Bainbridge Island Health & Rehab Center
Nursing Home · Bainbridge Island, WA
CMS certification number505325
Contact & location
835 Madison Avenue NorthBainbridge Island, WA 98110
Kitsap County
- Phone
- (206) 842-4765
- ZIP code
- 98110 – all care providers
Facility details
- Certified beds
- 58
- Residents per day
- 42.3 (73% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Eagle Harbor Healthcare LLC
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- December 1, 1988
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.91 (state 4.37 · U.S. 3.86)
- Registered nurses (RN)
- 1.27 (state 0.94 · U.S. 0.69)
- Licensed practical nurses
- 0.30 (state 0.77 · U.S. 0.86)
- Nurse aides
- 2.34 (state 2.66 · U.S. 2.32)
- Weekend total
- 3.50 (state 3.81 · U.S. 3.42)
- Nursing staff turnover
- 23.3 (state 45.1 · U.S. 45.8)%
- RN turnover
- 15.4 (state 45.4 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- November 17, 2025
- Health deficiencies (last cycle)
- 6.0 (state 16.1 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 20 health · 21 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-01 | 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 2026-08-01 |
| 2026-05-06 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-01 |
| 2025-11-17 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-26 |
| 2025-11-17 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-26 |
| 2025-11-17 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-26 |
| 2025-11-17 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-26 |
| 2025-07-15 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-07 |
| 2024-09-13 | 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 2024-10-18 |
| 2024-09-13 | 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 2024-10-18 |
| 2024-09-13 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-18 |
| 2024-09-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-18 |
| 2023-09-29 | 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 2023-11-14 |
| 2023-09-29 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-09-29 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-09-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-09-29 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-09-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-09-29 | 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 2023-11-14 |
| 2023-09-29 | 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 2023-11-14 |
| 2023-09-29 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
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
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bainbridge Health Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| De Oro, Thomas (individual) | Administrator · NOT APPLICABLE | |
| Kretchmar, Joshua (individual) | Administrator · NOT APPLICABLE | |
| Standard Bearer Healthcare Op LP (organization) | Administrator · NOT APPLICABLE | |
| The Ensign Group INC (organization) | Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Farnsworth, Stephen (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Port, Barry (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| De Oro, Thomas (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kretchmar, Joshua (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| De Oro, Thomas (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kretchmar, Joshua (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Bainbridge Island Health & Rehab Center?
Bainbridge Island Health & Rehab Center has a 5-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 Bainbridge Island Health & Rehab Center have?
It has 58 certified beds and cares for about 42 residents per day.
Has Bainbridge Island Health & Rehab Center been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Bainbridge Island Health & Rehab Center?
It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Bainbridge Island Health & Rehab Center?
(206) 842-4765. The facility is located at 835 Madison Avenue North, Bainbridge Island, WA 98110.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.