Agility Health and Rehabilitation: Medication Errors - WA
Inspectors cited Agility Health and Rehabilitation on June 9 for failing to keep its medication error rate below five percent, a threshold that exists because errors in medication administration — wrong drug, wrong dose, wrong resident, wrong time — carry real consequences for people who are often already fragile. The citation fell under pharmacy service deficiencies, and inspectors noted that while no actual harm was documented, there was potential for more than minimal harm to residents.
That distinction matters, but only so much. A medication error that doesn't cause documented harm one week can cause it the next, depending on the resident, the drug, and the circumstances. The five-percent threshold isn't a technicality. It's a line drawn precisely because the volume of errors, once it crosses that point, signals a systemic problem rather than an isolated slip.
Agility Health and Rehabilitation has not filed a plan of correction.
That's the part of the inspection record that stands out. Facilities cited for deficiencies are expected to respond with a plan describing what went wrong, who is responsible for fixing it, and by what date the problem will be resolved. As of the inspection record reviewed for this article, the status reads: deficient, provider has no plan of correction. The facility hasn't committed to a timeline. It hasn't identified a corrective action. It hasn't put anything in writing.
The medication error citation was one of 13 deficiencies inspectors documented during the June visit. Thirteen deficiencies in a single inspection is a substantial finding. The inspection covered standard health compliance, and the range of citations suggests this wasn't a facility that stumbled on one bad day. Inspectors working through a standard survey examine care across departments, across shifts, and across resident populations. Thirteen deficiencies means thirteen areas where what was actually happening fell short of what was required.
The medication error citation itself was classified at scope and severity level D, meaning inspectors assessed it as an isolated problem with potential for more than minimal harm, but not widespread and not yet causing documented injury. Level D is not the most serious classification available, but it is not a minor paperwork issue either. It represents a real gap in how drugs are being administered to real people living in the facility.
Nursing home residents typically take multiple medications. Many are managing chronic conditions — heart disease, diabetes, dementia, high blood pressure — that require precise dosing on precise schedules. An error rate above five percent in that context isn't an abstraction. It means that across the full count of medication administrations tracked during the inspection window, more than one in twenty involved some kind of mistake. The inspectors who set that threshold understood what it meant for people who have no way to independently verify whether what they're being handed matches what their doctor ordered.
The facility is located in University Place, a city in Pierce County southwest of Tacoma.
What the inspection record doesn't contain is any explanation from the facility about how the error rate climbed to a citable level, which staff members were involved, whether residents were notified, or what immediate steps, if any, were taken once inspectors raised the finding. Those details would normally appear in a plan of correction. There is no plan of correction.
Inspectors will return. They typically do when a facility hasn't corrected a cited deficiency. But the return visit comes later, and the residents at Agility Health and Rehabilitation are there now, receiving medications administered by the same staff, under the same systems, that produced an error rate high enough to draw a federal citation in June.
The plan of correction field in the inspection record remains blank.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Agility Health and Rehabilitation from 2026-06-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 31, 2026 · Our methodology
AGILITY HEALTH AND REHABILITATION in UNIVERSITY PLACE, WA was cited for violations during a health inspection on June 9, 2026.
That distinction matters, but only so much.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.