Snohomish Health and Rehabilitation of Cascadia
Nursing Home · Snohomish, WA
CMS certification number505338
Contact & location
800 10Th StreetSnohomish, WA 98290
Snohomish County
- Phone
- (360) 568-3161
- ZIP code
- 98290 – all care providers
Facility details
- Certified beds
- 91
- Residents per day
- 80.6 (89% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Snohomish of Cascadia LLC
- Chain
- Cascadia Healthcare (46 facilities, avg 3.0★)
- Medicare certified since
- July 1, 1989
- 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
- 3.78 (state 4.37 · U.S. 3.86)
- Registered nurses (RN)
- 0.95 (state 0.94 · U.S. 0.69)
- Licensed practical nurses
- 0.59 (state 0.77 · U.S. 0.86)
- Nurse aides
- 2.24 (state 2.66 · U.S. 2.32)
- Weekend total
- 3.42 (state 3.81 · U.S. 3.42)
- Nursing staff turnover
- 56.0 (state 45.1 · U.S. 45.8)%
- RN turnover
- 54.2 (state 45.4 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- May 1, 2026
- Health deficiencies (last cycle)
- 24.0 (state 16.1 · U.S. 9.3)
- From complaints
- 6
- Citations on record (3 years)
- 54 health · 26 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-01 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2026-05-20 |
| 2026-05-01 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | Give residents a notice of rights, rules, services and charges. F0572 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | 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 |
| 2026-05-01 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | 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 2026-05-20 |
| 2026-05-01 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | 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 2026-05-20 |
| 2026-05-01 | 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 2026-05-20 |
| 2026-05-01 | 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 2026-05-20 |
| 2026-05-01 | 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 2026-05-20 |
| 2026-05-01 | 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 |
| 2026-05-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-01 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2026-05-20 |
| 2026-04-14 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-22 |
| 2026-04-14 | 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 2026-05-22 |
| 2026-01-14 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-10 |
| 2025-09-15 | 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 2025-10-03 |
| 2025-09-15 | 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 2025-10-03 |
| 2025-05-23 | 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 2025-05-30 |
| 2025-03-31 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-29 |
| 2025-03-31 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-29 |
| 2025-03-31 | 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 2025-04-29 |
| 2025-03-31 | 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 2025-04-29 |
| 2025-03-31 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-29 |
| 2025-03-31 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-29 |
| 2025-03-31 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-29 |
| 2025-03-31 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-29 |
| 2025-03-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-29 |
| 2024-05-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
H Actual harm |
Corrected 2024-05-22 |
| 2024-05-01 | 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 2024-05-22 |
| 2024-05-01 | 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 2024-05-22 |
| 2024-05-01 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-22 |
| 2024-03-20 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-15 |
| 2024-02-09 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-05-09 |
| 2024-02-09 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-09 |
| 2024-02-09 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-09 |
| 2024-02-09 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-09 |
| 2024-02-09 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-09 |
| 2024-02-09 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-09 |
| 2024-02-09 | 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 2024-05-09 |
| 2024-02-09 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-09 |
| 2024-02-09 | 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 2024-05-09 |
| 2024-02-09 | 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 2024-05-09 |
| 2024-02-09 | 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 2024-05-09 |
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
4 penalties in the last three years, including $195,291 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-04-14 | Fine | $19,615 |
| 2024-02-09 | Payment Denial | 13 days payment denial |
| 2024-02-09 | Fine | $142,428 |
| 2023-11-08 | Fine | $33,248 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Snohomish 800 Realty LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| White Oak Healthcare Finance LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Bhumkar, Nishita (individual) | Administrator · NOT APPLICABLE | |
| Cascadia Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Jackson, Zachary (individual) | Administrator · NOT APPLICABLE | |
| Snohomish 800 Realty LLC (organization) | Administrator · NOT APPLICABLE | |
| Cascadia Washington Operations LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Cascadia HC Group LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Cascadia Healthcare LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Cascadia Holdco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Hammond, Owen (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Laforte, Stephen (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Nelson, Timothy (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Bhumkar, Nishita (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cascadia Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Hammond, Owen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jackson, Zachary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Laforte, Stephen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nelson, Timothy (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Snohomish Health and Rehabilitation of Cascadia?
Snohomish Health and Rehabilitation of Cascadia has a 2-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 Snohomish Health and Rehabilitation of Cascadia have?
It has 91 certified beds and cares for about 81 residents per day.
Has Snohomish Health and Rehabilitation of Cascadia been fined?
Yes. CMS lists 4 penalties totaling $195,291 in the last three years.
Who owns Snohomish Health and Rehabilitation of Cascadia?
It is part of Cascadia Healthcare 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 Snohomish Health and Rehabilitation of Cascadia?
(360) 568-3161. The facility is located at 800 10Th Street, Snohomish, WA 98290.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.