Elder Care Record

Washington › King County › North Bend

North Bend Post Acute

219 Cedar Avenue South, North Bend, WA 98045

CCN 505339 · For-profit, limited liability company · 64 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

North Bend Post Acute, in North Bend, Washington, is certified for 64 beds under for-profit, limited liability company ownership.

CMS gives it 1 of 5 stars overall, below the Washington median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 104 health deficiencies across the three most recent survey cycles (22, 35, 47 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 162.5 per 100 beds, more than the state median of 50.0.

CMS lists 3 penalties in the period covered: fines totalling $206K and 1 payment denial.

Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the Washington median of 4.1; nursing staff turnover is 42.0%.

104health deficiencies, 3 survey cycles4 at actual harm or worse
$206Kfines listed by CMS3 penalties in period
3.6nurse hours per resident per daystate median 4.1
94%occupancy (residents ÷ beds)60 residents a day

Compared with county, state and nation

MeasureThis facilityKing Co. medianWashington medianUS average
Overall star rating1333.0
Health citations, 3 cycles104544628.7
Citations per 100 beds162.551.750.026.8
Total nurse hours per resident day3.64.24.13.9
RN hours per resident day0.41.00.90.7
Nursing staff turnover42.0%41.0%43.2%45.8%
Fines listed$206,072$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

Cycle 1 (latest)22
Cycle 235
Cycle 347

Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2025, 12 Dec 2023.

Severity mix: G ×4 D ×42 E ×36 F ×21 B ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
5 Jun 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigationDeficient, Provider has no plan of correction
5 Mar 2025F0727Have 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.FStandard survey18 Apr 2025
5 Mar 2025F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey18 Apr 2025
5 Mar 2025F0585Honor 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.EStandard survey18 Apr 2025
5 Mar 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey18 Apr 2025
5 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey18 Apr 2025
5 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey18 Apr 2025
5 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation18 Apr 2025
5 Mar 2025F0803Ensure 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.EStandard survey18 Apr 2025
5 Mar 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey18 Apr 2025
5 Mar 2025F0881Implement a program that monitors antibiotic use.EStandard survey18 Apr 2025
5 Mar 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey21 Apr 2025
5 Mar 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey18 Apr 2025
5 Mar 2025F0625Notify 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.DStandard survey18 Apr 2025
5 Mar 2025F0641Ensure each resident receives an accurate assessment.DStandard survey18 Apr 2025
5 Mar 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey18 Apr 2025
5 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Apr 2025
5 Mar 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey18 Apr 2025
5 Mar 2025F0660Plan the resident's discharge to meet the resident's goals and needs.DStandard survey18 Apr 2025
5 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey18 Apr 2025
5 Mar 2025F0688Provide 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.DStandard survey18 Apr 2025
5 Mar 2025F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey18 Apr 2025
7 Nov 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DComplaint investigation5 Dec 2024
12 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey15 Jan 2024
12 Dec 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FStandard survey15 Jan 2024
12 Dec 2023F0625Notify 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.FStandard survey15 Jan 2024
12 Dec 2023F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey15 Jan 2024
12 Dec 2023F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FStandard survey15 Jan 2024
12 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation15 Jan 2024
12 Dec 2023F0584Honor 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.EComplaint investigation15 Jan 2024
12 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey15 Jan 2024
12 Dec 2023F0728Ensure 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.EStandard survey15 Jan 2024
12 Dec 2023F0730Observe each nurse aide's job performance and give regular training.EStandard survey15 Jan 2024
12 Dec 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey15 Jan 2024
12 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey15 Jan 2024
12 Dec 2023F0881Implement a program that monitors antibiotic use.EStandard survey15 Jan 2024
12 Dec 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey15 Jan 2024
12 Dec 2023F0585Honor 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.DStandard survey15 Jan 2024
12 Dec 2023F0637Assess the resident when there is a significant change in conditionDStandard survey15 Jan 2024
12 Dec 2023F0641Ensure each resident receives an accurate assessment.DStandard survey15 Jan 2024
12 Dec 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey15 Jan 2024
12 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey15 Jan 2024
12 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey15 Jan 2024
12 Dec 2023F0685Assist a resident in gaining access to vision and hearing services.DStandard survey15 Jan 2024
12 Dec 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey15 Jan 2024
12 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Jan 2024
12 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey15 Jan 2024
12 Dec 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey15 Jan 2024
12 Dec 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey15 Jan 2024
12 Dec 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey15 Jan 2024
12 Dec 2023F0727Have 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.DStandard survey15 Jan 2024
12 Dec 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey15 Jan 2024
12 Dec 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey15 Jan 2024
12 Dec 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey15 Jan 2024
12 Dec 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey15 Jan 2024
12 Dec 2023F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey15 Jan 2024
12 Dec 2023F0732Post nurse staffing information every day.BStandard survey15 Jan 2024
4 Oct 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation17 Nov 2023
4 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation17 Nov 2023
4 Oct 2023F0699Provide care or services that was trauma informed and/or culturally competent.GComplaint investigation17 Nov 2023
4 Oct 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FComplaint investigation17 Nov 2023
4 Oct 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation17 Nov 2023
4 Oct 2023F0732Post nurse staffing information every day.FComplaint investigation17 Nov 2023
4 Oct 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation17 Nov 2023
4 Oct 2023F0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FComplaint investigation17 Nov 2023
4 Oct 2023F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint investigation17 Nov 2023
4 Oct 2023F0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.FComplaint investigation17 Nov 2023
4 Oct 2023F0865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint investigation17 Nov 2023
4 Oct 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint investigation17 Nov 2023
4 Oct 2023F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint investigation17 Nov 2023
4 Oct 2023F0610Respond appropriately to all alleged violations.EComplaint investigation17 Nov 2023
4 Oct 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation17 Nov 2023
4 Oct 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation17 Nov 2023
4 Oct 2023F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.EComplaint investigation17 Nov 2023
4 Oct 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EComplaint investigation17 Nov 2023
4 Oct 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint investigation17 Nov 2023
12 Aug 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Oct 2022
12 Aug 2022F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey10 Oct 2022
12 Aug 2022F0880Provide and implement an infection prevention and control program.FStandard survey10 Oct 2022
12 Aug 2022F0887Educate 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.FStandard survey10 Oct 2022
12 Aug 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey10 Oct 2022
12 Aug 2022F0610Respond appropriately to all alleged violations.EStandard survey10 Oct 2022
12 Aug 2022F0641Ensure each resident receives an accurate assessment.EStandard survey10 Oct 2022
12 Aug 2022F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey10 Oct 2022
12 Aug 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey10 Oct 2022
12 Aug 2022F0660Plan the resident's discharge to meet the resident's goals and needs.EStandard survey10 Oct 2022
12 Aug 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey10 Oct 2022
12 Aug 2022F0692Provide enough food/fluids to maintain a resident's health.EStandard survey10 Oct 2022
12 Aug 2022F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey10 Oct 2022
12 Aug 2022F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey10 Oct 2022
12 Aug 2022F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard survey10 Oct 2022
12 Aug 2022F0881Implement a program that monitors antibiotic use.EStandard survey10 Oct 2022
12 Aug 2022F0885Report COVID19 data to residents and families.EStandard survey10 Oct 2022
12 Aug 2022F0886Perform COVID19 testing on residents and staff.EStandard survey10 Oct 2022
12 Aug 2022F0578Honor 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.DStandard survey10 Oct 2022
12 Aug 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Oct 2022
12 Aug 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey10 Oct 2022
12 Aug 2022F0688Provide 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.DStandard survey10 Oct 2022
12 Aug 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Oct 2022
12 Aug 2022F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey10 Oct 2022
12 Aug 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey10 Oct 2022
12 Aug 2022F0761Ensure 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.DStandard survey10 Oct 2022
12 Aug 2022F0791Provide or obtain dental services for each resident.DStandard survey10 Oct 2022
12 Aug 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey10 Oct 2022

