Federal inspection record · CMS data as of October 1, 2026
North Bend Post Acute
219 Cedar Avenue South, North Bend, WA · (425) 888-2129
- Certified beds
- 64
- Residents per day
- 60
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1989
1
How this home got 1 star
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.
-
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.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
North Bend Post Acute carries 173 inspection points. That is fewer than 17% 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
87 health citations on record since 2023. 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 (4)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide care or services that was trauma informed and/or culturally competent.
Everything else, by area of care
Resident Assessment and Care Planning18E
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
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.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
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 each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care18E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide or get specialized rehabilitative services as required for a resident.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nursing and Physician Services11F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- E
Observe each nurse aide's job performance and give regular training.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- B
Post nurse staffing information every day.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Post nurse staffing information every day.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Rights10F
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- F
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Administration8F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Nutrition and Dietary7F
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Infection Control5F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
Freedom from Abuse, Neglect, and Exploitation2F
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Respond appropriately to all alleged violations.
Inspection history
2026-06-05
12 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2025-03-05
22 health deficiencies · 17 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2023-12-12
53 health deficiencies · 37 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 42 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
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
$143,754 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-12 | Fine | $143,754 |
| 2023-12-12 | Payment Denial · 10 day denial | $0 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.3 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts worse | 80.2% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine26.4 pts worse | 67.9% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 1.5% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14 pts better | 3.9% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 3.0% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts worse | 14.0% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.1 pts better | 12.9% | 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 worsened7.9 pts better | 7.7% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6 pts better | 7.8% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.9% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.9 pts better | 16.7% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.8 pts worse | 8.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.2 pts worse | 56.5% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine60 pts worse | 24.4% | 84.4% | 80.1% |
·
Who owns and runs it
32 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 |
|---|---|---|---|
| Anderson, Brandt | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Anderson, Brandt | Adp Of The SNF · Individual | 0% | 4 facilities |
| De Oro, Brianna | Operational/Managerial Control · Individual | 0% | 4 facilities |
| De Oro, Brianna | Adp Of The SNF · Individual | 0% | 4 facilities |
| De Oro, Thomas | Operational/Managerial Control · Individual | 0% | 2 facilities |
| De Oro, Thomas | Adp Of The SNF · Individual | 0% | 2 facilities |
| Foundation Healthcare Services LLC | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Foundation Resource Center LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Foundation Resource Center LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Frost, Steven | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Frost, Steven | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Hinga, Marjorie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hinga, Marjorie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kumari, Monika | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kumari, Monika | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lindahl, David | Adp Of The SNF · Individual | 0% | 4 facilities |
| Lindahl, Jeffrey | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Lindahl, Jeffrey | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Lindahl, Jeffrey | Adp Of The SNF · Individual | 0% | 4 facilities |
| Lindahl, Kirkman | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Lindahl, Kirkman | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Lindahl, Kirkman | Adp Of The SNF · Individual | 0% | 4 facilities |
| Lindahl, Scott | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Lindahl, Scott | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Lindahl, Scott | Adp Of The SNF · Individual | 0% | 4 facilities |
| Nesterenko, Oksana | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Nesterenko, Oksana | Adp Of The SNF · Individual | 0% | 3 facilities |
| Padua, Sarah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Padua, Sarah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wa3west, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Zwahlen, Jay | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Zwahlen, Jay | Adp Of The SNF · Individual | 0% | 4 facilities |
·
Fire safety
67 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness34F
- F
Establish policies and procedures including evacuation.
- F
Establish policies and procedures for medical documentation.
- F
Provide a means of sharing information on occupancy/needs.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
- F
Include a process for Emergency Preparedness collaboration.
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for medical documentation.
- F
List the names and contact information of those in the facility.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Establish policies and procedures for sheltering.
- F
Establish policies and procedures for medical documentation.
- F
Establish roles under a Waiver declared by secretary.
- F
Develop a communication plan.
- F
List the names and contact information of those in the facility.
- F
Provide primary/alternate means for communication.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
- F
Include a process for Emergency Preparedness collaboration.
Smoke10F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Gas, Vacuum, and Electrical Systems10F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- F
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.
- D
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Have proper medical gas storage and administration areas.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
- D
Have restrictions on the use of flammable curtains.
- D
Have restrictions on the use of highly flammable decorations.
Egress4F
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services4F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Avamere Rehabilitation Of Issaquah
Issaquah, WA · Avamere
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 15 min
- Fines
- $48,663
-
Marianwood Health And Rehabilitation
Issaquah, WA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 47 min
- Fines
- $64,574
-
Briarwood At Timber Ridge
Issaquah, WA · Life Care Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 36 min
- Fines
- $0