
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
-
Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
-
Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
-
Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
-
Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
-
Could cause more than minimal harm, a pattern
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
-
Could cause more than minimal harm, a pattern
Infection Control
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
-
Could cause more than minimal harm, a pattern
Environmental
Keep all essential equipment working safely.
-
Could cause more than minimal harm, a pattern
Environmental
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
PASARR screening for Mental disorders or Intellectual Disabilities
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Honor each resident's preferences, choices, values and beliefs.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Assist a resident in gaining access to vision and hearing services.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide or obtain dental services for each resident.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Honor each resident's preferences, choices, values and beliefs.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
ManorCare Health Services-Gig Harbor offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 120
- Occupancy 80%
- Nursing hours per resident/day 3.9
- Annual staff turnover 68%
- Last health inspection December 2025
Resident & family reviews
No one has shared a review of ManorCare Health Services-Gig Harbor yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.