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Nursing HomeMedicaid Top Rated

Josephine Caring Community

Strong Medicare quality ratings; families often praise intergenerational programming with daycare. Still worth an in-person visit.

9901 272nd Place Northwest, Stanwood, WA 98292160 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 27 Google reviews

5
4
3
2
1
Josephine Caring Community Nursing Home in Stanwood, WA — Street View
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What this means for your family

The intergenerational connection between the daycare and senior residents is a unique and highly praised strength of this facility. However, due to a very serious report of a medication error, families must prioritize asking about their specific medication administration protocols and oversight during nursing shifts.

Google Reviews

Google Reviews

27 reviews on Google
This facility is highly regarded for its intergenerational approach, combining senior care with a daycare program that families find exceptionally caring. While many reviewers praise the skilled nursing and rehab staff, there is a critical, highly severe report of a medication error and theft that families must investigate thoroughly.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean5.0Activities9.0Meds1.0MemoryN/AComms8.0ValueN/A

Strengths

  • Intergenerational programming with daycare
  • Compassionate and skilled nursing staff
  • Effective rehabilitation and therapy programs
  • Clean and homey environment

Concerns

  • Severe medication error and theft of personal property

Rating Trends

Tap a year to see what changed

234'15(1)'17(4)'19(4)'21(1)'23(4)'26(4)

Distribution · 27 analyzed

5
18
4
3
3
1
2
0
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With such a high overall CMS rating, what are the specific practices your team uses to maintain that 5-star standard of care?
  • 2I noticed your team is very active in responding to feedback; how does the administration involve families in addressing any concerns that arise during care?
  • 3What specific steps are in place to ensure consistent, high-quality care during shift changes or when staffing levels fluctuate?
  • 4Can you tell me more about how the nursing team manages medical emergencies or sudden changes in a resident's health during the night?
  • 5What kind of daily activities or social outings do you organize to keep the residents engaged and connected with one another?
  • 6How do you approach addressing and resolving any regulatory or state-level compliance items to ensure the facility stays at its best?

Personalized based on this facility's data


Key Review Excerpts

I did hip repair rehab for 1 month in August 2020. Isolation but the entire staff was amazing! Made lifelong friends! The staff in kitchen made special requests happen. Nursing was excellent and the social worker, Brion Shaw, went out of his way to help me.

Rehab patient · 2021★★★★★

Love the daily inter-generational interactions with the daycare children and residents. Very skilled caregivers and pleasant environment.

Family member · 2019★★★★★

This place gave my mom the wrong medicine for 2 weeks and I caught her overdose and called 911 and saved her life. I will never take her here again. Very bad place to go. Avoid this place at all costs!

Long-term resident's family · 2023☆☆☆☆
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.80hrs
OK
Registered nurses for medical care
Total Nursing
4.61hrs
OK
All nurses + aides combined
Staff Turnover
22%
Lower is better (< 30% = good)
RN Turnover
36%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

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

4

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility97.7%
Worse than Avg
Here
97.7%
US
12.1%
WA
17.2%
Snohomish
31.5%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
15.5%
WA
15.2%
Snohomish
10.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.5%
Mixed vs Avgs
Here
11.5%
US
19.5%
WA
12.2%
Snohomish
10.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
WA
95.9%
Snohomish
94.8%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
4.9%
WA
4.5%
Snohomish
3.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.2%
Mixed vs Avgs
Here
19.2%
US
15.3%
WA
18.8%
Snohomish
20.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
81.8%
WA
87.8%
Snohomish
91.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.2%
Worse than Avg
Here
76.2%
US
79.8%
WA
82.0%
Snohomish
86.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
WA
1.3%
Snohomish
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
Near state avg (17.1)
2 complaint-triggered

This facility has ongoing concerns with families filing complaints about resident care and treatment. The 66 deficiencies across recent surveys primarily involve fire safety systems, medication management, and care planning. Emergency preparedness and electrical systems show repeated violations across multiple surveys, suggesting persistent infrastructure challenges. While most issues are reportedly corrected, the recent complaint-triggered survey indicates active quality concerns that prompted family reports to authorities.

Jan 22, 2026Complaint
2
0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 15, 2025Routine
18
0023Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for medical documentation.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

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.

0842Potential for harm · PatternCorrected

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.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0712Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jul 15, 2024Routine
23
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0351Potential for harm · Widespread

Smoke Deficiencies

Install an approved automatic sprinkler system.

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

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

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0031Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0033Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish methods for sharing information.

0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

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.

0842Potential for harm · PatternCorrected

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.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

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

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Apr 25, 2023Routine
23
0024Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

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.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

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.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0623Minimal · PatternCorrected

Resident Rights Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Josephine Caring Community

Organization Type

nonprofit

Ownership & Management

Key personnel

U.s. Bank5% or Greater Security InterestBarnes, JanetOfficer / DirectorChristoferson, BarbaraOfficer / DirectorFosse, ErnestOfficer / DirectorKinney, BrettOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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