Cascades of St Anne

3540 Northeast 110th Street, Seattle, WA 98125 · (206) 363-7733
For profit - Corporation · 47 certified beds

Cascades of St Anne has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 21 citations (the Washington average is 15.8). It hasn't been fined in the last three years.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on January 21, 2026 found 21 citations. What an inspection citation means

• 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.January 21, 2026 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 21, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.January 21, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives an accurate assessment.January 21, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Post nurse staffing information every day.January 21, 2026 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure medication error rates are not 5 percent or greater.January 21, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.January 21, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Allow residents to self-administer drugs if determined clinically appropriate.January 21, 2026 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 21, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.January 21, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.January 21, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 21, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 21, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.January 21, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 21, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.January 21, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.January 21, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 21, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.January 21, 2026 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.January 21, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Educate 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.January 21, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 34 citations.

• Develop and implement policies and procedures for flu and pneumonia vaccinations.January 21, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Educate 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.January 21, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 11, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.April 16, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.April 16, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 16, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 3, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.November 4, 2024 · F0577 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.November 4, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.November 4, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.November 4, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.November 4, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.November 4, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• PASARR screening for Mental disorders or Intellectual DisabilitiesNovember 4, 2024 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 4, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.November 4, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 4, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.November 4, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Post nurse staffing information every day.November 4, 2024 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident’s drug regimen must be free from unnecessary drugs.November 4, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.November 4, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 4, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.November 4, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Implement a program that monitors antibiotic use.November 4, 2024 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.November 4, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.November 4, 2024 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.November 4, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 17, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.September 9, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 23, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Plan the resident's discharge to meet the resident's goals and needs.March 11, 2024 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 15, 2023 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 15, 2023 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.December 15, 2023 · F0692 · Level of harm: Actual harm · Residents affected: Few

Fines and payment denials

• Medicare payment denial for 30 daysStarting December 9, 2024
• Medicare payment denial for 1 daysStarting August 20, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home