Home›Browse›Washington›Snohomish›Snohomish Health and Rehabilitation of Cascadia

Nursing homeFAID #12801

Snohomish Health and Rehabilitation of Cascadia

800 10TH STREET, SNOHOMISH, WA, 98290

(360) 568-3161

91 licensed beds

CMS rates Snohomish Health and Rehabilitation of Cascadia 2 out of 5 overall. Federal inspectors issued 87 citations across 15 inspections in the last three years, with $188,426 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall1/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

800 10th Street

Snohomish, WA 98290

Get directions

Map facilities in this area

All facilities in Snohomish

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

505338

Care type

Nursing home

County

Snohomish

Facility name

Snohomish Health and Rehabilitation of Cascadia

Street address

800 10TH STREET

City / state / ZIP

Snohomish, WA 98290

Phone

(360) 568-3161

Website

cascadiahc.com

About this facility — Snohomish Health and Rehabilitation of Cascadia

Snohomish Health and Rehabilitation of Cascadia is a Medicare/Medicaid-certified skilled nursing facility in Snohomish, Washington. It is licensed for 91 beds — close to the median for skilled nursing facilities in Washington (97 beds).

It is one of 4 senior care facilities in Snohomish and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cascadia Healthcare, a group of 47 facilities on this site.

Federal inspectors have cited Snohomish Health and Rehabilitation of Cascadia 87 times across 15 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $188,426 in fines. 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 November 6, 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

Cascadia Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Bhumkar, Nishita

Operational control · Additional disclosable party — since 2021

Cascadia Hc Group Llc

Indirect owner — since 2025

Cascadia Healthcare Llc

Indirect owner — since 2022

Cascadia Holdco Llc

Indirect owner — since 2025

Cascadia Services Llc

Operational control · Additional disclosable party — since 2021

Cascadia Washington Operations Llc

Direct owner — since 2022

Hammond, Owen

Indirect owner · Operational control — since 2021

Jackson, Zachary

Operational control · Additional disclosable party — since 2025

Laforte, Stephen

Indirect owner · Operational control — since 2025

Nelson, Timothy

Indirect owner · Operational control — since 2025

Snohomish 800 Realty Llc

Security-interest holder · Additional disclosable party — since 2025

White Oak Healthcare Finance Llc

Security-interest holder — since 2022

Regulatory standing

Federal court records

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

Licensed / certified since

1989-07-01

CMS overall rating

2 of 5 stars

Health deficiencies

22 at the last standard inspection

Federal fines

$188,426 total

Last standard inspection

2026-05-01

Nurse staffing

4.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$556 per day (≈ $16,900/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

61% Medicaid · 12% Medicare · 27% private/other

Occupancy

71% (fiscal year 2023)

Vs. state median

16% above 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 2026-11-06. 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 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-01Health inspectionComplaint-triggered19 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2026-05-20

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2026-05-20

F-0572

E · No harm found

Give residents a notice of rights, rules, services and charges.

Corrected 2026-05-20

F-0582

E · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2026-05-20

F-0605

E · No harm found

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

Corrected 2026-05-20

F-0607

C · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-05-20

F-0645

E · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-05-20

F-0646

D · No harm found

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2026-05-20

F-0658

D · No harm found

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

Corrected 2026-05-20

F-0689

J · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-20

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-05-20

F-0695

D · No harm found

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

Corrected 2026-05-20

F-0757

D · No harm found

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

Corrected 2026-05-20

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 2026-05-20

F-0806

E · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2026-05-20

F-0812

F · 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 2026-05-20

F-0838

F · No harm found

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2026-05-20

F-0842

E · No harm found

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

Corrected 2026-05-20

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-05-20

2026-04-14Health inspectionComplaint-triggered2 citations

F-0656

E · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-05-22

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-22

12 earlier / fire-safety inspections (66 citations)

2026-01-14Health inspectionComplaint-triggered1 citation

F-0627

D · No harm foundFrom a complaint

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-02-10

2025-09-15Health inspectionComplaint-triggered2 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-10-03

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-10-03

2025-05-23Health inspectionComplaint-triggered1 citation

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-05-30

2025-03-31Health inspection9 citations

F-0553

D · No harm found

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-04-29

F-0578

D · No harm found

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 2025-04-29

F-0645

F · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-04-29

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 2025-04-29

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-29

F-0758

D · No harm found

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 2025-04-29

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2025-04-29

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2025-04-29

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-29

2024-05-01Health inspectionComplaint-triggered4 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-05-22

F-0657

D · No harm foundFrom a 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 2024-05-22

