Bainbridge Island Health & Rehab Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

65.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 89 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 78.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 59 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 58 beds and averages 42.3 residents a day — about 73% occupied, or roughly 16 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.27 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.50 hrs/resident/day on weekends vs 4.08 on weekdays — 14% thinner on weekends. RN hours go from 1.39 to 0.98 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 23% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · Dcited before2026-07-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to assess, implement interventions and notify the medical provider of inadequate fluid intake for 1 of 3 residents (Resident 1) reviewed for dehydration. This failure placed residents at risk for dehydration, thirst and decreased quality of life.Findings included.Review of the National Library of Medicine article, Hydration Status in Older Adults, dated 06/2023, showed that older adult men would require 2.0 L/d [liter per day and/or 1000 milliliters].Resident 1 was admitted on [DATE] with diagnoses including dementia and multiple sclerosis (a chronic disorder affecting your nervous system) and discharged on 06/15/2026. The discharge Minimum Data Set Assessment, an assessment tool, dated 06/15/2026, showed Resident 1 had severe cognitive impairment and was dependent on staff for eating and drinking.On 06/18/2026 at 4:17 PM, Collateral Contact 1 (CC1), hospital staff member, said that Resident 1 had been at the facility for two weeks for respite and when…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-05-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure residents were free of physical abuse from other residents for 1 of 3 residents (Resident 1) reviewed. This failure placed residents at risk of physical injury, fear and a decreased quality of life. Findings included.Review of the facility's policy titled, Abuse: Prevention of and Prohibition Against, revised 12/2023, showed that each resident had the right to be free from abuse, the definition of abuse was willful infliction of injury, intimidation resulting in physical harm, pain or mental anguish and instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish, willful meant the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm.Resident 1 was admitted on [DATE] with diagnoses of dementia and depression. The admission Minimum Data Set (MDS), an assessment tool, dated 02/18/2026, showed moderate cognitive impairment…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-17 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY .Based on observation, interview and record review, the facility failed to accurately identify and/or monitor target behaviors that psychotropic medications (medications that alter mood and behavior used to treat mental health conditions) were initiated to treat, and to evaluate and individualize behavior interventions for 2 of 5 residents (Residents 32 & 7) reviewed for unnecessary medications. These failures detracted from staff's ability to assess the effectiveness and need for ongoing use of psychotropic medications, and placed residents at risk of receiving unnecessary medication, experiencing associated adverse side effects, unwanted effects on mood and behavior and a diminished quality of life Findings included. 1) Resident 32 was admitted on [DATE] with diagnoses of anxiety disorder and dementia. Resident 32's Minimum Data Set Assessment (MDS), dated [DATE], showed Resident 32 had moderate cognitive impairment. On 09/23/2025 at 11:01 AM, Resident 32 was observed to have difficulty answering a question,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-17 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure services provided met professional standards of practice for 2 of 14 sample residents (Residents 3 & 26) reviewed. Facility nurses' failure to follow and clarify Physician's orders when indicated, and to only sign for tasks that were completed, placed residents at risk for medication errors, skin breakdown and unmet care needs. Findings included . 1) Resident 3 readmitted to the facility on [DATE]. Review of the Quarterly Minimum Data Set (MDS, an assessment tool), dated 08/26/2025, showed the resident was cognitively intact, at risk of developing pressure injuries and required pressure redistribution devices for their bed and wheelchair. Review of the electronic health record (EHR) showed a 06/21/2025 order for a low air loss mattress with bolster cover and direction to facility nurses to check the mattress every shift for placement and function. An at risk for pressure ulcers care plan, with a target date of 12/31/2025, also…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-17 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide activity programming designed for and to support cognitively impaired residents in their preferred activities for 2 of 5 residents (Residents 26 & 53) reviewed for activities. This failure placed residents at risk of boredom, restlessness, and a decreased quality of life.Findings included. Review of the facility's Activities policy, revised May 2016, showed the facility would provide for an ongoing program of activities designed to meet, in accordance with their comprehensive assessment, the interests and the physical, mental, and psychosocial well-being of each resident. Activities meaningful to the resident would be provided at various times throughout every day and evening based on the needs and preferences of each resident. 