Cottages of Snohomish
State licensed1124 PINE AVENUE, Snohomish, WA 98290
Assisted LivingMemory Care
Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Snohomish Health and Rehabilitation of Cascadia
Snohomish, Washington2 of 5 Medicare stars
About Snohomish Health and Rehabilitation of Cascadia
Snohomish Health and Rehabilitation of Cascadia provides compassionate skilled nursing and rehabilitation services to residents throughout Snohomish, Washington. Our dedicated medical team focuses on recovery, restoring independence, and supporting families through every step of the healing process.
Community at a glance
Capacity
91 residents
Medicare rating
2 of 5 stars
Location
Snohomish, WA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
800 10TH STREET, Snohomish, Washington 98290
Medicare inspection and quality record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of August 1, 2026. Check it on Medicare.gov
Medicare rates Snohomish Health and Rehabilitation of Cascadia 2 out of 5 stars overall, which it describes as below average. The average across Washington's nursing homes is 3.2 stars.
At its most recent standard inspection, on May 1, 2026, state inspectors cited 24 health deficiencies (the Washington average is 16.1).
Nurses and nurse aides spend 3 hours 47 minutes with each resident a day, below the Washington average of 4 hours 22 minutes.
Medicare fined Snohomish Health and Rehabilitation of Cascadia 3 times in the last three years, $195,291 in total.
Overall
2 of 5
below average
Combines the three ratings below
Health inspections
1 of 5
much below average
Results of state inspections over three years
Staffing
2 of 5
below average
Nurse hours per resident and staff turnover
Quality of resident care
5 of 5
much above average
Outcomes like falls, pressure ulcers and rehospitalization
Washington average: 3.2 stars across 193 nursing homes. National average: 3.0 stars.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 47 minutesBelow the Washington average |
| Registered nurse time per resident, per day | 57 minutes |
| Nursing staff who left in the past year | 56%Above the Washington average |
1 administrator has left the home in the past year.
Inspections
59 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 1, 2026 · Standard inspection · 19 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected May 20, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 20, 2026Conduct 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.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected May 20, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 20, 2026Give residents a notice of rights, rules, services and charges.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 20, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 20, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 20, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 20, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected May 20, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 20, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 20, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 20, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 20, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 20, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 20, 2026Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 20, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 20, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 20, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Minimal harm or risk, widespread (level C)Freedom from Abuse, Neglect, and ExploitationCorrected May 20, 2026
April 14, 2026 · Complaint investigation · 2 citations
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected May 22, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 22, 2026
January 14, 2026 · Complaint investigation · 1 citation+
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 10, 2026
September 15, 2025 · Complaint investigation · 2 citations+
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 3, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Oct 3, 2025
May 23, 2025 · Complaint investigation · 1 citation+
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 30, 2025
March 31, 2025 · Standard inspection · 9 citations+
PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, widespread (level F)Resident Assessment and Care PlanningCorrected Apr 29, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 29, 2025Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 29, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 29, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 29, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 29, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 29, 2025Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 29, 2025Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 29, 2025
May 1, 2024 · Complaint investigation · 4 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a pattern (level H)Quality of Life and CareFrom a complaintCorrected May 22, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 22, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 22, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 22, 2024
March 20, 2024 · Complaint investigation · 1 citation+
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Apr 15, 2024
February 9, 2024 · Standard inspection · 15 citations+
Provide safe, appropriate pain management for a resident who requires such services.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected May 9, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 9, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 9, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 9, 2024Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 9, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 9, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 9, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 9, 2024Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 9, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 9, 2024Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 9, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 9, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 9, 2024Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 9, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 9, 2024
December 12, 2023 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 2, 2024
November 8, 2023 · Complaint investigation · 4 citations+
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Residents were harmed, a few residents (level G)Resident RightsFrom a complaintCorrected Dec 8, 2023Notify 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Dec 8, 2023Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Dec 8, 2023Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 8, 2023
Fines and payment denials
3 fines totaling $195,291 and 1 Medicare payment denial in the last three years.
- April 14, 2026Fine: $19,615
- February 9, 2024Payment denial, 13 days
- February 9, 2024Fine: $142,428
- November 8, 2023Fine: $33,248
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Snohomish of Cascadia LLC
- Medicare-certified beds
- 91
- Average residents per day
- 81
- Accepts
- Medicare and Medicaid
- First certified
- July 1, 1989
- Part of a chain
- Cascadia Healthcare, 46 homes (chain average 3.0 stars)
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 505338
Location
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800 10TH STREETSnohomish, WA 98290
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Questions about Snohomish Health and Rehabilitation of Cascadia
What is Snohomish Health and Rehabilitation of Cascadia's Medicare star rating?+
Medicare rates Snohomish Health and Rehabilitation of Cascadia 2 out of 5 stars overall (below average). Health inspections: 1 stars. Staffing: 2 stars. Quality of resident care: 5 stars. Source: CMS Care Compare, data as of August 1, 2026.
How did Snohomish Health and Rehabilitation of Cascadia do on its last inspection?+
State inspectors visited on May 1, 2026 and cited 24 health deficiencies, 6 of them from complaint investigations. The Washington average is 16.1.
How much nursing care does each resident get at Snohomish Health and Rehabilitation of Cascadia?+
Nurses and aides spend 3 hours 47 minutes with each resident per day, including 57 minutes from registered nurses. 56% of nursing staff left over the past year.
Has Snohomish Health and Rehabilitation of Cascadia been fined by Medicare?+
Yes. Medicare fined Snohomish Health and Rehabilitation of Cascadia 3 times in the last three years, totaling $195,291.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.