Snohomish Health and Rehabilitation of CascadiaCMS ratings, inspections and fines
- Address
- 800 10th Street, Snohomish, WA 98290
- CCN
- 505338
- Ownership type
- For-profit, limited liability company
- Certified beds
- 91
- Chain
- Cascadia Healthcare
- Residents per day
- 81
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Snohomish Health and Rehabilitation of Cascadia an overall rating of 2 of 5 stars. The last standard survey was on 1 May 2026. The latest survey cycle has 24 health citations. The median for nursing homes in Washington is 14. CMS lists 3 fines with a total of $195,291 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Washington (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Snohomish County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 17 homes in the county, 193 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 1 May 2026 | 24 | 14 |
| Cycle 2 | 31 Mar 2025 | 10 | 17 |
| Cycle 3 | No date | 27 | 13 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 May 2026 |
| 1 May 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 20 May 2026 |
| 1 May 2026 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Standard survey | 20 May 2026 |
| 1 May 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 20 May 2026 |
| 1 May 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 20 May 2026 |
| 1 May 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | Standard survey | 20 May 2026 |
| 1 May 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 20 May 2026 |
| 1 May 2026 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 20 May 2026 |
| 1 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 20 May 2026 |
| 1 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 20 May 2026 |
| 1 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 May 2026 |
| 1 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 May 2026 |
| 1 May 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 20 May 2026 |
| 1 May 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 | 20 May 2026 |
| 1 May 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 20 May 2026 |
| 1 May 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 | 20 May 2026 |
| 1 May 2026 | F0838 | Conduct 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. | F | Standard survey | 20 May 2026 |
| 1 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 20 May 2026 |
| 1 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 May 2026 |
| 14 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 22 May 2026 |
| 14 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 May 2026 |
| 14 Jan 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 10 Feb 2026 |
| 15 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 3 Oct 2025 |
| 15 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 3 Oct 2025 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 May 2025 |
| 31 Mar 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 29 Apr 2025 |
| 31 Mar 2025 | 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 | 29 Apr 2025 |
| 31 Mar 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | F | Standard survey | 29 Apr 2025 |
| 31 Mar 2025 | 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 | 29 Apr 2025 |
| 31 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Apr 2025 |
| 31 Mar 2025 | F0758 | Implement 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. | D | Standard survey | 29 Apr 2025 |
| 31 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 29 Apr 2025 |
| 31 Mar 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 29 Apr 2025 |
| 31 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Apr 2025 |
Survey cycle 3: 27 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 May 2024 |
| 1 May 2024 | 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 | Complaint investigation | 22 May 2024 |
| 1 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | Complaint investigation | 22 May 2024 |
| 1 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 May 2024 |
| 20 Mar 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Complaint investigation | 15 Apr 2024 |
| 9 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 9 May 2024 |
| 9 Feb 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 | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 9 May 2024 |
| 9 Feb 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 | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 9 May 2024 |
| 9 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 9 May 2024 |
| 12 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 | 2 Jan 2024 |
| 8 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Dec 2023 |
| 8 Nov 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint investigation | 8 Dec 2023 |
| 8 Nov 2023 | 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. | E | Complaint investigation | 8 Dec 2023 |
| 8 Nov 2023 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | G | Complaint investigation | 8 Dec 2023 |
| 17 Aug 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 24 Aug 2023 |
| 17 Aug 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 24 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 14 Apr 2026 | Fine | $19,615 | |
| 9 Feb 2024 | Fine | $142,428 | |
| 9 Feb 2024 | Payment denial | 13 | |
| 8 Nov 2023 | Fine | $33,248 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Washington median | Washington average (CMS) |
|---|---|---|---|
| All nurse staff | 3.78 | 4.10 | 4.37 |
| Registered nurses (RN) | 0.95 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.59 | 0.77 | |
| Nurse aides | 2.24 | 2.66 | |
| All nurse staff, weekends | 3.42 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 56.0%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 54.2%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.9% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.9% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.7% | 14.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Snohomish of Cascadia LLC
- Chain
- Cascadia Healthcare (46 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascadia Washington Operations LLC | Direct ownership interest | 1 Apr 2022 | |
| Cascadia HC Group LLC | Indirect ownership interest | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | 1 Apr 2022 | |
| Cascadia Holdco LLC | Indirect ownership interest | 5 Jun 2025 | |
| Snohomish 800 Realty LLC | 5% or greater security interest | 5 Jun 2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | 11 Aug 2022 | |
| Cascadia Services LLC | Operational/managerial control | 2 Dec 2021 | |
| Cascadia Services LLC | Adp of the snf | 12 Feb 2025 | |
| Snohomish 800 Realty LLC | Adp of the snf | 5 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Snohomish County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Madison Post Acute | Everett | 3 of 5 | 16 | $71,318 | 21 Jul 2025 | |
| Bethany at Silver Lake | Everett | 5 of 5 | 7 | $121,447 | 20 Mar 2026 | |
| View Ridge Care Center | Everett | 3 of 5 | 15 | $0 | 24 Nov 2025 | |
| Bethany at Pacific | Everett | 4 of 5 | 14 | $42,477 | 18 May 2026 | |
| Regency Care Center at Monroe | Monroe | 4 of 5 | 13 | $0 | 7 May 2025 | |
| Everett Transitional Care Services | Everett | 4 of 5 | 4 | $14,380 | 15 Dec 2025 | |
| Everett Center | Everett | 3 of 5 | 4 | $378,252 | 24 Feb 2026 | |
| Mountain View Rehabilitation and Care Center | Marysville | 4 of 5 | 6 | $0 | 12 Jan 2026 | |
| Marysville Care Center | Marysville | 4 of 5 | 14 | $95,001 | 29 Sep 2025 | |
| Alderwood Post Acute & Rehabilitation | Lynnwood | 2 of 5 | 37 | $190,519 | 20 Aug 2025 | |
| Bothell Health Care | Bothell | 2 of 5 | 26 | $59,114 | 2 Apr 2025 | |
| Lynnwood Post Acute Rehabilitation Center | Lynnwood | 4 of 5 | 16 | $0 | 8 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Snohomish Health and Rehabilitation of Cascadia (CCN 505338). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/snohomish-health-and-rehabilitation-of-cascadia-snohomish-wa-505338/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Snohomish Health and Rehabilitation of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 1 May 2026. It was a standard survey and a complaint investigation. It gave 19 citations. The standard survey before the last one was on 31 Mar 2025.
- Who operates Snohomish Health and Rehabilitation of Cascadia?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Cascadia Healthcare. The CMS ownership file names Cascadia Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Snohomish Health and Rehabilitation of Cascadia a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.