01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-01 | 24 | 2026-05-01 | 15 |
| Cycle 2 | 2025-03-31 | 10 | 2025-03-31 | 2 |
| Cycle 3 | 2024-02-09 | 27 | 2024-02-09 | 11 |
CMS CCN 5053382026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Snohomish Health And Rehabilitation Of Cascadia
800 10Th Street · Snohomish, WA 98290 · Snohomish County
Certified beds91CMS provider file
Recent citation rows89current CMS citation release
Penalty rows4current 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
89 rows in the current release
6 rows carry G–L scope/severity codes; 1 carry J–L. 17 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-01 · 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 · 2026-05-202026-05-01 · FIREE0007Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · 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 · 2026-05-202026-05-01 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · FIREE0020Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · FIREE0023Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures for medical documentation.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · 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 · 2026-05-202026-05-01 · FIREE0029Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop a communication plan.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · FIREE0036Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · 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 · 2026-05-202026-05-01 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0572Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0582Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0605Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0607Severity C · widespread; potential for minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0645Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0646Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · HEALTHF0689Severity J · isolated immediate jeopardy
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 · 2026-05-202026-05-01 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-05-01 · 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 · 2026-05-202026-05-01 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-05-2003 / 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 |
|---|---|---|---|
| 2026-04-14 | Fine | $19,615 | 0 |
| 2024-02-09 | Fine | $142,428 | 0 |
| 2024-02-09 | Payment Denial | $0 | 13 |
| 2023-11-08 | Fine | $33,248 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CASCADIA WASHINGTON OPERATIONS LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- CASCADIA HC GROUP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- CASCADIA HEALTHCARE LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- CASCADIA HOLDCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- HAMMOND, OWENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/08/2021
- LAFORTE, STEPHENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- NELSON, TIMOTHYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- SNOHOMISH 800 REALTY LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 06/05/2025
- WHITE OAK HEALTHCARE FINANCE LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 08/11/2022
- CASCADIA SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2021
- BHUMKAR, NISHITAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2021
- HAMMOND, OWENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/08/2021
- JACKSON, ZACHARYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/24/2025
- LAFORTE, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/05/2025
- NELSON, TIMOTHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/05/2025
- CASCADIA SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/12/2025
- SNOHOMISH 800 REALTY LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/05/2025
- BHUMKAR, NISHITAIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/16/2025
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 hours3.78per resident day
RN hours0.95per resident day
Weekend nurse hours3.42per resident day
Staff turnover56.0%CMS reported field
06 / LOCAL RECORDS
Open the Washington ledger →Other published facilities nearby
No second facility in the same city met the directory rule.