North Bend Post Acute
Nursing Home · North Bend, WA
CMS certification number505339
Contact & location
219 Cedar Avenue SouthNorth Bend, WA 98045
King County
- Phone
- (425) 888-2129
- ZIP code
- 98045 – all care providers
Facility details
- Certified beds
- 64
- Residents per day
- 60.2 (94% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Middles Holdings LLC
- Medicare certified since
- October 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
- 3.58 (state 4.37 · U.S. 3.86)
- Registered nurses (RN)
- 0.38 (state 0.94 · U.S. 0.69)
- Licensed practical nurses
- 0.95 (state 0.77 · U.S. 0.86)
- Nurse aides
- 2.25 (state 2.66 · U.S. 2.32)
- Weekend total
- 3.24 (state 3.81 · U.S. 3.42)
- Nursing staff turnover
- 42.0 (state 45.1 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- March 5, 2025
- Health deficiencies (last cycle)
- 22.0 (state 16.1 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 57 health · 23 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-05 | 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 |
Deficient, Provider has no plan of correction |
| 2025-03-05 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | 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 2025-04-18 |
| 2025-03-05 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | 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 2025-04-18 |
| 2025-03-05 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | 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 2025-04-21 |
| 2025-03-05 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | 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 2025-04-18 |
| 2025-03-05 | 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 2025-04-18 |
| 2025-03-05 | 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 2025-04-18 |
| 2025-03-05 | 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 2025-04-18 |
| 2025-03-05 | 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 2025-04-18 |
| 2025-03-05 | Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | 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 2025-04-18 |
| 2025-03-05 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-03-05 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2024-11-07 | 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 2024-12-05 |
| 2023-12-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-01-15 |
| 2023-12-12 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | 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 2024-01-15 |
| 2023-12-12 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
| 2023-12-12 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-15 |
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
3 penalties in the last three years, including $206,072 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-12-12 | Payment Denial | 10 days payment denial |
| 2023-12-12 | Fine | $143,754 |
| 2023-10-04 | Fine | $62,318 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Anderson, Brandt (individual) | Administrator · NOT APPLICABLE | |
| De Oro, Brianna (individual) | Administrator · NOT APPLICABLE | |
| De Oro, Thomas (individual) | Administrator · NOT APPLICABLE | |
| Foundation Resource Center LLC (organization) | Administrator · NOT APPLICABLE | |
| Hinga, Marjorie (individual) | Administrator · NOT APPLICABLE | |
| Kumari, Monika (individual) | Administrator · NOT APPLICABLE | |
| Lindahl, David (individual) | Administrator · NOT APPLICABLE | |
| Lindahl, Jeffrey (individual) | Administrator · NOT APPLICABLE | |
| Lindahl, Kirkman (individual) | Administrator · NOT APPLICABLE | |
| Lindahl, Scott (individual) | Administrator · NOT APPLICABLE | |
| Nesterenko, Oksana (individual) | Administrator · NOT APPLICABLE | |
| Padua, Sarah (individual) | Administrator · NOT APPLICABLE | |
| Wa3West, LLC (organization) | Administrator · NOT APPLICABLE | |
| Zwahlen, Jay (individual) | Administrator · NOT APPLICABLE | |
| Foundation Healthcare Services LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Frost, Steven (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Lindahl, Jeffrey (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Lindahl, Kirkman (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Lindahl, Scott (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Anderson, Brandt (individual) | Operational/managerial Control · NOT APPLICABLE | |
| De Oro, Brianna (individual) | Operational/managerial Control · NOT APPLICABLE | |
| De Oro, Thomas (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Foundation Resource Center LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Frost, Steven (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hinga, Marjorie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kumari, Monika (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lindahl, Jeffrey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lindahl, Kirkman (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lindahl, Scott (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nesterenko, Oksana (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Padua, Sarah (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Zwahlen, Jay (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of North Bend Post Acute?
North Bend Post Acute has a 1-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 North Bend Post Acute have?
It has 64 certified beds and cares for about 60 residents per day.
Has North Bend Post Acute been fined?
Yes. CMS lists 3 penalties totaling $206,072 in the last three years.
What is the phone number of North Bend Post Acute?
(425) 888-2129. The facility is located at 219 Cedar Avenue South, North Bend, WA 98045.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.