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Nursing home report

Snohomish of Cascadia, LLC

Registered name: Snohomish Health and Rehabilitation of Cascadia

SNOHOMISH, WA · Medicare-certified · 91 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

2-star facility overall, with a 1-star health inspection rating and 2-star staffing; reported nurse staffing is below the federal benchmark (3.78 vs 4.1 hours per resident per day). It also has a recent federal penalty and $19,615 in fines in the last 24 months, while its quality measures are rated 5 stars.

Facility ratings

Health inspections

Staffing

3.7836 hrs/resident/day

Quality measures

Last inspection: May 1, 2026Penalties, last 24 months: $19,615recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7836.

Staffing detail

Registered nurses
0.95
Licensed practical nurses
0.59
Nurse aides
2.24
Weekend nursing
3.42

Hours per resident per day.

Total staff turnover: 56%
Registered nurse turnover: 54%

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

2.6%0%Improving

Residents with a fall causing major injury

2%5.9%Worsening

Residents with pressure ulcers (bedsores)

3.2%5%Worsening

Residents with a urinary tract infection

2%0%Improving

Residents who lost too much weight

2%6.7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

9.1%9.3%No change

Residents whose ability to walk got worse

16.9%

Long-stay residents on antianxiety or sleep medication

14.3%14.6%No change

Short-stay residents newly given an antipsychotic

2%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

24%30%Worsening

Residents with depressive symptoms

45.8%72.9%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

98.2%

Long-stay residents given the pneumonia vaccine

98%100%Improving

Short-stay residents given the seasonal flu vaccine

91.9%

Short-stay residents given the pneumonia vaccine

95.7%97.6%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

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.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: H

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2024 — isolated incident, actual harm.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 19 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $19,615 was recorded.

  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $195,291 in total fines · 1 payment denial.

  • Federal fine

    Apr 14, 2026

    $19,615
  • Medicare/Medicaid payment denial

    Feb 9, 2024

    13 days
  • Federal fine

    Feb 9, 2024

    $142,428
  • Federal fine

    Nov 8, 2023

    $33,248

Operator & ownership

Recent ownership change · Apr 1, 2022

Now operated by Snohomish Health and Rehabilitation of Cascadia, previously Snohomish Health and Rehabilitation.

Ownership
For profit - Limited Liability company
Chain
Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
Occupancy
80.6 residents on an average day (89% of 91 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.