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Nursing HomeMedicaid Top Rated

Bainbridge Island Health & Rehab Center

Strong Medicare quality ratings; families often praise warm, attentive, and professional nursing staff. Still worth an in-person visit.

835 Madison Avenue North, Bainbridge Island, WA 9811058 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 36 Google reviews

5
4
3
2
1
Bainbridge Island Health & Rehab Center Nursing Home in Bainbridge Island, WA — Street View
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What this means for your family

This facility is highly regarded for its clinical staff and rehabilitation outcomes, making it a strong candidate for post-surgical recovery. However, families should tour the facility in person to assess if the building's maintenance and the quality of dining services meet your loved one's standards, as these are the primary areas of criticism.

Google Reviews

Google Reviews

36 reviews on Google
Bainbridge Island Health & Rehab Center is widely praised for its dedicated, compassionate, and professional nursing and therapy staff who are frequently cited for providing excellent post-surgery rehabilitation. While the majority of families and patients report high satisfaction with the quality of care, some reviewers have raised concerns regarding the aging condition of the facility and the quality of the dining services.

Quality Themes

Tap a score for details
Food3.0Staff9.0Clean6.0Activities8.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Warm, attentive, and professional nursing staff
  • Effective physical and occupational therapy programs
  • Strong focus on patient-centered care and safety
  • Well-coordinated discharge and follow-up planning

Concerns

  • Facility condition and cleanliness (mentioned by 3 reviewers)
  • Poor quality or unappetizing food (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'20(1)'22(6)'24(10)'26(4)

Distribution · 37 analyzed

5
33
4
0
3
1
2
1
1
2

How They Respond to Reviews

73%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is quite active in responding to feedback online; how do you incorporate that family input into your daily operations?
  • 2With a 5-star CMS rating for health inspections, what specific protocols do you have in place to maintain that high standard of safety and care?
  • 3We understand that dining is a key part of the resident experience; could you tell us about your current approach to meal quality and how you accommodate individual dietary preferences?
  • 4Regarding the facility's environment, what is your current plan or schedule for ongoing maintenance and updates to the living spaces?
  • 5Since your therapy programs are highly regarded, how do you integrate those sessions into a resident's daily routine to ensure they stay engaged and active?
  • 6Given your 58-resident capacity, how does your nursing staff ensure that each resident receives personalized, attentive care throughout the day and night?

Personalized based on this facility's data


Key Review Excerpts

The staff at BI Health and Rehab, from the food servers and room cleaners to the Director of Nursing and Executive Director, was well trained, extraordinarily polite and caring, and dedicated to the safety and comfort of the patients/residents.

Long-term resident's family · 2024★★★★★

The physical and occupational therapists were positive, knowledgeable and under their direction my mother made tremendous progress with her rehabilitation.

Long-term resident's family · 2024★★★★★

I always felt well taken care of. I was really not impressed with the facility. It clearly has been neglected for a long time. It did not feel very clean and clearly needs serious renovating and deep down scrubbing.

Rehab patient · 2025★★★☆☆
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.25hrs
OK
Registered nurses for medical care
Total Nursing
3.92hrs
96%
All nurses + aides combined
Staff Turnover
32%
Lower is better (< 30% = good)
RN Turnover
17%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility31.0%
Worse than Avg
Here
31.0%
US
12.1%
WA
17.1%
Kitsap
19.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
15.3%
WA
18.8%
Kitsap
17.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
19.4%
WA
23.0%
Kitsap
25.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
14.4%
WA
15.0%
Kitsap
14.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.7%
Worse than Avg
Here
85.7%
US
95.5%
WA
93.8%
Kitsap
95.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.8%
Worse than Avg
Here
20.8%
US
15.4%
WA
15.2%
Kitsap
13.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.6%
Better than Avg
Here
92.6%
US
81.8%
WA
87.9%
Kitsap
85.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.4%
Mixed vs Avgs
Here
82.4%
US
79.7%
WA
82.0%
Kitsap
83.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
WA
1.3%
Kitsap
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Well below state avg (17.1)
1 complaint-triggered

This facility shows a concerning pattern of recurring deficiencies across emergency preparedness, fire safety, and medication management over three consecutive years. One family filed a complaint about medication errors in 2025, and issues with emergency preparedness and fire safety systems have persisted despite corrections. While all violations have correction dates, the repeated nature of safety-related deficiencies suggests ongoing operational challenges that families should carefully consider.

Nov 17, 2025Routine
13
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jul 15, 2025Complaint
1
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Sep 13, 2024Routine
11
0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0034Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0362Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Sep 29, 2023Routine
14
0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bainbridge Island Health & Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 48 of 328 (Best)

Ownership & Management

Owners

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

De Oro, ThomasManaging Control - Governing BodyKretchmar, JoshuaManaging Control - Governing BodyBurnam, SoonOfficer / DirectorFarnsworth, StephenOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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