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Nursing HomeMedicaid

Brookfield Health and Rehab of Cascadia

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

510 North Parkway, Battle Ground, WA 9860483 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 55 Google reviews

5
4
3
2
1

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What this means for your family

This facility's therapy department is highly regarded for helping patients regain mobility, and recent management changes appear to be addressing long-standing facility maintenance issues. However, families should be vigilant regarding discharge planning and medication management, as multiple reviewers have noted significant administrative failures during transitions. We recommend scheduling a tour to specifically inspect the cleanliness of the room and verify the current responsiveness of the nursing staff.

Google Reviews

Google Reviews

55 reviews on Google
Brookfield Health and Rehab of Cascadia receives polarized feedback, with many reviewers praising the dedicated therapy and nursing staff for successful rehabilitation outcomes. However, significant concerns persist regarding administrative disorganization, poor communication, and inconsistent care standards, particularly during transitions and off-hours. Families should be aware that while many report a warm and caring environment, others have cited serious issues with facility maintenance and responsiveness.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean5.0ActivitiesN/AMeds3.0MemoryN/AComms2.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Warm, compassionate nursing and care staff
  • Recent facility aesthetic updates
  • Strong wound care outcomes

Concerns

  • Poor administrative communication and discharge planning (mentioned by 4 reviewers)
  • Slow response times to call lights and patient needs (mentioned by 3 reviewers)
  • Inconsistent or poor quality of food (mentioned by 3 reviewers)
  • Facility maintenance issues (plumbing, HVAC, cleanliness) (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(3)'21(2)'23(4)'25(9)'26(8)

Distribution · 55 analyzed

5
35
4
3
3
3
2
1
1
13
10 reviews posted between May 29, 2024May 31, 2024 · 10 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I understand the facility has recently undergone aesthetic updates; could you show me some of the renovated areas and explain how you are currently addressing ongoing maintenance needs like HVAC and plumbing?
  • 2Since physical and occupational therapy are known strengths here, how do you integrate those sessions into a resident's daily routine to ensure they stay active?
  • 3I’ve heard great things about the compassion of your nursing staff, but could you walk me through your process for monitoring and responding to call lights to ensure residents get timely assistance?
  • 4We are interested in the dining experience; what steps are you taking to improve the variety and quality of the meals provided to residents?
  • 5Regarding administrative communication, what is the best way for family members to stay updated on their loved one’s care plan and discharge progress?
  • 6With your focus on wound care, what is your protocol for managing complex medical needs and ensuring consistent communication with families during an emergency?

Personalized based on this facility's data


Key Review Excerpts

The therapy department has been amazing with her. After 2 weeks she is completely healed and walking again. She feels so strong and empowered.

Long-term resident's family · 2019★★★★★

The care my dad received while here was EXCEPTIONAL. It is recently under new management, within the last 2-3 months, & they are making many positive changes & updates.

Long-term resident's family · 2025★★★★★

I would NOT RECOMMEND your loved one move here, under any circumstances. I am a health care professional and frequently visit this facility and am appalled at the lack of basic care, the number of medication errors, amount of time to respond to call lights and staffing shortage.

Healthcare professional · 2021☆☆☆☆
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.99hrs
OK
Registered nurses for medical care
Total Nursing
3.48hrs
85%
All nurses + aides combined
Staff Turnover
71%
Lower is better (< 30% = good)
RN Turnover
58%
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
4/ 5
Better Than Avg

13

measures

Worse Than Avg

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
19.5%
WA
12.2%
Clark
24.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
12.1%
WA
17.2%
Clark
14.6%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WA
95.9%
Clark
91.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
95.5%
WA
93.8%
Clark
90.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
14.4%
WA
15.0%
Clark
10.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.2%
Better than Avg
Here
12.2%
US
15.3%
WA
18.8%
Clark
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
81.8%
WA
87.8%
Clark
82.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
79.8%
WA
82.0%
Clark
78.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
WA
1.3%
Clark
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Near state avg (17.1)
13 complaint-triggered

Families have filed multiple reports triggering 13 complaint investigations across this facility's recent surveys, revealing recurring problems in medication management, abuse/neglect prevention, and safety oversight. The most concerning pattern involves repeated medication errors, inadequate protection from accidents, and failures to properly report and respond to abuse allegations. While all deficiencies show correction dates, the persistent nature of core care issues—particularly around medication safety and resident protection—suggests ongoing challenges that families should carefully investigate before considering placement.

Jun 9, 2025Complaint
2
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

May 7, 2025Routine
20
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

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.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0604Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0761Potential for harm · PatternCorrected

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0914Potential for harm · IsolatedCorrected

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.

Apr 18, 2025Complaint
1
0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Aug 6, 2024Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Jul 11, 2024Routine
16
0321Potential for harm · Widespread

Smoke Deficiencies

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

0363Potential for harm · Widespread

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0342Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0926Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

0582Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

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.

0678Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0914Potential for harm · IsolatedCorrected

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jul 11, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Apr 18, 2025

$15,935

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brookfield Health and Rehab of Cascadia

Organization Type

for profit

Chain Affiliation

Chain Name

Cascadia Healthcare

Chain Size

44 facilities nationwide

Chain avg rating: 3.2/5 · Rank 21 of 43

Ownership & Management

Owners

Cascadia Washington Operations LLC

Owner · Organization

Cascadia Hc Group LLC

Owner (parent company) · Organization

Cascadia Healthcare LLC

Owner (parent company) · Organization

Cascadia Holdco LLC

Owner (parent company) · Organization

Hammond, Owen

Owner (parent company)

Laforte, Stephen

Owner (parent company)

Nelson, Timothy

Owner (parent company)

Key personnel

Battle Ground 510 Realty, LLC5% or Greater Security InterestWhite Oak Healthcare Finance LLC5% or Greater Security InterestCascadia Healthcare LLCManagerCascadia Services LLCManagerCascadia Washington Operations LLCManager
Source: Medicare provider data

Contact

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References & Resources

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