Snohomish Health and Rehabilitation of Cascadia

800 10th Street, Snohomish, WA 98290

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Snohomish Health and Rehabilitation of Cascadia is a nursing home in Snohomish, Washington. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star rating2 of 5
Last standard health inspectionMay 1, 2026 (6 months ago)
Health citations since November 8, 202359 (Washington average 50)
Fines in the past three years3, $188,426 in total
CMS flagsNone listed by CMS

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of October 8, 2026
- Fine
  CMS changed the fine from April 14, 2026 from $19,615 to $12,750.
CMS update of July 29, 2026
- Star rating
  The CMS overall star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of May 27, 2026
- Name
  CMS lists a new name for this home. It was SNOHOMISH OF CASCADIA, LLC.
Health inspection on May 1, 2026
19 citations
CMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
5 of 193 Washington homes (3%) got a citation at the immediate jeopardy level in 2026.
Show the 19 citations
- Citation F0689. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0689 4 times since 2024.
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0812 2 times since 2024.
- Citation F0838. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 20, 2026.
- Citation F0565. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.
  CMS lists it as corrected on May 20, 2026.
- Citation F0572. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Give residents a notice of rights, rules, services and charges.
  CMS lists it as corrected on May 20, 2026.
- Citation F0582. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0582 2 times since 2024.
- Citation F0605. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  CMS lists it as corrected on May 20, 2026.
- Citation F0645. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0645 2 times since 2025.
- Citation F0806. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0806 2 times since 2024.
- Citation F0842. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0842 2 times since 2024.
- Citation F0561. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  CMS lists it as corrected on May 20, 2026.
- Citation F0646. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
  CMS lists it as corrected on May 20, 2026.
- Citation F0658. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.
  CMS lists it as corrected on May 20, 2026.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on May 20, 2026.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0695 2 times since 2024.
- Citation F0757. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.
  CMS lists it as corrected on May 20, 2026.
- Citation F0761. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0761 2 times since 2024.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for F0880 2 times since 2025.
- Citation F0607. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  CMS lists it as corrected on May 20, 2026.
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Fire safety inspection on May 1, 2026
15 citations
CMS lists this as a standard inspection.
Show the 15 citations
- Citation E0004. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).
  CMS lists it as corrected on May 20, 2026.
- Citation E0007. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Address patient/client population and determine types of services needed.
  CMS lists it as corrected on May 20, 2026.
- Citation E0013. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Develop Emergency Preparedness policies and procedures.
  CMS lists it as corrected on May 20, 2026.
- Citation E0015. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Address subsistence needs for staff and patients.
  CMS lists it as corrected on May 20, 2026.
- Citation E0018. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for E0018 2 times since 2024.
- Citation E0020. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Establish policies and procedures including evacuation.
  CMS lists it as corrected on May 20, 2026.
- Citation E0023. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Establish policies and procedures for medical documentation.
  CMS lists it as corrected on May 20, 2026.
- Citation E0025. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Create arrangements with other facilities to receive patients.
  CMS lists it as corrected on May 20, 2026.
- Citation E0029. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Develop a communication plan.
  CMS lists it as corrected on May 20, 2026.
- Citation E0036. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Establish emergency prep training and testing.
  CMS lists it as corrected on May 20, 2026.
- Citation E0037. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Establish staff and initial training requirements.
  CMS lists it as corrected on May 20, 2026.
- Citation K0712. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on May 20, 2026.
- Citation K0921. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for K0921 2 times since 2024.
- Citation K0741. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
  CMS lists it as corrected on May 20, 2026.
- Citation K0918. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.
  CMS lists it as corrected on May 20, 2026.
  CMS has cited this home for K0918 3 times since 2024.
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Health inspection on April 14, 2026
2 citations
CMS lists this as a complaint inspection.
CMS fine of $12,750 on April 14, 2026.
Show the 2 citations
- Citation F0656. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on May 22, 2026.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on May 22, 2026.
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CMS update of February 25, 2026
- Star rating
  The CMS overall star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on January 14, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0627. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  CMS lists it as corrected on February 10, 2026.
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CMS update of November 20, 2025
- Name
  CMS lists a new legal business name for this home.
- Fine
  CMS changed the fine from May 24, 2023 from $14,885 to $7,443.
Health inspection on September 15, 2025
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0610. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Respond appropriately to all alleged violations.
  CMS lists it as corrected on October 3, 2025.
  CMS has cited this home for F0610 4 times since 2023.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on October 3, 2025.
  CMS has cited this home for F0760 3 times since 2024.
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CMS update of July 30, 2025
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on May 23, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0610. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Respond appropriately to all alleged violations.
  CMS lists it as corrected on May 30, 2025.
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CMS update of April 30, 2025
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 1 of 5.
- Staffing
  Total nurse staffing reported to CMS went from 4.3 to 3.7 hours per resident per day.
Health inspection on March 31, 2025
9 citations
CMS lists this as a standard inspection.
Show the 9 citations
- Citation F0645. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities
  CMS lists it as corrected on April 29, 2025.
- Citation F0553. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  CMS lists it as corrected on April 29, 2025.
- Citation F0578. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on April 29, 2025.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on April 29, 2025.