Penalties

DateTypeAmountDetail
12 Dec 2023Payment denial—10 days
12 Dec 2023Fine$143,754
4 Oct 2023Fine$62,318

Staffing

Total nursing3.58 h
Nurse aides2.25 h
LPN0.95 h
RN0.38 h
Weekend total3.24 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 42.0%, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay2.7%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.1%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.3%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay9.9%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.8%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, limited liability company. Legal business name: Middles Holdings Llc.

OrganisationRole in the CMS recordInterestSince
Foundation Healthcare Services LLCDirect ownership interestNOT APPLICABLE05/01/2021
Foundation Resource Center LLCOperational/managerial controlNOT APPLICABLE10/15/2018
Foundation Resource Center LLCAdp of the snfNOT APPLICABLE07/08/2025
Wa3west, LLCAdp of the snfNOT APPLICABLE05/05/2021

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Briarwood At Timber RidgeIssaquah455451942.2—16 Dec 2025
Covenant Shores Health CenterMercer Island435453581.4—11 Feb 2026
Fircrest Nursing FacilitySeattle1105443632.7—7 Nov 2025
Garden Terrace Healthcare Center of Federal WayFederal Way705354665.7—12 Sep 2025
Judson Park Health CenterDes Moines965355759.4—28 Aug 2025
MirabellaSeattle4653548104.3$23K29 Apr 2026
Queen Anne HealthcareSeattle1205553025.0—5 May 2026
Redmond Care and Rehabilitation CenterRedmond1395442618.7—13 Feb 2026

All 47 facilities in King County

Questions and answers

How many deficiencies has North Bend Post Acute been cited for?

104 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.

Has North Bend Post Acute been fined?

Yes. CMS lists fines totalling $206K in the period covered, plus 1 payment denial.

How does staffing at North Bend Post Acute compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.

Who operates North Bend Post Acute?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Foundation Healthcare Services LLC and Foundation Resource Center LLC. Individual owners and managers are not listed on this site.

When was North Bend Post Acute last inspected?

The most recent survey or investigation in the CMS record is dated 5 Jun 2026; the most recent standard health survey was 5 Mar 2025.

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.