Cashmere Post Acute

Nursing Home · Cashmere, WA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number505151

Contact & location

817 Pioneer Avenue
Cashmere, WA 98815
Chelan County
Phone
(509) 782-1251
ZIP code
98815 – all care providers

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Facility details

Certified beds
95
Residents per day
92.2 (97% occupied)
Ownership
For profit - Limited Liability company
Legal name
T-Street Holdings, LLC
Medicare certified since
January 31, 1967
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 4.0
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.59 (state 4.37 · U.S. 3.86)
Registered nurses (RN)
0.94 (state 0.94 · U.S. 0.69)
Licensed practical nurses
0.07 (state 0.77 · U.S. 0.86)
Nurse aides
2.57 (state 2.66 · U.S. 2.32)
Weekend total
3.13 (state 3.81 · U.S. 3.42)
Nursing staff turnover
37.2 (state 45.1 · U.S. 45.8)%
RN turnover
36.0 (state 45.4 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
April 3, 2026
Health deficiencies (last cycle)
15.0 (state 16.1 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
49 health · 29 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-03 Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-04-03 Ensure 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2025-01-13 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Honor 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Notify 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Ensure 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-28
2025-01-13 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-02-28
2024-12-17 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-17
2024-12-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-17
2024-08-27 Give residents a notice of rights, rules, services and charges.
F0572 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-24
2023-12-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2023-12-21
2023-11-15 Ensure 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.
F0728 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Implement 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Honor 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Honor 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.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Ensure 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20
2023-11-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $15,340 in fines.

DateTypeAmount
2023-11-15Fine$15,340

Ownership & management

NameRoleSince
817 Pioneer Ave, LLC (organization)Administrator · NOT APPLICABLE
Anderson, Brandt (individual)Administrator · NOT APPLICABLE
Consolidated Billing Services INC (organization)Administrator · NOT APPLICABLE
De Oro, Brianna (individual)Administrator · NOT APPLICABLE
Ellington, Brianna (individual)Administrator · NOT APPLICABLE
Flemming, Stanley (individual)Administrator · NOT APPLICABLE
Foundation Resource Center LLC (organization)Administrator · NOT APPLICABLE
Frost, Steven (individual)Administrator · NOT APPLICABLE
Ginn, Brenden (individual)Administrator · NOT APPLICABLE
Lindahl, David (individual)Administrator · NOT APPLICABLE
Lindahl, Jeffrey (individual)Administrator · NOT APPLICABLE
Lindahl, Kirkman (individual)Administrator · NOT APPLICABLE
Martinson, Wendy (individual)Administrator · NOT APPLICABLE
Pacific Medical Specialty Group (organization)Administrator · NOT APPLICABLE
Powerback Rehabilitation LLC (organization)Administrator · NOT APPLICABLE
Ricketts, Alexandra (individual)Administrator · NOT APPLICABLE
Zwahlen, Jay (individual)Administrator · NOT APPLICABLE
Anderson, Brandt (individual)Corporate Officer · NOT APPLICABLE
Frost, Steven (individual)Corporate Officer · NOT APPLICABLE
Lindahl, Jeffrey (individual)Corporate Officer · NOT APPLICABLE
Lindahl, Kirkman (individual)Corporate Officer · NOT APPLICABLE
Lindahl, Scott (individual)Corporate Officer · NOT APPLICABLE
Zwahlen, Jay (individual)Corporate Officer · NOT APPLICABLE
Anderson, Brandt (individual)Operational/managerial Control · NOT APPLICABLE
Consolidated Billing Services INC (organization)Operational/managerial Control · NOT APPLICABLE
De Oro, Brianna (individual)Operational/managerial Control · NOT APPLICABLE
Ellington, Brianna (individual)Operational/managerial Control · NOT APPLICABLE
Flemming, Stanley (individual)Operational/managerial Control · NOT APPLICABLE
Foundation Resource Center LLC (organization)Operational/managerial Control · NOT APPLICABLE
Frost, Steven (individual)Operational/managerial Control · NOT APPLICABLE
Ginn, Brenden (individual)Operational/managerial Control · NOT APPLICABLE
Lindahl, Jeffrey (individual)Operational/managerial Control · NOT APPLICABLE
Lindahl, Kirkman (individual)Operational/managerial Control · NOT APPLICABLE
Martinson, Wendy (individual)Operational/managerial Control · NOT APPLICABLE
Pacific Medical Specialty Group (organization)Operational/managerial Control · NOT APPLICABLE
Powerback Rehabilitation LLC (organization)Operational/managerial Control · NOT APPLICABLE
Ricketts, Alexandra (individual)Operational/managerial Control · NOT APPLICABLE
Zwahlen, Jay (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Cashmere Post Acute?

Cashmere Post Acute has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.

How many beds does Cashmere Post Acute have?

It has 95 certified beds and cares for about 92 residents per day.

Has Cashmere Post Acute been fined?

Yes. CMS lists 1 penalty totaling $15,340 in the last three years.

What is the phone number of Cashmere Post Acute?

(509) 782-1251. The facility is located at 817 Pioneer Avenue, Cashmere, WA 98815.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.