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NORTH BEND POST ACUTE Inspection Report, Violations & Safety Grade (NORTH BEND, Washington)

219 CEDAR AVENUE SOUTH, NORTH BEND, Washington 98045

Phone: 4258882129

CMS Overall:1/5

Overview & Bed Count

Certified Beds
64
Avg Residents/Day
59.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
King
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityWashington AvgDifference
RN Hours per Resident per Day0.400.99-0.60
Total Nurse Hours per Resident per Day3.704.42-0.71
CMS Staffing Rating4/53.7/5-
Nursing Staff Turnover36.4%43.9%-

Health Citation History

87 health citations on record

DateCategoryDescriptionSeverity
2026-06-05Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2026-06-05Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2026-06-05Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesE – Moderate Harm Potential
2026-06-05Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2026-06-05Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2026-06-05Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2026-06-05Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-06-05Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-03-05Nursing and Physician Services DeficienciesHave 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.F – Moderate Harm Potential
2025-03-05Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2025-03-05Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2025-03-05Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE – Moderate Harm Potential
2025-03-05Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2025-03-05Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2025-03-05Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.E – Moderate Harm Potential
2025-03-05Nutrition and Dietary DeficienciesEnsure 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 – Moderate Harm Potential
2025-03-05Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-03-05Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2025-03-05Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-03-05Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2025-03-05Resident Rights DeficienciesNotify 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.D – Moderate Harm Potential
2025-03-05Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-03-05Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2025-03-05Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-03-05Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-03-05Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.D – Moderate Harm Potential
2025-03-05Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-03-05Quality of Life and Care DeficienciesProvide 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 – Moderate Harm Potential
2025-03-05Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.D – Moderate Harm Potential
2024-11-07Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D – Moderate Harm Potential
2023-12-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2023-12-12Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.F – Moderate Harm Potential
2023-12-12Resident Rights DeficienciesNotify 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 – Moderate Harm Potential
2023-12-12Nutrition and Dietary DeficienciesEmploy 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 – Moderate Harm Potential
2023-12-12Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F – Moderate Harm Potential
2023-12-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-12-12Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2023-12-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2023-12-12Nursing and Physician Services DeficienciesEnsure 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 – Moderate Harm Potential
2023-12-12Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.E – Moderate Harm Potential
2023-12-12Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2023-12-12Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-12-12Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2023-12-12Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2023-12-12Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2023-12-12Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionD – Moderate Harm Potential

Showing 50 of 87 citations.

Fire Safety Citation History

67 fire safety citations on record

DateCategoryDescriptionSeverity
2026-06-05Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2026-06-05Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.F – Moderate Harm Potential
2026-06-05Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.F – Moderate Harm Potential
2026-06-05Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.F – Moderate Harm Potential
2026-06-05Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2026-06-05Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.F – Moderate Harm Potential
2026-06-05Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2026-06-05Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2026-06-05Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-06-05Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2026-06-05Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2026-06-05Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2026-06-05Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2025-08-04Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-03-05Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2025-03-05Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2025-03-05Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2025-03-05Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2025-03-05Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2025-03-05Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2025-03-05Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-03-05Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2025-03-05Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-03-05Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2025-03-05Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-03-05Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2025-03-05Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2025-03-05Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-03-05Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2025-03-05Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesDevelop a communication plan.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesProvide primary/alternate means for communication.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesEstablish methods for sharing information.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesProvide family notifications of emergency plan.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesEstablish emergency prep training and testing.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2023-12-12Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential

Showing 50 of 67 citations.

Total Penalties & Fines

$143,754
Total Fine Amount (CMS)
1
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2023-12-12Fine$143,754-
2023-12-12Payment Denial-10 days starting 2024-03-12

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