North Bend Post Acute
219 Cedar Avenue South · North Bend, WA · 98045 · 4258882129
64 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 2 · $206,072 |
Inspection citations (103 in the current record)
-
Potential for harm · D March 5, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · E March 5, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected April 18, 2025 · Resident Rights
-
Potential for harm · D March 5, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 18, 2025 · Resident Rights
-
Potential for harm · D March 5, 2025
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.
Corrected April 18, 2025 · Resident Rights
-
Potential for harm · D March 5, 2025
Ensure each resident receives an accurate assessment.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 5, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 5, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2025
Plan the resident's discharge to meet the resident's goals and needs.
Corrected April 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 5, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · F March 5, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 18, 2025 · Nursing and Physician Services
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Potential for harm · D March 5, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · E March 5, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · E March 5, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · E March 5, 2025
Implement a program that monitors antibiotic use.
Corrected April 18, 2025 · Infection Control
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Potential for harm · F March 5, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected April 18, 2025 · Infection Control
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Potential for harm · E March 5, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · D November 7, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected December 5, 2024 · Administration
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Actual harm · G December 12, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 15, 2024 · Quality of Life and Care
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Potential for harm · D December 12, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 15, 2024 · Resident Rights
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Potential for harm · D December 12, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected January 15, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 12, 2023 | Fine | $143,754 |
| December 12, 2023 | Payment Denial | 10 days |
| October 4, 2023 | Fine | $62,318 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505339 · certified since October 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.