Snohomish Health and Rehabilitation of Cascadia
Snohomish, Washington
Skilled nursing facility in Snohomish, WA with 91 certified beds and a 2-star CMS overall rating.
Snohomish Health and Rehabilitation of Cascadia is a skilled nursing facility in Snohomish, Washington (Snohomish County), with 91 Medicare/Medicaid-certified beds.
Address: 800 10th Street, Snohomish, WA 98290. Phone: (360) 568-3161.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the Cascadia Healthcare chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 2 of 5, health inspections 1, staffing 2, quality measures 5.
Levels of care
- Skilled nursing
Facility details
- Street address
- 800 10th Street
- City
- Snohomish
- State
- Washington
- ZIP code
- 98290
- Phone
- (360) 568-3161
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 505338
- County
- Snohomish
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 91
- Avg Daily Residents
- 80.6
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1989-07-01
- Chain Name
- Cascadia Healthcare
- Overall Rating
- 2
- Health Inspection Rating
- 1
- Staffing Rating
- 2
- Quality Measure Rating
- 5
- Total Nurse Hours Per Resident Day
- 3.78358
- Rn Hours Per Resident Day
- 0.94895
- Latitude
- 47.9241
- Longitude
- -122.09
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 505338. Ratings compare this home with other nursing homes; they are not a pass or fail.
How does it compare in Snohomish? · Lowest-rated in Washington
CMS overall rating
2 / 5
Below average- Certified beds
- 91
- Residents per day
- 78
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 22
- Fines
- 3 ($188,426)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.3 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 3.7 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much above averageHow residents are actually doing.
✓ Better than the state average. State 4.1 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
- Short-stay quality
- Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 1.01 · LPN 0.62 · Nurse aide 2.32. What the home's payroll records show.
RN 0.83 · LPN 1.03 · Nurse aide 2.80. What CMS predicts a home with these residents' needs would staff.
RN 0.84 · LPN 0.51 · Nurse aide 1.93. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with WA and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.95
✗ Worse than the state average. State 4.42 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 1.01
≈ About the state average. State 0.99 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.63
✗ Worse than the state average. State 1.74 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 2.32
✗ Worse than the state average. State 2.68 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 3.52
✗ Worse than the state average. State 3.82 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.70
≈ About the state average. State 0.71 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.07
✗ Worse than the state average. State 0.09 · National 0.07
- Nursing staff turnover (%, lower is better)
- 48.9%
✗ Worse than the state average. State 43.9% · National 45.3%
- RN turnover (%, lower is better)
- 44.4%
≈ About the state average. State 43.8% · National 42.5%
- Administrators who left (people, lower is better)
- 2
✗ Worse than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.68
State 1.46 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
206.3 points — in WA that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in WA [10]
- 5 ★
- 0.000-31.000
- 4 ★
- 31.001-69.000
- 3 ★
- 69.001-100.000
- 2 ★
- 100.001-167.000
- 1 ★ (this home)
- >167.000
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | May 1, 2026 | 22 (4) | 211 | 1 | 0 | 211 |
| Prior cycles (2 and 3) | Mar 31, 2025 | 22 (13) | 192 | 1 | 0 | 192 |
Health citations per inspection
May 1, 2026
Mar 31, 2025
Feb 9, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
May 1, 2026
Mar 31, 2025
Feb 9, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Emergency Preparedness 11
- Resident Assessment and Care Planning 5
- Resident Rights 5
- Quality of Life and Care 4
- Freedom from Abuse and Neglect and Exploitation 2
- Nutrition and Dietary 2
- Pharmacy Service 2
- Administration 1
- Infection Control 1
What the latest fire-safety inspection cited
- Gas and Vacuum and Electrical Systems 2
- Miscellaneous 2
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 1 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 4 | H · 35 pts 1 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 32 | E · 8 pts 17 | F · 16 pts 3 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 1 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (59) [2]
Inspection on May 1, 2026 · 19 citations
-
D
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
Give residents a notice of rights, rules, services and charges.
F0572 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (May 20, 2026) · From a complaint
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F0838 · Administration Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
F0646 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
Inspection on Apr 14, 2026 · 2 citations
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 22, 2026) · From a complaint
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 22, 2026) · From a complaint
Inspection on Jan 14, 2026 · 1 citation
-
D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 10, 2026) · From a complaint
Inspection on Sep 15, 2025 · 2 citations
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
-
D
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 3, 2025) · From a complaint
Inspection on May 23, 2025 · 1 citation
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 30, 2025) · From a complaint
Inspection on Mar 31, 2025 · 9 citations
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
D
Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
F
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
D
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
D
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.
F0578 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
Inspection on May 1, 2024 · 4 citations
-
H
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 22, 2024) · From a complaint
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 22, 2024) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 22, 2024) · From a complaint
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 22, 2024) · From a complaint
Inspection on Mar 20, 2024 · 1 citation
-
D
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 15, 2024) · From a complaint
Inspection on Feb 9, 2024 · 15 citations
-
E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
D
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
D
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
E
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
D
Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
-
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (May 9, 2024)
Inspection on Dec 12, 2023 · 1 citation
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 2, 2024) · From a complaint
Inspection on Nov 8, 2023 · 4 citations
-
G
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
F0626 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 8, 2023) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 8, 2023) · From a complaint
-
E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 8, 2023) · From a complaint
-
E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 8, 2023) · From a complaint
All fire-safety citations (28) [3]
Inspection on May 1, 2026 · 15 citations
-
F
Address patient/client population and determine types of services needed.
