Brookfield Health And Rehab Of Cascadia

Location & what’s nearby

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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.

59.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 131 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.6% 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 22 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 0.26 therapist hours per resident per day in 2026Q1 — more than 38% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 83 beds and averages 56.3 residents a day — about 68% occupied, or roughly 27 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.46 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.03 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.78 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 2.93 hrs/resident/day on weekends vs 3.67 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.16 to 0.70 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 66% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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 more than at the previous inspection — worsening. 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.

41 citations, most serious first. The 16 most serious are shown; the remaining 25 are one tap away and print in full.

• Actual harm · Gcited before2025-06-09 · 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 free from significant medication errors for 1 of 3 sampled residents (Resident 1) reviewed for medication errors when another resident's medication(s) were left unattended and then taken by/ingested by the wrong resident. Resident 1 experienced harm when they became unresponsive and required intensive care level hospitalization and mechanical ventilation. This failure placed all residents at risk for medical complications. Findings included . Resident 1 was admitted to the facility on [DATE] with diagnoses including liver cirrhosis (scarred liver with impaired functioning) and stage 3 kidney disease (impaired functioning of the kidney(s). Resident 1's Minimum Data Set (MDS/an assessment tool), dated [DATE], documented Resident 1 was unable to participate in the assessment. A nursing progress note, dated [DATE] at 3:08 AM, documented, Resident 1 ingested a Zyprexa 10 milligram (mg) pill (an antipsychotic medication) that was not…

  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
• Actual harm · Gcited before2024-08-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 from avoidable accidents during resident bed mobility assistance for 1 of 3 sampled residents (Resident 1) reviewed for accident hazards. Resident 1 experienced harm when the resident was found to have a fractured femur (thighbone) after a fall that required medical intervention when facility staff did not use two-person assistance with bed mobility as indicated as necessary by the comprehensive care plan. This failure placed residents at risk for injury and a diminished quality of life. Findings included . Resident 1 was admitted to the facility on [DATE] with diagnoses including asthma, diabetes mellitus type 2, hypertension, and chronic heart failure. Resident 1's Minimum Data Set assessment, dated 07/17/2024, indicated the resident required maximum assistance to roll right and left and was dependent on staff to move from sitting on the side of the bed to lying flat on the bed. Resident 1's care plan, initiated…

  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
• Actual harm · G2024-03-07 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 and provide preventative equipment interventions to prevent further pressure injury development and deterioration for 1 of 6 sampled residents (Resident 1) reviewed for pressure injuries. This caused harm to Resident 1 when the resident admitted with one Stage 3 (full thickness tissue loss, subcutaneous fat may be visible) and two Stage 2 (a partial thickness loss of skin presenting as a shallow open ulcer with a red/pink wound bed) pressure injuries to the buttocks and the resident was not assessed for an air mattress (the professional standard of practice for redistribution of pressure for pressure ulcer/injury treatment and prevention) or bed mobility bars, developed three new unstageable (base of wound is covered by a layer of dead tissue and cannot be seen) pressure injuries, and one of the Stage 2 pressure injuries present on admission deteriorated to a Stage 3 pressure injury. This failure placed residents at risk for worsening of skin…

  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
• Actual harm · Gcited before2024-03-07 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  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 interviews and record review, the facility failed to ensure timely laboratory services were provided for 1 of 6 sampled residents (1) reviewed for laboratory services. This caused harm to Resident 1 when STAT (immediate) lab tests were not completed timely (three days after the STAT order) and the resident required a hospital evaluation for high lab values. This failure placed residents at risk for delay in treatment, decline in medical conditions and a diminished quality of life. Findings included . Review of facility policy, Laboratory, Radiology, Transfusion, and Other Diagnostic Services, dated 03/01/2019, defines a STAT test, to be critical to the residents subsequent treatment decisions and that laboratory services, are considered timely if laboratory tests are completed and results provided to the facility or resident physician within time frames normal for appropriate intervention. Resident 1 was admitted to the facility on [DATE] with diagnoses including urinary tract infection, sepsis (the…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-01-08 · 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 a resident was free from sexual abuse by a staff member for 1 of 5 sampled residents (Resident 1) reviewed for abuse. Resident 1 experienced harm when the facility failed to take timely action once allegations of potential staff to resident abuse were first identified and suspected by staff in order to protect the resident from the potential of further abuse. This failure placed residents at risk for abuse and a diminished quality of life. Findings included . The Washington State Reporting Guidelines for Nursing Homes (Purple Book), dated October 2015, defines sexual abuse to include any sexual contact between a staff person of a facility and a vulnerable adult living in that facility whether or not it is consensual. The Guidelines pertaining to Abuse showed, In general, you must presume that abuse has occurred whenever there has been some type of impermissible, unjustifiable, harmful, offensive or unwanted contact with a NH [Nursing Home]…

