Snohomish Health and Rehabilitation of Cascadia
800 10th Street, Snohomish, WA 98290 · (360) 568-3161
For profit - Limited Liability company · 91 certified beds
Snohomish Health and Rehabilitation of Cascadia has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 19 citations, 1 for actual harm or immediate jeopardy (the Washington average is 15.8). It was fined 3 times in the last three years, $188,426 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 1, 2026 found 19 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 1, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 1, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.May 1, 2026 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to organize and participate in resident/family groups in the facility.May 1, 2026 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give residents a notice of rights, rules, services and charges.May 1, 2026 · F0572 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.May 1, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 1, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- PASARR screening for Mental disorders or Intellectual DisabilitiesMay 1, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.May 1, 2026 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 1, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.May 1, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.May 1, 2026 · F0646 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.May 1, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 1, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.May 1, 2026 · F0695 · 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.May 1, 2026 · 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.May 1, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 1, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.May 1, 2026 · F0607 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 17 citations.
- Provide and implement an infection prevention and control program.May 1, 2026 · F0880 · 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.April 14, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 14, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.January 14, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.September 15, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.September 15, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 23, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 1, 2024 · F0610 · 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.May 1, 2024 · F0657 · 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 1, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 1, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.March 20, 2024 · F0851 · 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 12, 2023 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.November 8, 2023 · 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 8, 2023 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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 8, 2023 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.November 8, 2023 · F0626 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $12,750April 14, 2026
- Fine of $142,428February 9, 2024
- Fine of $33,248November 8, 2023
- Medicare payment denial for 13 daysStarting May 9, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Washington average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.78 | 4.36 | 3.86 |
| Registered nurses (RN) | 0.95 | 0.94 | 0.69 |
| Licensed practical nurses (LPN) | 0.59 | 0.77 | 0.86 |
| Nurse aides | 2.24 | 2.66 | 2.32 |
| Total nursing staff turnover | 56% | 45.1% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 91 |
| Average residents per day | 80.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Arlington Health and Rehabilitation Arlington · ★★★★★ 4 out of 5 stars
- Bothell Health Care Bothell · ★★★★★ 2 out of 5 stars
- Pine Ridge Post Acute Edmonds · ★★★★★ 4 out of 5 stars
- Edmonds Post Acute Edmonds · ★★★★★ 1 out of 5 stars
- Bethany at Silver Lake Everett · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Snohomish Health and Rehabilitation of Cascadia on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.