Nursing homes › Washington › Snohomish Health and Rehabilitation of Cascadia
800 10Th Street, Snohomish, WA 98290 · 3605683161 · 91 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: 3.78 (Washington median: 4.15). RN hours: 0.95. Weekend total: 3.42. Nursing staff turnover: 56%.
All-time on record: 65 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2026-05-20 |
| 2026-05-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-05-20 |
| 2026-05-01 | 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 | Health | corrected 2026-05-20 |
| 2026-05-01 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2026-05-20 |
| 2026-05-01 | Give residents a notice of rights, rules, services and charges. | E | Health | corrected 2026-05-20 |
| 2026-05-01 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Health | corrected 2026-05-20 |
| 2026-05-01 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | corrected 2026-05-20 |
| 2026-05-01 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Health | corrected 2026-05-20 |
| 2026-05-01 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Health | corrected 2026-05-20 |
| 2026-05-01 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2026-05-20 |
| 2026-05-01 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2026-05-20 |
| 2026-05-01 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Health | corrected 2026-05-20 |
| 2026-05-01 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2026-05-20 |
| 2026-05-01 | 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 2026-05-20 |
| 2026-05-01 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-05-20 |
| 2026-05-01 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2026-05-20 |
| 2026-05-01 | 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 2026-05-20 |
| 2026-05-01 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-05-20 |
| 2026-05-01 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | Health | corrected 2026-05-20 |
| 2026-04-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2026-05-22 |
| 2026-04-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-22 |
| 2026-01-14 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2026-02-10 |
| 2025-09-15 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-10-03 |
| 2025-09-15 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-10-03 |
| 2025-05-23 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-05-30 |
| 2025-03-31 | PASARR screening for Mental disorders or Intellectual Disabilities | F | Health | corrected 2025-04-29 |
| 2025-03-31 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2025-04-29 |
| 2025-03-31 | 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 | Health | corrected 2025-04-29 |
| 2025-03-31 | 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 2025-04-29 |
| 2025-03-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-04-29 |
| 2025-03-31 | 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 2025-04-29 |
| 2025-03-31 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-04-29 |
| 2025-03-31 | Provide or obtain dental services for each resident. | D | Health | corrected 2025-04-29 |
| 2025-03-31 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-29 |
| 2024-05-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | complaint | corrected 2024-05-22 |
| 2024-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-05-22 |
| 2024-05-01 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-05-22 |
| 2024-05-01 | 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 | corrected 2024-05-22 |
| 2024-03-20 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | complaint | corrected 2024-04-15 |
| 2024-02-09 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2024-05-09 |
| Date | Type | Amount |
|---|---|---|
| 2026-04-14 | Fine | $19,615 |
| 2024-02-09 | Fine | $142,428 |
| 2024-02-09 | Payment Denial | 13 days payment denial |
| 2023-11-08 | Fine | $33,248 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADIA WASHINGTON OPERATIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 04/01/2022 |
| CASCADIA HC GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 04/01/2022 |
| CASCADIA HOLDCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| HAMMOND, OWEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/08/2021 |
| 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 12/02/2021 |
| BHUMKAR, NISHITA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/02/2021 |
| HAMMOND, OWEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/08/2021 |
| JACKSON, ZACHARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/24/2025 |
| LAFORTE, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505338. Corrections: data@carerecords.org.