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Nursing HomeMedicaid

Snohomish of Cascadia, LLC

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

800 10th Street, Snohomish, WA 9829091 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 68 Google reviews

5
4
3
2
1
Snohomish of Cascadia, LLC Nursing Home in Snohomish, WA — Street View
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What this means for your family

This facility's therapy team is highly regarded for short-term rehabilitation, but families must be extremely cautious regarding long-term care. If you choose this facility, you should plan to visit frequently to monitor medication administration, hygiene, and nutritional intake, as multiple reviewers noted these as significant areas of concern.

Google Reviews

Google Reviews

68 reviews on Google
Snohomish of Cascadia receives highly polarized reviews, with many short-term rehab patients praising the therapy team and nursing staff, while long-term care families report severe concerns regarding neglect, hygiene, and communication. While some visitors find the facility clean and friendly, others describe distressing incidents involving medication errors, poor nutrition, and slow response times to call lights. Families should be aware that experiences appear to vary significantly based on the specific unit and the level of oversight provided by family members.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean6.0Activities7.0Meds2.0Memory5.0Comms3.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Friendly and dedicated nursing staff
  • Clean and well-maintained facility
  • Responsive management for some families

Concerns

  • Neglect and poor hygiene (e.g., residents left in soiled conditions) (mentioned by 6 reviewers)
  • Inadequate nutrition and hydration (mentioned by 4 reviewers)
  • Medication management errors (mentioned by 3 reviewers)
  • Poor communication and lack of follow-through (mentioned by 4 reviewers)
  • Slow response times to call lights (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'18(3)'20(2)'22(4)'24(8)'26(18)

Distribution · 78 analyzed

5
40
4
6
3
1
2
5
1
26

How They Respond to Reviews

70%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With the current staffing levels, what is your facility's process for ensuring that call lights are answered promptly and that personal care needs, like hygiene assistance, are met consistently?
  • 3Could you walk me through your current protocols for medication management to ensure accuracy and prevent errors for residents?
  • 4I understand that nutrition is a priority; how do you monitor that residents are receiving adequate hydration and balanced meals throughout the day?
  • 5Given the facility's focus on physical and occupational therapy, how are these services integrated into a resident's daily routine to keep them active and engaged?
  • 6What is your protocol for communicating changes in a resident's health status or care plan to family members to ensure we stay well-informed?

Personalized based on this facility's data


Key Review Excerpts

The best part are the caregivers. From the nursing team to the PT/OT/ST team to the bath aids to the diet hosts--and everyone in between--everyone is incredibly friendly and caring.

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

My brother is spending time for a broken back. We are horrified. Since doing my brother of yesterday, he has not had his meds, he is diabetic, not had his food.

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

The maintenance staff, housekeeping and laundry staff are EXCELLENT!! The food from the kitchen could use some improvement, but over all pretty good.

Rehab patient · 2024★★★★★
Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.94hrs
OK
Registered nurses for medical care
Total Nursing
3.94hrs
96%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
46%
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

11

measures

Worse Than Avg

1

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility53.6%
Worse than Avg
Here
53.6%
US
12.1%
WA
17.2%
Snohomish
34.2%

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 Facility5.3%
Better than Avg
Here
5.3%
US
15.5%
WA
15.2%
Snohomish
11.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
95.5%
WA
93.8%
Snohomish
91.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
14.4%
WA
15.0%
Snohomish
15.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
WA
95.9%
Snohomish
94.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.8%
Mixed vs Avgs
Here
14.8%
US
19.5%
WA
12.2%
Snohomish
9.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.6%
Better than Avg
Here
95.6%
US
81.8%
WA
87.8%
Snohomish
91.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.9%
Better than Avg
Here
91.9%
US
79.8%
WA
82.0%
Snohomish
85.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Mixed vs Avgs
Here
1.5%
US
1.6%
WA
1.3%
Snohomish
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
3penalties
Near state avg (17.1)
22 complaint-triggered
$190,562 in fines

This facility has significant concerns with families filing 24 complaints triggering federal inspections across 95 total deficiencies. The most recurring problems involve medication management errors, responding appropriately to abuse and neglect allegations, and maintaining safe physical conditions. While the facility reports correcting these issues, the pattern of repeated medication errors and inadequate responses to serious allegations suggests ongoing systemic problems that families should carefully consider.

Apr 14, 2026Complaint
2
0656Potential for harm · PatternCorrected

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.

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.

Jan 14, 2026Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Sep 15, 2025Complaint
2
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

May 23, 2025Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Mar 31, 2025Routine
11
0645Potential for harm · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

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.

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.

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

May 1, 2024Complaint
4
0686Actual harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

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.

Federal Penalties

Fine

Feb 9, 2024

$142,428

Payment Denial

Feb 9, 2024

13-day denial

Fine

Nov 8, 2023

$33,248

Ownership & Operations

Who Operates This Facility

Owner / Operator

Snohomish of Cascadia, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Cascadia Healthcare

Chain Size

44 facilities nationwide

Chain avg rating: 3.2/5 · Rank 28 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

Snohomish 800 Realty LLC5% or Greater Security InterestWhite Oak Healthcare Finance LLC5% or Greater Security InterestCascadia Services LLCManagerBhumkar, NishitaManagerHammond, OwenManager
Source: Medicare provider data

Contact

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References & Resources

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