E0007 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Establish procedures for tracking staff and patients during an emergency.
E0018 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Develop and maintain an Emergency Preparedness Program (EP).
E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Establish emergency prep training and testing.
E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Establish policies and procedures for medical documentation.
E0023 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Establish staff and initial training requirements.
E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Create arrangements with other facilities to receive patients.
E0025 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
E
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Address subsistence needs for staff and patients.
E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Establish policies and procedures including evacuation.
E0020 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Develop Emergency Preparedness policies and procedures.
E0013 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
-
F
Develop a communication plan.
E0029 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (May 20, 2026)
Inspection on Mar 31, 2025 · 2 citations
-
D
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Apr 29, 2025)
Inspection on Feb 9, 2024 · 11 citations
-
E
Install a fire alarm system that can be heard throughout the facility.
K0341 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
F
Establish procedures for tracking staff and patients during an emergency.
E0018 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (May 1, 2024)
-
E
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
F
Have enough space near smoke barriers to protect residents.
K0373 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
D
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
F
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 5, 2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 3 State avg 1.1 · National 0.9
- Total fined
- $188,426 State avg 48,345 · National 30,351
- Payment denials
- 1 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Apr 14, 2026 | Fine | $12,750 | — |
| Feb 9, 2024 | Payment Denial | — | 13 days from May 9, 2024 |
| Feb 9, 2024 | Fine | $142,428 | — |
| Nov 8, 2023 | Fine | $33,248 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 100.0
✓ Better than the state average. State 96.2 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 93.5
≈ About the state average. State 94.3 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 5.8
✗ Worse than the state average. State 2.6 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 62.8
✗ Worse than the state average. State 17.9 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 4.8
✓ Better than the state average. State 5.6 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 11.3
✓ Better than the state average. State 12.5 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 1.9
✓ Better than the state average. State 15.0 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 16.8
✗ Worse than the state average. State 15.6 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 9.2
✓ Better than the state average. State 13.8 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.8
✗ Worse than the state average. State 0.8 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.5
✓ Better than the state average. State 1.7 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 21.2
≈ About the state average. State 21.6 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 4.6
✗ Worse than the state average. State 4.4 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 97.0
✓ Better than the state average. State 88.7 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 0.5
✓ Better than the state average. State 1.3 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 88.3
✓ Better than the state average. State 84.4 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
- Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 11.0
- 6.9
✓ Better than the state average. State 13.0 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 22.6
- 24.1
✗ Worse than the state average. State 19.7 · National 23.4
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Limited Liability company
- Legal business name
- SNOHOMISH OF CASCADIA LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 91
- Residents per day (average)
- 78.2
- In Medicare/Medicaid since
- Jul 1, 1989
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Snohomish
- Located in a hospital
- No
Company profiles: Cascadia Healthcare (47 homes, average 3.2 stars), Cascadia Services LLC (47 homes, average 3.2 stars), Cascadia HC Group LLC (42 homes, average 3.2 stars), Cascadia Healthcare LLC (42 homes, average 3.2 stars), Cascadia Holdco LLC (41 homes, average 3.2 stars), Cascadia Washington Operations LLC (9 homes, average 3.1 stars)
Part of CASCADIA HEALTHCARE
One of 47 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 3.2
- Health inspections
- 2.8
- Staffing
- 2.7
- Quality
- 4.1
Owners, officers and managers (19) [6]
Adp Of The Snf
- BHUMKAR, NISHITA (individual, NOT APPLICABLE, since 07/16/2025)
- CASCADIA SERVICES LLC (organization, NOT APPLICABLE, since 02/12/2025)
- JACKSON, ZACHARY (individual, NOT APPLICABLE, since 07/16/2025)
- SNOHOMISH 800 REALTY LLC (organization, NOT APPLICABLE, since 06/05/2025)
Operational/Managerial Control
- BHUMKAR, NISHITA (individual, NOT APPLICABLE, since 12/02/2021)
- CASCADIA SERVICES LLC (organization, NOT APPLICABLE, since 12/02/2021)
- HAMMOND, OWEN (individual, NOT APPLICABLE, since 12/08/2021)
- JACKSON, ZACHARY (individual, NOT APPLICABLE, since 06/24/2025)
- LAFORTE, STEPHEN (individual, NOT APPLICABLE, since 06/05/2025)
- NELSON, TIMOTHY (individual, NOT APPLICABLE, since 06/05/2025)
Indirect Ownership Interest
- CASCADIA HC GROUP LLC (organization, NOT APPLICABLE, since 06/05/2025)
- CASCADIA HEALTHCARE LLC (organization, NOT APPLICABLE, since 04/01/2022)
- CASCADIA HOLDCO LLC (organization, NOT APPLICABLE, since 06/05/2025)
- HAMMOND, OWEN (individual, NOT APPLICABLE, since 12/08/2021)
- LAFORTE, STEPHEN (individual, NOT APPLICABLE, since 06/05/2025)
- NELSON, TIMOTHY (individual, NOT APPLICABLE, since 06/05/2025)
Direct Ownership Interest
- CASCADIA WASHINGTON OPERATIONS LLC (organization, NOT APPLICABLE, since 04/01/2022)
5% Or Greater Security Interest
- SNOHOMISH 800 REALTY LLC (organization, NOT APPLICABLE, since 06/05/2025)
- WHITE OAK HEALTHCARE FINANCE LLC (organization, NOT APPLICABLE, since 08/11/2022)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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