Washington ›Bainbridge Island

Bainbridge Island Health & Rehab Center

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835 Madison Avenue North, Bainbridge Island, WA 98110 (opens Google Maps) · Kitsap County · (206) 842-4765· 58 certified beds · avg 42 residents/day · certified since Dec 1, 1988 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

5/5
Health inspection rating (on-site)
inspected Nov 17, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.77
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684

  2. D · Potential for more than minimal harm, isolated

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

  3. D · Potential for more than minimal harm, isolated

    The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605

View all 20 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jul 1, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 6, 2026D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Nov 17, 2025D · Potential for more than minimal harm, isolatedThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Nov 17, 2025D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Nov 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Nov 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Jul 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Sep 13, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 13, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Sep 13, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Sep 13, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Sep 29, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 29, 2023D · Potential for more than minimal harm, isolatedThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637
Sep 29, 2023D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Sep 29, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Sep 29, 2023D · Potential for more than minimal harm, isolatedThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676
Sep 29, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Sep 29, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Sep 29, 2023D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Sep 29, 2023D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 9
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202390E
202440E
202550D
202620D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityWashington averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.77
Washington average: 4.24
U.S. average: 3.95
Registered Nurse hours
This facility: 1.22
Washington average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.37
Washington average: 3.69
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityWashington avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.774.243.95bottom 32% in Washington; bottom 50% in the U.S.
Registered Nurse hours1.220.910.69top 14% in Washington; top 9% in the U.S.
Weekend total nurse staffing3.373.693.50bottom 43% in Washington; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)0.980.670.48top 11% in Washington; top 6% in the U.S.
Total nursing staff turnover (%)23.345.145.8top 4% in Washington; top 5% in the U.S.
RN turnover (%)15.445.442.9top 3% in Washington; top 9% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.91, RN 1.27, weekend 3.50.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.91 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Bainbridge Island Health & Rehab Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

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Before you compare prices

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Bainbridge Health Holdings LLCOrganizationADP of the SNFNOT APPLICABLE05/01/2015
Burnam, SoonIndividualCorporate OfficerNOT APPLICABLE12/02/2014
De Oro, ThomasIndividualManaging Control - Governing BodyNOT APPLICABLE04/01/2015
De Oro, ThomasIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2015
De Oro, ThomasIndividualADP of the SNFNOT APPLICABLE04/01/2015
Farnsworth, StephenIndividualCorporate OfficerNOT APPLICABLE01/01/2023
Keetch, ChadIndividualCorporate OfficerNOT APPLICABLE03/01/2011
Kretchmar, JoshuaIndividualManaging Control - Governing BodyNOT APPLICABLE12/01/2021
Kretchmar, JoshuaIndividualOperational/Managerial ControlNOT APPLICABLE12/01/2021
Kretchmar, JoshuaIndividualADP of the SNFNOT APPLICABLE12/01/2021
Port, BarryIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/12/2025
Standard Bearer Healthcare Op LPOrganizationADP of the SNFNOT APPLICABLE01/01/2022
The Ensign Group INCOrganizationADP of the SNFNOT APPLICABLE01/01/2022

All 13 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain The Ensign Group — 342 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Washington midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 23% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 47 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Bremerton Trails Post Acute6.1 miBremerton, WA★☆☆☆☆1/5SFF
Belmont Terrace6.1 miBremerton, WA★★★☆☆2/5
Avamere Rehabilitation at Park West6.8 miSeattle, WA★★☆☆☆2/5
Washington Veteran Home-Retsil7.2 miPt Orchard, WA★★★★☆3/5
Queen Anne Healthcare8.0 miSeattle, WA★★★★★5/5
Northwoods Lodge8.0 miSilverdale, WA★★★★★4/5
Port Washington Post Acute8.1 miBremerton, WA★☆☆☆☆1/5
Columbia Lutheran Home8.2 miSeattle, WA★★★★☆3/5
Providence Mount St Vincent8.3 miSeattle, WA★★★☆☆2/5
Ballard Center8.3 miSeattle, WA★★☆☆☆2/5
Mirabella8.9 miSeattle, WA★★★★★3/5
The Terraces at Skyline9.0 miSeattle, WA★★☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Kitsap, WA — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Bainbridge Island →

Facility data as of CMS processing date 2026-08-01. CCN 505325.

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