Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505338

Snohomish Of Cascadia, Llc

59 federal citations on record , and 6 federal enforcement actions totaling $190,562.

Record summary

Federal record · Q1 2026
59
Total citations
46
Last 3 years
7
Actual harm+
6
Federal penalties
$190,562
Total fines
3
Overall ★ rating

Most common violation categories here

Care Planning13 Quality of Care13 Resident Rights12 Abuse & Neglect7 Medication & Pharmacy6

Most common F-tags at this facility

F6105 F7603 F6573 F6893 F8423

Citation history

59 on record
SurveyF-TagViolationSeveritySource
Jan 14, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Sep 15, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Sep 15, 2025F610Respond appropriately to all alleged violations.DComplaint
May 23, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 31, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 31, 2025F791Provide or obtain dental services for each resident.DStandard
Mar 31, 2025F760Ensure that residents are free from significant medication errors.DStandard
Mar 31, 2025F758Implement 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.DStandard
Mar 31, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 31, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 31, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesFStandard
Mar 31, 2025F578Honor 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.DStandard
Mar 31, 2025F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
May 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HComplaint
May 1, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 1, 2024F610Respond appropriately to all alleged violations.DComplaint
Mar 20, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DComplaint
Feb 9, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Feb 9, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 9, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 9, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Feb 9, 2024F761Ensure 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.EStandard
Feb 9, 2024F760Ensure that residents are free from significant medication errors.DStandard
Feb 9, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Feb 9, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Feb 9, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 9, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Feb 9, 2024F641Ensure each resident receives an accurate assessment.DStandard
Feb 9, 2024F637Assess the resident when there is a significant change in conditionDStandard
Feb 9, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Feb 9, 2024F584Honor 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.DStandard
Feb 9, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard
Dec 12, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Nov 8, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.GComplaint
Nov 8, 2023F625Notify 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.EComplaint
Nov 8, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
Nov 8, 2023F610Respond appropriately to all alleged violations.DComplaint
Aug 17, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Aug 17, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EComplaint
Jul 12, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 12, 2023F758Implement 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.DComplaint
Jul 12, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 12, 2023F610Respond appropriately to all alleged violations.GComplaint
May 24, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 24, 2023F583Keep residents' personal and medical records private and confidential.DComplaint
Mar 24, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 24, 2023F625Notify 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.FComplaint
Mar 24, 2023F880Provide and implement an infection prevention and control program.BStandard
Mar 24, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 24, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard
Mar 24, 2023F791Provide or obtain dental services for each resident.DStandard
Mar 24, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 24, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 24, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 24, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 24, 2023F641Ensure each resident receives an accurate assessment.DStandard
Mar 24, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Mar 24, 2023F584Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 4 civil money penalties totaling $190,562 and 2 payment-denial actions spanning 30 days.

DateTypeFinePayment denial
Feb 9, 2024Fine$142,428—
Feb 9, 2024Payment Denial—May 9, 2024 · 13 days
Nov 8, 2023Fine$33,248—
May 24, 2023Fine$7,443—
May 24, 2023Fine$7,443—
May 24, 2023Payment Denial—Aug 7, 2023 · 17 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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