Nursing homes › Washington › Bainbridge Island Health & Rehab Center
835 Madison Avenue North, Bainbridge Island, WA 98110 · (206) 842-4765 · 58 certified beds
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Open your comparisonCMS overall star rating: this provider 5/5; median among 191 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 in federal fines. This facility rates above its group average (3.2/5).
Total nurse staffing: 3.91 (Washington median: 4.15). RN hours: 1.27. Weekend total: 3.50. Nursing staff turnover: 23%.
In the downloaded CMS dataset: 20 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-07-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-08-01 |
| 2026-05-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-06-01 |
| 2025-11-17 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-12-26 |
| 2025-11-17 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-12-26 |
| 2025-11-17 | Provide activities to meet all resident's needs. | D | Health | corrected 2025-12-26 |
| 2025-11-17 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2025-12-26 |
| 2025-07-15 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-08-07 |
| 2024-09-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-10-18 |
| 2024-09-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-10-18 |
| 2024-09-13 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-10-18 |
| 2024-09-13 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-10-18 |
| 2023-09-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-11-14 |
| 2023-09-29 | Assess the resident when there is a significant change in condition | D | Health | corrected 2023-11-14 |
| 2023-09-29 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-11-14 |
| 2023-09-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-11-14 |
| 2023-09-29 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2023-11-14 |
| 2023-09-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-11-14 |
| 2023-09-29 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2023-11-14 |
| 2023-09-29 | 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 | Health | corrected 2023-11-14 |
| 2023-09-29 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2023-11-14 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DE ORO, THOMAS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2015 |
| KRETCHMAR, JOSHUA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2021 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 12/02/2014 |
| FARNSWORTH, STEPHEN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2023 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| DE ORO, THOMAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2015 |
| KRETCHMAR, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2021 |
How to cite this page: CareRecords, “Bainbridge Island Health & Rehab Center — compliance, penalty and ownership record” (CCN 505325), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/bainbridge-island-health-rehab-center-bainbridge-island-wa/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505325. Corrections: data@carerecords.org.