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Nursing homeFAID #12795

Bainbridge Island Health & Rehab Center

835 MADISON AVENUE NORTH, BAINBRIDGE ISLAND, WA, 98110

(206) 842-4765

ensignservices.net

58 licensed beds

★★★★★5/5CMS Five-Star overall5/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

835 Madison Avenue North

Bainbridge Island, WA 98110

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All facilities in Bainbridge Island

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

505325

Care type

Nursing home

County

Kitsap

Facility name

Bainbridge Island Health & Rehab Center

Street address

835 MADISON AVENUE NORTH

City / state / ZIP

Bainbridge Island, WA 98110

Phone

(206) 842-4765

Website

ensignservices.net

About this facility — Bainbridge Island Health & Rehab Center

Bainbridge Island Health & Rehab Center is a Medicare/Medicaid-certified skilled nursing facility in Bainbridge Island, Washington. It is licensed for 58 beds — below the median for skilled nursing facilities in Washington (97 beds).

It is one of 5 senior care facilities in Bainbridge Island and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Bainbridge Island Health & Rehab Center 41 times across 9 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Bainbridge Health Holdings Llc

Additional disclosable party — since 2015

Burnam, Soon

Officer — since 2014

De Oro, Thomas

Governing body · Operational control · Additional disclosable party — since 2015

Farnsworth, Stephen

Officer — since 2023

Keetch, Chad

Officer — since 2011

Kretchmar, Joshua

Governing body · Operational control · Additional disclosable party — since 2021

Port, Barry

Owner of a disclosable party — since 2025

Standard Bearer Healthcare Op Lp

Additional disclosable party — since 2022

The Ensign Group Inc

Additional disclosable party — since 2022

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1988-12-01

CMS overall rating

5 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-11-17

Nurse staffing

3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$469 per day (≈ $14,260/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

68% Medicaid · 17% Medicare · 15% private/other

Occupancy

73% (fiscal year 2023)

Vs. state median

2% below the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-01Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-08-01

2026-05-06Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-06-01

7 earlier / fire-safety inspections (39 citations)

2025-11-17Health inspection4 citations

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-12-26

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-26

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2025-12-26

F-0804

D · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-12-26

2025-07-15Health inspectionComplaint-triggered1 citation

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-08-07

2024-09-13Health inspection4 citations

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-18

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-18

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-18

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-18

2023-09-29Health inspection9 citations

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2023-11-14

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-11-14

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-11-14

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-11-14

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-11-14

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-11-14

F-0761

D · No harm found

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 2023-11-14

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-14

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-11-14

2025-11-17Fire-safety inspection9 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-11-03

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2025-11-03

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-11-03

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-11-03

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-11-03

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-11-03

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-11-03

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-11-03

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-11-03

2024-09-13Fire-safety inspection7 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-10-01

E-0034

F · No harm found

Provide a means of sharing information on occupancy/needs.

Corrected 2024-10-01

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-10-01

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-10-01

K-0362

F · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-09-17

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-01

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-10-01

2023-09-29Fire-safety inspection5 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2023-10-31

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-10-31

K-0100

D · No harm found

Meet other general requirements.

Corrected 2023-10-31

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-31

K-0712

E · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-10-31

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 505325.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 41 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered