Cascades of St Anne
3540 Northeast 110th Street · Seattle, WA · 98125 · 2063637733
47 certified beds For profit - Corporation Chain: Cascades Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.60 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (57 in the current record)
-
Potential for harm · D January 21, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 11, 2026 · Resident Rights
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Potential for harm · D January 21, 2026
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.
Corrected March 11, 2026 · Resident Rights
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Potential for harm · E January 21, 2026
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.
Corrected March 11, 2026 · Resident Rights
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Potential for harm · D January 21, 2026
Respond appropriately to all alleged violations.
Corrected March 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 21, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 11, 2026 · Resident Rights
-
Potential for harm · E January 21, 2026
Ensure each resident receives an accurate assessment.
Corrected March 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 21, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 21, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 21, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 11, 2026 · Quality of Life and Care
-
Potential for harm · D January 21, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 11, 2026 · Quality of Life and Care
-
Potential for harm · D January 21, 2026
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.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D January 21, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · E January 21, 2026
Post nurse staffing information every day.
Corrected March 11, 2026 · Nursing and Physician Services
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Potential for harm · E January 21, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 11, 2026 · Pharmacy Service
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Potential for harm · D January 21, 2026
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.
Corrected March 11, 2026 · Pharmacy Service
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Potential for harm · F January 21, 2026
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.
Corrected March 11, 2026 · Nutrition and Dietary
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Potential for harm · D January 21, 2026
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected March 11, 2026 · Nutrition and Dietary
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Potential for harm · F January 21, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2026 · Nutrition and Dietary
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Potential for harm · E January 21, 2026
Provide and implement an infection prevention and control program.
Corrected March 11, 2026 · Infection Control
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Potential for harm · D January 21, 2026 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 11, 2026 · Infection Control
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Potential for harm · D January 21, 2026 · found via complaint
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.
Corrected March 11, 2026 · Infection Control
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Potential for harm · D December 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D April 16, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 16, 2025 · Pharmacy Service
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Potential for harm · D April 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 16, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 9, 2024 | Payment Denial | 30 days |
| May 20, 2024 | Payment Denial | 1 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505417 · certified since January 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.