F-0686

H · Actual harmFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-22

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-22

2024-03-20Health inspectionComplaint-triggered1 citation

F-0851

D · No harm foundFrom a complaint

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-04-15

2024-02-09Health inspection15 citations

F-0582

E · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-05-09

F-0584

D · No harm found

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 2024-05-09

F-0636

E · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-05-09

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-05-09

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-05-09

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-05-09

F-0695

D · No harm found

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

Corrected 2024-05-09

F-0697

G · Actual harm

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-05-09

F-0726

E · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-05-09

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-05-09

F-0761

E · No harm found

Corrected 2024-05-09

F-0806

E · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-05-09

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 2024-05-09

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 2024-05-09

F-0947

E · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-05-09

2023-12-12Health inspectionComplaint-triggered1 citation

F-0600

G · Actual harmFrom a complaint

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

Corrected 2024-01-02

2023-11-08Health inspectionComplaint-triggered4 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2023-12-08

F-0623

E · No harm foundFrom a complaint

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-12-08

F-0625

E · No harm foundFrom a complaint

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 2023-12-08

F-0626

G · Actual harmFrom a complaint

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2023-12-08

2026-05-01Fire-safety inspection15 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-05-20

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2026-05-20

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2026-05-20

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2026-05-20

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2026-05-20

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2026-05-20

E-0023

F · No harm found

Establish policies and procedures for medical documentation.

Corrected 2026-05-20

E-0025

F · No harm found

Create arrangements with other facilities to receive patients.

Corrected 2026-05-20

E-0029

F · No harm found

Develop a communication plan.

Corrected 2026-05-20

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2026-05-20

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2026-05-20

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-05-20

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-05-20

K-0918

E · No harm found

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

Corrected 2026-05-20

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-05-20

2025-03-31Fire-safety inspection2 citations

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-29

K-0918

F · No harm found

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

Corrected 2025-04-29

2024-02-09Fire-safety inspection11 citations

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-03-05

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-03-05

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-03-05

K-0341

E · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-03-05

K-0345

F · No harm found

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

Corrected 2024-03-05

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-01

K-0355

E · No harm found

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

Corrected 2024-03-05

K-0373

F · No harm found

Have enough space near smoke barriers to protect residents.

Corrected 2024-03-05

K-0918

F · No harm found

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

Corrected 2024-03-05

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-05

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-03-05

Federal penalties

2026-04-14Fine$12,750

2024-02-09Fine$142,428

2023-11-08Fine$33,248

2024-02-09Medicare payment denial — 13 days

Total fines$188,426

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 505338.

Quality of care & staffing

How it compares in Washington.

Inspection citations, 3 years

More than 61% of nursing homes in the state

State median: 78

Federal fines, 3 years

$188,426

More than 92% of nursing homes in the state

State median: $13,065

Nurse staffing, hours per resident per day

4.0

Higher than 35% of nursing homes in the state

State median: 4.1

Nursing staff turnover, annual

49%

Higher than 65% of nursing homes in the state

State median: 43%

Resident outcomes

On 19 federal quality measures, this facility does better than the Washington average on 7 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.2%	13.8%	13.5%	Better than state
Lose too much weight	4.8%	5.6%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.8%	0.8%	0.7%	Near state average
With a urinary tract infection	0.5%	1.7%	1.5%	Better than state
Have depressive symptoms	62.8%	17.9%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	5.8%	2.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.2%	93.7%	Near state average
Ability to walk independently worsened	16.8%	15.6%	12.7%	Near state average
Received an antianxiety or hypnotic medication	11.3%	12.5%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	93.5%	94.3%	95.3%	Near state average
With pressure ulcers	4.6%	4.4%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	21.2%	21.6%	18.3%	Near state average
Received an antipsychotic medication	1.9%	15.0%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	97.0%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.5%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	88.3%	84.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	24.1%	19.7%	23.4%	Worse than state
Had an outpatient emergency department visit	6.9%	13.0%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0610 4 inspections. Respond appropriately to all alleged violations.
K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.
F-0760 3 inspections. Ensure that residents are free from significant medication errors.
E-0018 2 inspections. Establish procedures for tracking staff and patients during an emergency.
F-0582 2 inspections. Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

What its owners also hold

Cascadia Healthcare Llc has an ownership stake on file at 42 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Hc Group Llc has an ownership stake on file at 42 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Holdco Llc has an ownership stake on file at 41 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Washington Operations Llc has an ownership stake on file at 9 nursing homes, averaging 3.1 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Washington

Licensing: Washington State Department of Social and Health Services (DSHS), Residential Care Services (RCS)
File a complaint: 800-562-6078 · Online
Long-Term Care Ombudsman: 800-562-6028. A free advocate for residents and families.
Adult Protective Services: 877-734-6277. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Evergreenhealth Monroe, about 6.2 miles. CMS rating 3 of 5.
Providence Regional Medical Center Everett, about 7.6 miles. CMS rating 4 of 5.
Swedish Edmonds Hospital, about 14 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Madison Post Acute, Everett, about 5.2 miles. CMS rating 2 of 5.
Bethany At Silver Lake, Everett, about 5.6 miles. CMS rating 5 of 5.
View Ridge Care Center, Everett, about 6.7 miles. CMS rating 3 of 5.
Bethany At Pacific, Everett, about 6.8 miles. CMS rating 4 of 5.
Regency Care Center At Monroe, Monroe, about 6.9 miles. CMS rating 5 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 87 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

Unlock the full file

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

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

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