Washington › King County › Seattle
Cascades of St Anne
3540 Northeast 110th Street, Seattle, WA 98125
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cascades of St Anne, in Seattle, Washington, is certified for 47 beds under for-profit, corporation ownership and belongs to the Cascades Healthcare chain.
CMS gives it 2 of 5 stars overall, below the Washington median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 57 health deficiencies across the three most recent survey cycles (22, 26, 9 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 121.3 per 100 beds, more than the state median of 50.0.
CMS lists 2 penalties in the period covered: no fines and 2 payment denials.
Reported nurse staffing is 4.2 hours per resident per day (1.4 RN), close to the Washington median of 4.1; nursing staff turnover is 66.7%.
Compared with county, state and nation
| Measure | This facility | King Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 57 | 54 | 46 | 28.7 |
| Citations per 100 beds | 121.3 | 51.7 | 50.0 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 4.1 | 3.9 |
| RN hours per resident day | 1.4 | 1.0 | 0.9 | 0.7 |
| Nursing staff turnover | 66.7% | 41.0% | 43.2% | 45.8% |
| Fines listed | $0 | $8,278 | $17,388 | — |
County and state figures are medians across facilities (47 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Jan 2026, 4 Nov 2024.
Severity mix: G ×2 D ×37 E ×14 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Jan 2026 | F0801 | 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. | F | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0584 | 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. | E | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0732 | Post nurse staffing information every day. | E | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0578 | 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. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0761 | 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. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 11 Mar 2026 |
| 21 Jan 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 11 Mar 2026 |
| 21 Jan 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Complaint investigation | 11 Mar 2026 |
| 11 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Jan 2026 |
| 16 Apr 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 16 May 2025 |
| 16 Apr 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 16 May 2025 |
| 16 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 May 2025 |
| 3 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Feb 2025 |
| 4 Nov 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0732 | Post nurse staffing information every day. | E | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0761 | 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. | E | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0584 | 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. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0625 | 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. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 7 Dec 2024 |
| 4 Nov 2024 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Complaint investigation | 7 Dec 2024 |
| 17 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Nov 2024 |
| 9 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 Oct 2024 |
| 23 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 24 Jun 2024 |
| 11 Mar 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 24 Apr 2024 |
| 15 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 26 Jan 2024 |
| 15 Dec 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 26 Jan 2024 |
| 15 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 26 Jan 2024 |
| 28 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Sep 2023 |
| 28 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Sep 2023 |
| 28 Jul 2023 | F0761 | 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. | E | Standard survey | 8 Sep 2023 |
| 28 Jul 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 8 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Sep 2024 | Payment denial | — | 30 days |
| 20 May 2024 | Payment denial | — | 1 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 66.7%, RNs 82.4%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.7% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.3% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.0% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.4% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.5% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Cascades At Thornton Creek Llc. Chain: Cascades Healthcare (19 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sunburst Grove Flp | 5% or greater direct ownership interest | 23% | 10/01/2024 |
| Sunburst Grove Flp | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2024 |
| Thornton Creek Holdings LLC | 5% or greater mortgage interest | NOT APPLICABLE | 10/01/2024 |
| Sunburst Grove Flp | Adp of the snf | NOT APPLICABLE | 12/10/2024 |
| Thornton Creek Holdings LLC | Adp of the snf | NOT APPLICABLE | 12/10/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in King County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Briarwood At Timber Ridge | Issaquah | 45 | 5 | 4 | 5 | 19 | 42.2 | — | 16 Dec 2025 |
| Covenant Shores Health Center | Mercer Island | 43 | 5 | 4 | 5 | 35 | 81.4 | — | 11 Feb 2026 |
| Fircrest Nursing Facility | Seattle | 110 | 5 | 4 | 4 | 36 | 32.7 | — | 7 Nov 2025 |
| Garden Terrace Healthcare Center of Federal Way | Federal Way | 70 | 5 | 3 | 5 | 46 | 65.7 | — | 12 Sep 2025 |
| Judson Park Health Center | Des Moines | 96 | 5 | 3 | 5 | 57 | 59.4 | — | 28 Aug 2025 |
| Mirabella | Seattle | 46 | 5 | 3 | 5 | 48 | 104.3 | $23K | 29 Apr 2026 |
| Queen Anne Healthcare | Seattle | 120 | 5 | 5 | 5 | 30 | 25.0 | — | 5 May 2026 |
| Redmond Care and Rehabilitation Center | Redmond | 139 | 5 | 4 | 4 | 26 | 18.7 | — | 13 Feb 2026 |
All 47 facilities in King County
Questions and answers
How many deficiencies has Cascades of St Anne been cited for?
57 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Cascades of St Anne been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Cascades of St Anne compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Cascades of St Anne?
It is part of the Cascades Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Sunburst Grove Flp. Individual owners and managers are not listed on this site.
When was Cascades of St Anne last inspected?
The most recent survey or investigation in the CMS record is dated 21 Jan 2026; the most recent standard health survey was 21 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.