Nursing homeActive
Snohomish Health and Rehabilitation of Cascadia
800 10th Street, Snohomish, WA 98290360568316191 certified beds · 81 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
12
since 2023
Deficiencies
61
● 1● 54● 6
Penalties · 3 yrs
$195,291
3 fines · 1 action
Last survey
2026-05-01
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 2
Quality 5
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-01 | Standard | 1171 | CMS-2567 (Care Compare) | — |
| 2026-04-14 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2026-01-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-15 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-31 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2024-05-01 | Complaint | 022 | CMS-2567 (Care Compare) | — |
| 2024-03-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-09 | Standard | 0141 | CMS-2567 (Care Compare) | — |
| 2023-12-12 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-11-08 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2023-08-17 | Complaint | 020 | CMS-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.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-05-20Record 505338-20260501-F689
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 2026-05-20Record 505338-20260501-F561
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F565
F572Give residents a notice of rights, rules, services and charges.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F572
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F582
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 505338-20260501-F605
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F645
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F646
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F658
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 2026-05-20Record 505338-20260501-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F695
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 2026-05-20Record 505338-20260501-F757
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 505338-20260501-F761
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F812
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F838
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505338-20260501-F842
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 2026-05-20Record 505338-20260501-F880
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity CPaperwork
Abuse & neglect
Widespread; potential for minimal harm.Corrected 2026-05-20Record 505338-20260501-F607
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-22Record 505338-20260414-F656
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 2026-05-22Record 505338-20260414-F689
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 505338-20260114-F627
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-03Record 505338-20250915-F610
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-03Record 505338-20250915-F760
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 505338-20250523-F610
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 505338-20250331-F553
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 2025-04-29Record 505338-20250331-F578
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 505338-20250331-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 505338-20250331-F657
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 2025-04-29Record 505338-20250331-F689
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 505338-20250331-F758
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 505338-20250331-F760
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 505338-20250331-F791
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 2025-04-29Record 505338-20250331-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2024-05-22Record 505338-20240501-F686
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 2024-05-22Record 505338-20240501-F689
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-22Record 505338-20240501-F610
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-22Record 505338-20240501-F657
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 505338-20240320-F851
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-09Record 505338-20240209-F697
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F582
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 2024-05-09Record 505338-20240209-F584
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F636
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F637
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F641
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F695
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F726
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F760
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F761
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F806
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 2024-05-09Record 505338-20240209-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F842
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 505338-20240209-F947
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-02Record 505338-20231212-F600
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-12-08Record 505338-20231108-F626
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 505338-20231108-F610
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 505338-20231108-F623
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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-08Record 505338-20231108-F625
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 505338-20230817-F561
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-24Record 505338-20230817-F660
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-04-14 | Civil money penalty | $19,615 | CMS · Penalties |
| 2024-02-09 | Civil money penalty | $142,428 | CMS · Penalties |
| 2024-02-09 | Denial of payment for new admissions Payment denial for 13 days, from 2024-05-09 | — | CMS · Penalties |
| 2023-11-08 | Civil money penalty | $33,248 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.95
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day3.78
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours3.42
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover56%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover54%
Facility
Washington
National
Washington 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Washington | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.9% | 2.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 0.7% | 15.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.0% | 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 | 9.9% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.3% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.0% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bhumkar, Nishita Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascadia Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hammond, Owen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jackson, Zachary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Laforte, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nelson, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bhumkar, Nishita Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascadia Hc Group LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Healthcare LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cascadia Washington Operations LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Hammond, Owen Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Jackson, Zachary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Laforte, Stephen Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nelson, Timothy Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Snohomish 800 Realty LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Snohomish 800 Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| White Oak Healthcare Finance LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Cascadia Healthcare — 46 facilities
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 Snohomish.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Madison Post Acute Everett | 5.2 mi | 2026-06-26 | 3521 |
| Bethany At Silver Lake Everett | 5.6 mi | 2026-03-20 | 0332 |
| Regency Care Center At Monroe Monroe | 6.9 mi | 2026-06-03 | 0240 |
| Bethany At Pacific Everett | 6.8 mi | 2026-05-18 | 0561 |
| Everett Transitional Care Services Everett | 7.0 mi | 2026-05-15 | 0171 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |