Federal inspection record · CMS data as of October 1, 2026
Brookfield Health And Rehab Of Cascadia
510 North Parkway, Battle Ground, WA · (360) 687-5141
- Certified beds
- 83
- Residents per day
- 56
- Ownership
- For-Profit
- Chain
- Cascadia Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 9, 1989
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Brookfield Health And Rehab Of Cascadia carries 87 inspection points. That is fewer than 55% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
G
Ensure that residents are free from significant medication errors.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide timely, quality laboratory services/tests to meet the needs of residents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Respond appropriately to all alleged violations.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights7E
- D
Honor the resident's right to manage his or her financial affairs.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- C
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation5E
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service3E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- E
Ensure that residents are free from significant medication errors.
Infection Control3D
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Administration1C
- C
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspection history
2026-06-04
14 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2025-05-07
14 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-07-11
12 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.
This home
3 h 36 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 53% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,358 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-18 | Fine | $10,358 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 100.0% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 98.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 1.1% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.6 pts better | 1.3% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight5 pts better | 0.6% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.5 pts better | 3.0% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.2 pts better | 12.8% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts worse | 18.1% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts worse | 16.0% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2 pts worse | 2.8% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 2.8% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts better | 18.1% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10 pts better | 98.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.6 pts better | 3.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.3 pts worse | 79.1% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.9 pts worse | 24.6% | 19.7% | 23.4% |
·
Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Battle Ground 510 Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Battle Ground 510 Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Cascadia Hc Group LLC | Indirect Ownership Interest · Organization | 0% | 42 facilities |
| Cascadia Healthcare LLC | Indirect Ownership Interest · Organization | 0% | 42 facilities |
| Cascadia Healthcare LLC | Operational/Managerial Control · Organization | 0% | 42 facilities |
| Cascadia Holdco LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| Cascadia Services LLC | Operational/Managerial Control · Organization | 0% | 47 facilities |
| Cascadia Services LLC | Adp Of The SNF · Organization | 0% | 47 facilities |
| Cascadia Washington Operations LLC | Direct Ownership Interest · Organization | 0% | 9 facilities |
| Cascadia Washington Operations LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Cavalli, Reahna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cavalli, Reahna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hammond, Owen | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Hammond, Owen | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Laforte, Stephen | Indirect Ownership Interest · Individual | 0% | 42 facilities |
| Laforte, Stephen | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Morris, Christopher | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Morris, Christopher | Adp Of The SNF · Individual | 0% | 18 facilities |
| Nelson, Timothy | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Nelson, Timothy | Operational/Managerial Control · Individual | 0% | 46 facilities |
| White Oak Healthcare Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 48 facilities |
| White Oak Healthcare Finance LLC | Adp Of The SNF · Organization | 0% | 48 facilities |
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Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems10F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have proper medical gas storage and administration areas.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness4F
- F
Conduct testing and exercise requirements.
- F
Include a process for Emergency Preparedness collaboration.
- D
Establish policies and procedures including evacuation.
- F
Conduct testing and exercise requirements.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1F
- F
Meet other general requirements.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Salmon Creek Post Acute & Rehabilitation
Vancouver, WA · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 7 min
- Fines
- $0
-
Bridge Crest Post Acute
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 50 min
- Fines
- $205,643
-
Vancouver Specialty And Rehab Care
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 4 min
- Fines
- $0