  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
• Actual harm · Gcited before2024-01-08 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 timely initiate and complete an investigation of potential staff-to-resident abuse and put interventions in place to prevent further potential resident abuse at the time the alleged abuse was suspected for 1 of 5 sampled residents (Resident 1) reviewed for investigation to prevent alleged abuse. This caused harm to Resident 1 when the facility's delay in investigation of potential sexual abuse allowed the alleged staff member, in a position of power (caregiver), to continue to have access to Resident 1 and did not protect the resident from further potential abuse after they were first aware of a pattern of questionable behavior. This failure placed residents at risk for abuse, having allegations of abuse not being responded to and thoroughly investigated, and a diminished quality of life. Findings included . Per the Washington State Reporting Guidelines for Nursing Homes (Purple Book), dated October 2015, showed facilities and mandated reporters were…

  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 · D2026-06-04 · tag F0567 — failed to protect residents' money held by the home — isolated
  Honor the resident's right to manage his or her financial affairs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure residents who had personal fund accounts established received accrued interest in those accounts for 2 of 3 sampled residents (Residents 34 and 36) reviewed for Trust Funds interest accrued. This failure placed residents at risk not to receive, or have access to, monies owed to them.Findings included . Record review of Resident 34's Resident Fund Management Service (RFMS) .Resident Statement Landscape showed the following:01/02/2026 Interest Paid 0.00; Balance $415.0002/02/2026 Interest Paid 0.00; Balance $415.0003/02/2026 Interest Paid 0.00; Balance $395.0004/01/2026 Interest Paid 0.00; Balance $395.0005/01/2026 Interest Paid 0.00; Balance $395.0006/01/2026 Interest Paid 0.00; Balance $329.00 Record review of Resident 36's Resident Fund Management Service .Resident Statement Landscape showed the following:04/01/2026 Interest Paid 0.00; Balance $108.7405/01/2026 Interest Paid 0.00; Balance $326.2206/01/2026 Interest Paid 0.00; Balance $326.22 In an interview on 06/04/2026 at 1:53 PM, Staff J, Business Office…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · 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 interview and record review, the facility failed to complete an AIMS (Abnormal Involuntary Movement Scale) test (a rating scale used to assess the severity of involuntary movements that sometimes develop as a side effect of treatment with antipsychotic medications [drugs used primarily to treat symptoms such as hallucinations and delusions]) for 1 of 5 sampled residents (Resident 51) reviewed for unnecessary medications. This failure placed residents at risk for adverse medication side-effects, medical complications, and a diminished quality of life.Findings included.Record review of facility policy, titled, Psychotropic Medications, revised 04/22/2025, documented, . 5. In addition to these triggers, the facility will conduct a formal quarterly review (in accordance with CMS [Centers for Medicare & Medicaid Services] guidance under F-758 [federal regulation] and F-756) of each resident's psychotropic regimen during the interdisciplinary team (IDT) care plan meeting. a. This review includes evaluation…

  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 · D2026-06-04 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 a written Bed-Hold notice to residents and/or residents' representative at the time of transfer to the hospital for 2 of 2 sampled residents (Residents 39 and 3) reviewed for hospitalization. This failure placed residents at risk for lack of knowledge regarding their right to hold their bed while in the hospital. Findings included . Record review of the facility policy, titled, Bed-Hold, date revised 09/09/2025, documented, Facilities are required by Federal regulation to have polices addressing holding a resident's bed during periods of absence such as hospitalization or therapeutic leave. Additionally, facilities provide this written information about these policies to residents prior to and upon transfer for such absences. The notices will be provided in writing in a manner that resident/representative [representative] understands. The second notice is provided to the resident, and if applicable the resident's advocate, at the time 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 the Minimum Data Set (MDS, an assessment tool) was completed accurately to reflect a resident's health status and/or care needs for 1 of 5 sampled residents (Resident 46) reviewed for activities of daily living; failed to identify Hospice services for 1 of 2 sampled residents (Resident 14) reviewed for Hospice; and 1 of 5 sampled residents (Resident 52) reviewed for unnecessary medications. This failure placed residents at risk for unidentified and/or unmet care needs and a diminished quality of life.Findings included . Resident 46 was admitted to the facility on [DATE]. The Quarterly MDS, dated [DATE], documented Resident 46 was severely cognitively impaired. Record review of Resident 46's behavior progress note, dated 03/01/2026, documented, . resident refused brief and clothing change this shift. Record review of Resident 46's behavior progress note, dated 02/28/2026, documented, On alert for monitoring behaviors, resident was verbally…

  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 · D2026-06-04 · tag F0646 — isolated
  Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
  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 notify the state mental health authority coordinator of a significant change in physical condition, for 1 of 5 residents (Resident 7) reviewed for PASARR process (Preadmission Screening and Resident Review, a screening tool used to identify mental health needs). This failure placed the residents at risk for unmet care needs and a diminished quality of life. Findings included.Record review of the facility policy, titled, Preadmission Screening & [and] Resident Review Process, revision date 08/29/2025, documented, .4. As part of the PASARR process, the facility is required to notify the appropriate state mental health authority or state intellectual disability [ID] authority when a Resident that triggers a Level II PASARR [ an in-depth, person-centered evaluation triggered when an initial screen suspects a Serious Mental Illness [SMI] has a significant change in their physical or mental condition to ensure they continue to receive the care and services…

