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ManorCare Health Services-Gig Harbor

Nursing Home Facility

3309 45th Street Court Northwest, Gig Harbor, WA 98335

Nursing Home Care Senior Living
ManorCare Health Services-Gig Harbor

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.

Employer rating 2.6 out of 5 32 reviews from their own employees on Indeed. See what they say.

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.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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.

    Inspected June 2026, after a complaint. Corrected by June 30, 2026.

  • 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.

    Inspected August 2025, after a complaint. Corrected by August 29, 2025.

  • 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.

    Inspected June 2026, after a complaint. Corrected by July 8, 2026.

  • 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.

    Inspected April 2026, after a complaint. Corrected by May 22, 2026.

  • 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.

    Inspected April 2026, after a complaint. Corrected by May 22, 2026.

  • 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.

    Inspected March 2026, after a complaint. Corrected by April 15, 2026.

  • 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.

    Inspected February 2026, after a complaint. Corrected by March 2, 2026.

  • 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.

    Inspected February 2026, after a complaint. Corrected by March 2, 2026.

Show 32 more
  • Could cause more than minimal harm, widespread Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, a pattern Environmental

    Keep all essential equipment working safely.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected December 2025. Corrected by January 20, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide or obtain dental services for each resident.

    Inspected December 2025. Corrected by January 20, 2026.

  • 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.

    Inspected August 2025, after a complaint. Corrected by August 29, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

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

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