1) Resident 26 was admitted on [DATE] with diagnosis of severe dementia. The Minimum Data Set Assessment (MDS), dated [DATE], showed Resident 26 had severe cognitive impairment and required staff assistance…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-17 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure food was prepared in a manner that conserved nutritive value and palatability for 3 of 3 residents (Residents 53, 6, & 19) who required pureed meals. The failure to follow written recipes in th preparation of pureed food placed residents at risk of receiving food with decreased nutritive value and decreased satisfaction with meals. Findings included .On 09/25/2025 at 6:44 AM, Staff E, Cook, was observed preparing pureed sausage links. Staff E used a utensil to push approximately 16 link sausages off a pan into a metal tin. The metal tin was thin dumped into a food processor and pulsed x 3. The contents were then dumped into a pitcher. Staff E took the pitcher over to the beverage machine and added an unmeasured amount of hot water. Staff E then returned to the food processor and emptied the contents of the pitcher into it and blended the mixture for 1 minute. Once stopped the mixture was observed to be thin and soupy. Staff E removed the lid from a container of thickener and tapped it on the edge of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-15 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were administered their prescribed medications for 1 of 3 (Resident 1) residents reviewed for medication administration. This failure placed residents at risk of clinical complications, experiencing side effects from unnecessary medications and delayed treatment for their disease.Findings included.Resident 1 was admitted to the facility on [DATE] with a diagnosis of pulmonary hypertension (a type of high blood pressure that affects the lungs causing respiratory and heart complications).Resident 1's physician's orders, dated 06/20/2025, showed an order for Letairis (a medication used to treat pulmonary hypertension) 5 MG (milligrams) one time a day.Record Review of Resident 1's Medication Administration Record (MAR), dated 06/01/2025 through 06/30/2025, showed Letairis was administered daily from 06/22/2025 through 06/29/2025, for a total of eight doses.In an interview on 07/15/2025 at 12:15 PM, Staff A, Licensed Practical Nurse and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-13 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain a kitchen environment which allowed each resident to have nourishing, palatable and well-balanced meals without cross contamination for 1 of 1 kitchen reviewed for food safety. This failure put residents at risk for food-borne illness, unsanitary conditions, and a diminished quality of life. Findings included . <Food preparation observations> On 09/11/2024 at 11:53 AM, Staff H, Cook, dropped his writing pen on the floor, he picked it up with bare hands and did not clean the pen. Staff H then wrote on a clip board and put the pen back onto his shirt by clipping the pen onto his shirt collar. Staff H did not wash hands after using the pen. At 1:09 PM, during tray line observation, Staff H, with gloved hands took the pen from out of his shirt and wrote on a piece of paper that was on the food tray, then with the same gloves picked up a hamburger bun and put it on a plate and continued to build burgers. <Tray line observations> Tray line assembly started on 09/11/2024 at 11:58 AM. At 11:58 AM, Staff H, went to the steam…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on interview and record review, the facility failed to provide the necessary care and services to maintain residents' highest practicable level of well-being for 1 of 5 sampled residents (Resident 27) reviewed for bowel management. The failure to initiate bowel care in accordance with physicians' orders placed residents at risk for pain/discomfort, nausea, decreased appetite and a diminished quality of life. Findings included . Resident 27 was admitted to the facility on [DATE]. The Significant Change Minimal Data Set, (MDS, an assessment tool), dated 07/30/2024 documented Resident 27 was severely cognitively impaired. A physician's order, dated 01/24/2024, documented Miralax (a laxative) 17 grams was to be mixed with eight ounces of fluids and given to resident, if no bowel movement (BM)after three days or if resident complained of constipation with abdominal discomfort. A physician's order, dated 09/05/2023, documented bisacodyl (a laxative) 5 milligrams (mg) was to be given 12 hours after no results…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on observation, interview, and record review, the facility failed to maintain, label/date, and properly store oxygen tubing/supplies and nasal cannula (NC, flexible tubing that sits inside the nose and delivers oxygen) for 1 of 1 sampled resident (Resident 9) reviewed for respiratory care. This failure placed the residents at risk for unmet care needs, respiratory infections, and a diminished quality of life. Findings included . The facility Oxygen Administration policy, revised 04/2024, documented oxygen tubing is to be replaced every seven (7) days or when visible soiled. Resident 9 was admitted to the facility on [DATE]. The Annual Minimal Data Set, (MDS, an assessment tool), dated 06/25/2024, documented Resident 9 was moderately cognitively impaired. A physician's order, dated 04/23/2024, documented oxygen tubing was to be changed every Sunday or as needed. On 09/09/2024 at 12:29 PM, Resident 9 was wearing the NC. The oxygen machine was running at 3 liters per minute. Oxygen tubing was dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE ENSIGN GROUP — 342 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $638K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WA