Nursing homeActive

Cashmere Post Acute

817 Pioneer Avenue, Cashmere, WA 98815509782125195 certified beds · 92 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
49
1471
Penalties · 3 yrs
$15,340
1 fine
Last survey
2026-04-03
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Washington DSHS Aging and Long-Term Support · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-03Standard0150CMS-2567 (Care Compare)
2025-01-13Standard1140CMS-2567 (Care Compare)
2024-12-17Complaint020CMS-2567 (Care Compare)
2024-08-27Complaint010CMS-2567 (Care Compare)
2023-12-01Complaint001CMS-2567 (Care Compare)
2023-11-15Standard0150CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Washington DSHS Aging and Long-Term Support publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-03Standard survey · 15 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F552
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F600
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F605
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F610
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F628
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F645
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F689
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F699
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F761
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F770
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505151-20260403-F921
2025-01-13Standard survey · 15 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F561
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F583
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F584
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F625
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F697
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 505151-20250113-F882
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-02-28Record 505151-20250113-F732
2024-12-17Complaint survey · 2 deficienciesOfficial report
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-17Record 505151-20241217-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-17Record 505151-20241217-F689
2024-08-27Complaint survey · 1 deficiencyOfficial report
F572Give residents a notice of rights, rules, services and charges.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-24Record 505151-20240827-F572
2023-12-01Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-12-21Record 505151-20231201-F689
2023-11-15Standard survey · 15 deficienciesOfficial report
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F569
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F582
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F585
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F604
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F690
F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F728
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F757
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 505151-20231115-F880

Penalties & enforcement

DateActionAmountSource
2023-11-15Civil money penalty$15,340CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.94
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day3.59
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours3.13
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover37%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover36%
Facility
Washington
National
Washington 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWashingtonNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.4%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.6%2.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
29.8%15.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
4.6%1.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.0%14.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.8%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
13.6%12.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Anderson, Brandt
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Consolidated Billing Services Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
De Oro, Brianna
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ellington, Brianna
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Flemming, Stanley
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Foundation Resource Center LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Frost, Steven
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ginn, Brenden
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lindahl, Jeffrey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lindahl, Kirkman
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Martinson, Wendy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pacific Medical Specialty Group
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Powerback Rehabilitation LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ricketts, Alexandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Zwahlen, Jay
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
817 Pioneer Ave, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Anderson, Brandt
Individual
ADP OF THE SNFNOT APPLICABLE
Anderson, Brandt
Individual
CORPORATE OFFICERNOT APPLICABLE
Consolidated Billing Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
De Oro, Brianna
Individual
ADP OF THE SNFNOT APPLICABLE
Ellington, Brianna
Individual
ADP OF THE SNFNOT APPLICABLE
Flemming, Stanley
Individual
ADP OF THE SNFNOT APPLICABLE
Foundation Resource Center LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Frost, Steven
Individual
ADP OF THE SNFNOT APPLICABLE
Frost, Steven
Individual
CORPORATE OFFICERNOT APPLICABLE
Ginn, Brenden
Individual
ADP OF THE SNFNOT APPLICABLE
Lindahl, David
Individual
ADP OF THE SNFNOT APPLICABLE
Lindahl, Jeffrey
Individual
CORPORATE OFFICERNOT APPLICABLE
Lindahl, Jeffrey
Individual
ADP OF THE SNFNOT APPLICABLE
Lindahl, Kirkman
Individual
CORPORATE OFFICERNOT APPLICABLE
Lindahl, Kirkman
Individual
ADP OF THE SNFNOT APPLICABLE
Lindahl, Scott
Individual
CORPORATE OFFICERNOT APPLICABLE
Martinson, Wendy
Individual
ADP OF THE SNFNOT APPLICABLE
Pacific Medical Specialty Group
Organization
ADP OF THE SNFNOT APPLICABLE
Powerback Rehabilitation LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ricketts, Alexandra
Individual
ADP OF THE SNFNOT APPLICABLE
Zwahlen, Jay
Individual
CORPORATE OFFICERNOT APPLICABLE
Zwahlen, Jay
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Washington.

No county cost figures on file for Chelan.

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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01