  CMS has cited this home for F0657 2 times since 2024.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on April 29, 2025.
- Citation F0758. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on April 29, 2025.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on April 29, 2025.
- Citation F0791. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide or obtain dental services for each resident.
  CMS lists it as corrected on April 29, 2025.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on April 29, 2025.
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Fire safety inspection on March 31, 2025
2 citations
CMS lists this as a standard inspection.
Show the 2 citations
- Citation K0918. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.
  CMS lists it as corrected on April 29, 2025.
- Citation K0353. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on April 29, 2025.
  CMS has cited this home for K0353 2 times since 2024.
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CMS update of February 26, 2025
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
- CMS abuse icon
  CMS removed its abuse icon from this home.
- Fine
  CMS changed the fine from February 9, 2024 from $219,120 to $142,428.
CMS update of October 30, 2024
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of July 31, 2024
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of May 29, 2024
- Fine
  CMS changed the fine from November 8, 2023 from $51,150 to $33,248.
May 9, 2024
Payment stopped
CMS stopped payment for new admissions from May 9, 2024, for 13 days.
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Health inspection on May 1, 2024
4 citations
CMS lists this as a complaint inspection.
Severity H is the second-highest of CMS's four levels. It means a resident was harmed.
81 of 193 Washington homes (42%) got a citation at the actual harm level in 2024.
Show the 4 citations
- Citation F0686. Severity H: actual harm, pattern.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on May 22, 2024.
- Citation F0689. Severity G: actual harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on May 22, 2024.
- Citation F0610. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Respond appropriately to all alleged violations.
  CMS lists it as corrected on May 22, 2024.
- Citation F0657. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on May 22, 2024.
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Health inspection on March 20, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0851. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  CMS lists it as corrected on April 15, 2024.
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CMS update of February 29, 2024
- CMS abuse icon
  CMS added its abuse icon to this home.
Health inspection on February 9, 2024
15 citations
CMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
81 of 193 Washington homes (42%) got a citation at the actual harm level in 2024.
CMS fine of $142,428 on February 9, 2024.
Show the 15 citations
- Citation F0697. Severity G: actual harm, isolated.
  The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.
  CMS lists it as corrected on May 9, 2024.
- Citation F0582. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  CMS lists it as corrected on May 9, 2024.
- Citation F0636. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  CMS lists it as corrected on May 9, 2024.
- Citation F0726. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  CMS lists it as corrected on May 9, 2024.
- Citation F0761. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 9, 2024.
- Citation F0806. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  CMS lists it as corrected on May 9, 2024.
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on May 9, 2024.
- Citation F0947. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  CMS lists it as corrected on May 9, 2024.
- Citation F0584. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 9, 2024.
- Citation F0637. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Assess the resident when there is a significant change in condition
  CMS lists it as corrected on May 9, 2024.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on May 9, 2024.
- Citation F0692. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide enough food/fluids to maintain a resident's health.
  CMS lists it as corrected on May 9, 2024.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on May 9, 2024.
- Citation F0760. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on May 9, 2024.
- Citation F0842. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on May 9, 2024.
See this home on CMS Care Compare
Fire safety inspection on February 9, 2024
11 citations
CMS lists this as a standard inspection.
Show the 11 citations
- Citation E0018. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.
  CMS lists it as corrected on March 5, 2024.
- Citation K0291. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.
  CMS lists it as corrected on March 5, 2024.
- Citation K0324. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide properly protected cooking facilities.
  CMS lists it as corrected on March 5, 2024.
- Citation K0345. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.
  CMS lists it as corrected on March 5, 2024.
- Citation K0353. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on May 1, 2024.
- Citation K0373. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have enough space near smoke barriers to protect residents.
  CMS lists it as corrected on March 5, 2024.
- Citation K0918. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.
  CMS lists it as corrected on March 5, 2024.
- Citation K0921. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.
  CMS lists it as corrected on March 5, 2024.
- Citation K0341. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Install a fire alarm system that can be heard throughout the facility.
  CMS lists it as corrected on March 5, 2024.
- Citation K0355. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.
  CMS lists it as corrected on March 5, 2024.
- Citation K0920. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure proper usage of power strips and extension cords.
  CMS lists it as corrected on March 5, 2024.
See this home on CMS Care Compare
CMS update of January 31, 2024
- Star rating
  The CMS overall star rating changed from 4 of 5 to 2 of 5.
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of December 21, 2023
- Fine
  CMS changed the fine from May 24, 2023 from $20,043 to $14,885.
Health inspection on December 12, 2023
1 citation
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
39 of 193 Washington homes (20%) got a citation at the actual harm level in 2023.
Show the 1 citation
- Citation F0600. Severity G: actual harm, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS lists it as corrected on January 2, 2024.
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Health inspection on November 8, 2023
4 citations
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
39 of 193 Washington homes (20%) got a citation at the actual harm level in 2023.
CMS fine of $33,248 on November 8, 2023.
Show the 4 citations
- Citation F0626. Severity G: actual harm, isolated.
  The rule CMS cited: Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
  CMS lists it as corrected on December 8, 2023.
- Citation F0623. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  CMS lists it as corrected on December 8, 2023.
- Citation F0625. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on December 8, 2023.
- Citation F0610. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Respond appropriately to all alleged violations.
  CMS lists it as corrected on December 8, 2023.
See this home on CMS Care Compare

