01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-21 | 22 | 2026-01-21 | 20 |
| Cycle 2 | 2024-11-04 | 26 | 2024-11-04 | 13 |
| Cycle 3 | 2023-07-28 | 9 | 2023-07-28 | 32 |
CMS CCN 5054172026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Cascades Of St Anne
3540 Northeast 110Th Street · Seattle, WA 98125 · King County
Certified beds47CMS provider file
Recent citation rows122current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
122 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 30 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-21 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2026-03-052026-01-21 · FIREE0009Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2026-03-052026-01-21 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2026-03-052026-01-21 · FIREE0025Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Correction field: Deficient, Provider has date of correction · 2026-03-052026-01-21 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2026-03-052026-01-21 · FIREE0032Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2026-03-052026-01-21 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2026-03-052026-01-21 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-03-052026-01-21 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0732Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0759Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-112026-01-21 · HEALTHF0801Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-1103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-09-09 | Payment Denial | $0 | 30 |
| 2024-05-20 | Payment Denial | $0 | 1 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FURUMA FLPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST23% · since 10/01/2024
- LIBERTY RAE FLPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST23% · since 10/01/2024
- NORDMARK FLPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST23% · since 10/01/2024
- QUEST FLPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 10/01/2024
- SUNBURST GROVE FLPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST23% · since 10/01/2024
- MOORE, THOMASIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 10/01/2024
- FURUMA FLPOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2024
- LIBERTY RAE FLPOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2024
- NORDMARK FLPOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2024
- QUEST FLPOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2024
- SUNBURST GROVE FLPOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2024
- THORNTON CREEK HOLDINGS LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2024
- MOORE, THOMASIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2024
- MCSPADDEN, DARINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2024
- CRUMP, JASONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- FULLMER, CHADIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- WHITE, DEREKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- MCSPADDEN, DARINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.20per resident day
RN hours1.36per resident day
Weekend nurse hours3.70per resident day
Staff turnover66.7%CMS reported field
06 / LOCAL RECORDS
Open the Seattle ledger →Other published facilities nearby
Avamere Rehabilitation At Park West137 beds · CMS overall 2/599 citation rowsAvamere Rehabilitation Of Shoreline115 beds · CMS overall 2/5141 citation rowsBailey-Boushay House35 beds · CMS overall 3/584 citation rowsBallard Center142 beds · CMS overall 2/5172 citation rowsCaroline Kline Galland Home205 beds · CMS overall 3/566 citation rowsColumbia Lutheran Home116 beds · CMS overall 4/573 citation rowsFircrest Nursing Facility110 beds · CMS overall 5/588 citation rowsKin On Health Care Center100 beds · CMS overall 2/5108 citation rows