Snohomish Health and Rehabilitation of Cascadia
800 10th Street · Snohomish, WA · 98290 · 3605683161
91 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 abuse-related citations 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.
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: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.94 | 0.55–0.75 |
| Weekend hours / resident-day | 3.44 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $175,676 |
Inspection citations (59 in the current record)
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Potential for harm · E April 14, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 14, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · D January 14, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 10, 2026 · Resident Rights
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Potential for harm · D September 15, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 15, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 3, 2025 · Pharmacy Service
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Potential for harm · D May 23, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 31, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected April 29, 2025 · Resident Rights
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Potential for harm · D March 31, 2025
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 April 29, 2025 · Resident Rights
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Potential for harm · F March 31, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 31, 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 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 31, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 31, 2025
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.
Corrected April 29, 2025 · Pharmacy Service
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Potential for harm · D March 31, 2025
Ensure that residents are free from significant medication errors.
Corrected April 29, 2025 · Pharmacy Service
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Potential for harm · D March 31, 2025
Provide or obtain dental services for each resident.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 31, 2025
Provide and implement an infection prevention and control program.
Corrected April 29, 2025 · Infection Control
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Actual harm · H May 1, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 22, 2024 · Quality of Life and Care
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Actual harm · G May 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2024 · Quality of Life and Care
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Potential for harm · D May 1, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 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 April 15, 2024 · Administration
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Actual harm · G February 9, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 9, 2024 · Quality of Life and Care
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Potential for harm · E February 9, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 9, 2024 · Resident Rights
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Potential for harm · D February 9, 2024
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 May 9, 2024 · Resident Rights
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Potential for harm · E February 9, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2024
Assess the resident when there is a significant change in condition
Corrected May 9, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 9, 2024 | Fine | $142,428 |
| February 9, 2024 | Payment Denial | 13 days |
| November 8, 2023 | Fine | $33,248 |
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 505338 · certified since July 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.