  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 · Dcited before2026-06-04 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 resident care plans were revised to accurately reflect care needs for 1 of 2 sampled residents (Resident 7) reviewed for hospice and 1 of 1 sampled resident (Resident 39) reviewed for skin conditions. This failure placed residents at risk for unmet care needs and a diminished quality of life. Findings included. Resident 7 was admitted to the facility on [DATE]. The Significant Change Minimum Data Set (MDS), an assessment tool, dated 04/13/2026, documented Resident 7 was cognitively intact. Record review of Resident 7's medical record titled, Consent for Medicare Hospice Election Statement, dated 11/10/2025, documented Resident 7 was to begin hospice on 11/11/2025. Resident 7's care plan was updated on 11/12/2025. Record review of Resident 7's medical record titled, REVOCATION OF HOSPICE BENEFIT OR DESIGNATION OF A NEW HOSPICE, dated 02/11/2026, documented Resident 7's Medicare hospice benefit was revoked. Review of Resident 7's…

  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 · D2026-06-04 · 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 interview and record review, the facility failed to ensure services provided met professional standards by not following physician's orders for 1 of 5 residents (Resident 51) reviewed for unnecessary medications. This failure placed residents at risk for unmet care needs, medical complications, and a diminished quality of life.Findings included.Resident 51 was admitted to the facility on [DATE]. The Quarterly Minimum Data Set, an assessment tool, dated 03/12/2026, documented Resident 51 was severely cognitively impaired and had a diagnosis of hypertension (elevated blood pressure). Record review of Resident 51's electronic health record (EHR) showed a physician's order, dated 11/20/2025, for amlodipine besylate (medication to help lower blood pressure) oral tablet 5 MG (milligrams) for hypertension, with parameters to not give the medication if systolic blood pressure (SBP, the top number in a blood pressure reading) was below 100 or their heart rate (HR) was below 60 beats per minute (bpm). Record…

  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 · Dcited before2026-06-04 · 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 observation, interview, and record review, the facility failed to obtain physician and/or treatment orders for skin and/or wound care for 1 of 1 sampled resident (Resident 39) reviewed for skin conditions. This failure placed residents at risk of injury, unmet care needs, and a diminished quality of life.Findings included. Resident 39 was admitted to the facility on [DATE], transferred to the hospital on [DATE] and re-admitted to the facility on [DATE]. The Modification of Quarterly Minimum Data Set, dated [DATE], documented Resident 39 was cognitively intact. In an interview on 06/01/2026 at 12:02 PM, Resident 39 said he recently went to the hospital and had surgery on his left arm. Resident 39 pointed to sutures in the antecubital (the front of the arm at the bend of the elbow) area of his left arm. In an interview and observation on 06/03/2026 at 9:19 AM, Resident 39 was observed lying in his bed. Three sutures were observed in the antecubital area of his left arm. When asked about the sutures,…

  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 · Dcited before2026-06-04 · 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 obtain physician orders for oxygen and/or BiPAP (Bi-level Positive Airway Pressure, a non-invasive ventilator that delivers air and oxygen into the lungs using a mask to help people breathe more easily) use for 1 of 2 sampled residents (Resident 39) and failed to change oxygen tubing as ordered for 1 of 2 sampled residents (Residents 60) reviewed for respiratory care. This failure placed residents at risk for worsening health complications, unmet care needs, and a diminished quality of life. Findings included. Record review of the facility's policy, titled, Oxygen Administration, Safety, Storage & Maintenance, revised 10/10/2025, documented, The facility will administer, store, and maintain supplemental oxygen safely in accordance with current standards of practice and licensed practitioner orders. 6. Verify provider order prior to initiating/changes oxygen therapy. 8. Monitor oxygen parameters as needed and/or as ordered. 1. Change…

  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 · D2026-06-04 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 monthly pharmacy review recommendations were addressed as indicated for 1 of 5 residents (Resident 51) reviewed for unnecessary medications. This failure placed residents at risk of inadequately monitored medications, adverse effects, and a diminished quality of life.Findings included.Resident 51 was admitted to the facility on [DATE]. The Quarterly Minimum Data Set, an assessment tool, dated 03/12/2026, documented Resident 51 was severely cognitively impaired.Record review of the pharmacy recommendations, review date from 12/22/2025 to 12/24/2025, documented the facility had not conducted an AIMS test (Abnormal Involuntary Movement Scale test, which is a rating scale used to assess the severity of involuntary movements that sometimes develop as a side effect of treatment with antipsychotic medications [drugs used primarily to treat symptoms such as hallucinations and delusions]) for Resident 51 since 06/13/2025 and requested the AIMS test be…

  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

“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

$10,358 in federal fines across 1 penalty.

• $10,358 — penalty dated 2025-04-18

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CASCADIA HEALTHCARE — 46 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 22 rows in the source record cover these 12 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.

7 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 $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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