The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2024 — limited pattern, actual harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: H
Nursing home report
Snohomish Health and Rehabilitation of Cascadia
SNOHOMISH, WA · Medicare-certified · 91 beds
In good standing
For-profitChain member
3 of 5 overall
3 out of 5 stars overall. Health inspection is 2 out of 5 stars and staffing is 3 out of 5 stars, with reported nurse staffing at 3.94 hours per resident per day versus the 4.1-hour federal benchmark; there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9394 hrs/resident/day
Quality measures
Last inspection: January 14, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9394.
Staffing detail
- Registered nurses
- 0.94
- Licensed practical nurses
- 0.66
- Nurse aides
- 2.34
- Weekend nursing
- 3.44
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 46%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.3%Improving
Residents with a fall causing major injury
2.9%Worsening
Residents with pressure ulcers (bedsores)
3.3%Improving
Residents with a urinary tract infection
1%Steady
Residents who lost too much weight
5.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.1%Worsening
Residents whose ability to walk got worse
18.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
14.8%Improving
Short-stay residents newly given an antipsychotic
1.5%Improving
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
18.4%Improving
Residents with depressive symptoms
53.6%Worsening
Long-stay residents given the seasonal flu vaccine
98.2%Steady
Long-stay residents given the pneumonia vaccine
99%Improving
Short-stay residents given the seasonal flu vaccine
91.9%Steady
Short-stay residents given the pneumonia vaccine
95.6%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2024 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to let a resident come back after a hospital stay or therapeutic leave that went beyond its bed-hold policy. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 626 — 42 CFR §483.15 — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $190,562 in total fines · 2 payment denials.
- 13 days
Medicare/Medicaid payment denial
Feb 9, 2024
- $142,428
Federal fine
Feb 9, 2024
- $33,248
Federal fine
Nov 8, 2023
- 17 days
Medicare/Medicaid payment denial
May 24, 2023
- $7,443
Federal fine
May 24, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 78.4 residents on an average day (86% of 91 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 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.