Nursing homes › Washington › Clarkston Health and Rehab of Cascadia
1242 Eleventh Street, Clarkston, WA 99403 · 5097582523 · 90 certified beds
Per CMS filings, this facility is affiliated with Cascadia Healthcare, a group operating 45 facilities in 5 states. Group record: average rating 3.1/5, 2 abuse citation icons, 5 facilities on the Special Focus list, $1,029,637 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.47 (Washington median: 4.15). RN hours: 1.10. Weekend total: 2.92. Nursing staff turnover: 22%.
All-time on record: 53 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-18 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Health | corrected 2025-10-03 |
| 2025-08-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Health | corrected 2025-10-03 |
| 2025-08-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-10-03 |
| 2025-08-18 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Health | corrected 2025-10-03 |
| 2025-08-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2025-10-03 |
| 2025-08-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-10-03 |
| 2025-08-18 | Ensure 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. | E | Health | corrected 2025-10-03 |
| 2025-08-18 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2025-10-03 |
| 2025-08-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-10-03 |
| 2025-08-18 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-10-03 |
| 2025-08-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-10-03 |
| 2025-08-18 | Provide 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. | D | Health | corrected 2025-10-03 |
| 2025-08-18 | 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 | Health | corrected 2025-10-03 |
| 2025-08-18 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-10-03 |
| 2025-08-18 | Provide or obtain dental services for each resident. | D | Health | corrected 2025-10-03 |
| 2025-08-18 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-10-03 |
| 2025-04-15 | 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 | complaint | corrected 2025-05-16 |
| 2024-11-01 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2024-12-03 |
| 2024-11-01 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-12-03 |
| 2024-10-04 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | complaint | corrected 2024-11-15 |
| 2024-10-04 | Provide or obtain dental services for each resident. | D | complaint | corrected 2024-11-15 |
| 2024-01-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-03-01 |
| 2024-01-26 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Health | corrected 2024-03-01 |
| 2024-01-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2024-03-01 |
| 2024-01-26 | 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 | Health | corrected 2024-03-01 |
| 2024-01-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2024-03-01 |
| 2024-01-26 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-03-01 |
| 2024-01-26 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-03-01 |
| 2024-01-26 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-03-01 |
| 2024-01-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-03-01 |
| 2024-01-26 | Provide activities to meet all resident's needs. | D | Health | corrected 2024-03-01 |
| 2024-01-26 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-03-01 |
| 2024-01-26 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2024-03-01 |
| 2024-01-26 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-03-01 |
| 2024-01-26 | 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 | Health | corrected 2024-03-01 |
| 2024-01-26 | 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. | D | Health | corrected 2024-03-01 |
| 2024-01-26 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Health | corrected 2024-03-01 |
| 2024-01-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-03-01 |
| 2024-01-16 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | complaint | corrected 2024-03-01 |
| 2023-09-25 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | G | complaint | corrected 2023-10-16 |
| Date | Type | Amount |
|---|---|---|
| 2023-09-25 | Fine | $32,711 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADIA WASHINGTON OPERATIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2021 |
| CASCADIA HC GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2021 |
| CASCADIA HOLDCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| HAMMOND, OWEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2021 |
| LAFORTE, STEPHEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/28/2021 |
| HAMMOND, OWEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2021 |
| LAFORTE, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| RUDOLPH, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/04/2025 |
| SCHILLER, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/05/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505283. Corrections: data@carerecords.org.