CMS star ratings

2 of 5CMS overall star rating
1 of 5CMS health inspection star rating
2 of 5CMS staffing star rating
5 of 5CMS quality measures star rating

Facts from CMS

Phone: (360) 568-3161
Last standard health inspection: May 1, 2026 (6 months ago)
Certified beds: 91
Residents per day, on average: 78.2
Ownership type: For profit - Limited Liability company
Legal business name: Snohomish of Cascadia LLC
Chain: Cascadia Healthcare
Takes part in: Medicare and Medicaid

More health citations than the Washington average (59 vs 50).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

CASCADIA WASHINGTON OPERATIONS LLCDirect ownership interest · not applicable · since 04/01/2022
CASCADIA HC GROUP LLCIndirect ownership interest · not applicable · since 06/05/2025
CASCADIA HEALTHCARE LLCIndirect ownership interest · not applicable · since 04/01/2022
CASCADIA HOLDCO LLCIndirect ownership interest · not applicable · since 06/05/2025
HAMMOND, OWENIndirect ownership interest · not applicable · since 12/08/2021

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LAFORTE, STEPHENIndirect ownership interest · not applicable · since 06/05/2025
NELSON, TIMOTHYIndirect ownership interest · not applicable · since 06/05/2025
CASCADIA SERVICES LLCOperational/managerial control · not applicable · since 12/02/2021
BHUMKAR, NISHITAOperational/managerial control · not applicable · since 12/02/2021
HAMMOND, OWENOperational/managerial control · not applicable · since 12/08/2021
JACKSON, ZACHARYOperational/managerial control · not applicable · since 06/24/2025
LAFORTE, STEPHENOperational/managerial control · not applicable · since 06/05/2025
NELSON, TIMOTHYOperational/managerial control · not applicable · since 06/05/2025

Questions

When was Snohomish Health and Rehabilitation of Cascadia last inspected?

CMS lists May 1, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Snohomish Health and Rehabilitation of Cascadia have?

CMS lists 59 health citations since November 8, 2023. CMS also calls these deficiencies.

Has Snohomish Health and Rehabilitation of Cascadia been fined?

CMS lists 3 fines in the past three years, $188,426 in total.

What is the CMS star rating of Snohomish Health and Rehabilitation of Cascadia?

Its CMS overall star rating is 2 of 5.

Is Snohomish Health and Rehabilitation of Cascadia a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

At a glance

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CMS flags

Inspections, fines and changes

CMS update of October 8, 2026

CMS update of July 29, 2026

CMS update of May 27, 2026

Health inspection on May 1, 2026

Fire safety inspection on May 1, 2026

Health inspection on April 14, 2026

CMS update of February 25, 2026

Health inspection on January 14, 2026

CMS update of November 20, 2025

Health inspection on September 15, 2025

CMS update of July 30, 2025

Health inspection on May 23, 2025

CMS update of April 30, 2025

Health inspection on March 31, 2025

Fire safety inspection on March 31, 2025

CMS update of February 26, 2025

CMS update of October 30, 2024

CMS update of July 31, 2024

CMS update of May 29, 2024

May 9, 2024

Health inspection on May 1, 2024

Health inspection on March 20, 2024

CMS update of February 29, 2024

Health inspection on February 9, 2024

Fire safety inspection on February 9, 2024

CMS update of January 31, 2024

CMS update of December 21, 2023

Health inspection on December 12, 2023

Health inspection on November 8, 2023

CMS star ratings

Facts from CMS

Owners and managers

Questions