The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Nursing home report
PACIFIC CARE AND REHABILITATION
HOQUIAM, WA · Medicare-certified · 72 beds
In good standing
For-profitChain member
5 of 5 overall
PACIFIC CARE AND REHABILITATION (HOQUIAM, WA) has a 5-star overall rating, with 5 stars for health inspections and quality measures but 3 stars for staffing. Reported nurse staffing is 3.97 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9714 hrs/resident/day
Quality measures
Last inspection: May 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9714.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 1.00
- Nurse aides
- 2.32
- Weekend nursing
- 3.50
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.1%5.3%No change
Residents with a fall causing major injury
2.1%4.7%Worsening
Residents with pressure ulcers (bedsores)
2%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.4%5.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.5%28.9%Worsening
Residents whose ability to walk got worse
—22.3%—
Long-stay residents on antianxiety or sleep medication
4.3%23.8%Worsening
Short-stay residents newly given an antipsychotic
1.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.3%9.9%Improving
Residents with depressive symptoms
0%21.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.3%—
Long-stay residents given the pneumonia vaccine
95.7%93%Worsening
Short-stay residents given the seasonal flu vaccine
—80.2%—
Short-stay residents given the pneumonia vaccine
87.4%84.9%Worsening
What the inspectors found
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to support and respect residents’ choices and self-determination. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 65 residents on an average day (90% of 72 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.