Washington ›Seattle

Cascades of St Anne

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3540 Northeast 110th Street, Seattle, WA 98125 (opens Google Maps) · King County · (206) 363-7733· 47 certified beds · avg 36 residents/day · certified since Jan 1, 1992 · 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: CASCADES HEALTHCARE (19 facilities, chain avg rating 1.9★)

2/5
Health inspection rating (on-site)
inspected Jan 21, 2026
2
Serious findings on record
most recent Dec 15, 2023
$0
Fines, last 3 years
3.65
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: ★★☆☆☆2/5 · CMS overall rating: 2/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Dec 15, 2023 · F-0600 · triggered by a complaint

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.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 26, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Dec 15, 2023 · F-0692 · triggered by a complaint

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 26, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 57 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. F-0801

  2. F · Potential for more than minimal harm, widespread

    The 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

  3. E · Potential for more than minimal harm, pattern

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

View all 57 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
Jan 21, 2026F · Potential for more than minimal harm, widespreadThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Jan 21, 2026F · Potential for more than minimal harm, widespreadThe 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
Jan 21, 2026E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jan 21, 2026E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jan 21, 2026E · Potential for more than minimal harm, patternThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Jan 21, 2026E · Potential for more than minimal harm, patternThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Jan 21, 2026E · Potential for more than minimal harm, patternThe 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
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jan 21, 2026D · 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
Jan 21, 2026D · 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
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Jan 21, 2026D · 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
Jan 21, 2026D · 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
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint · F-0883
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · from a complaint · F-0887
Dec 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Apr 16, 2025D · 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. · from a complaint · F-0757
Apr 16, 2025D · 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. · from a complaint · F-0880
Feb 3, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Nov 4, 2024E · Potential for more than minimal harm, patternThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · from a complaint · F-0577
Nov 4, 2024E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641
Nov 4, 2024E · Potential for more than minimal harm, patternThe 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. · from a complaint · F-0695
Nov 4, 2024E · Potential for more than minimal harm, patternThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732
Nov 4, 2024E · Potential for more than minimal harm, patternThe 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. · from a complaint · F-0761
Nov 4, 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. · from a complaint · F-0812
Nov 4, 2024E · Potential for more than minimal harm, patternThe 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. · from a complaint · F-0880
Nov 4, 2024E · Potential for more than minimal harm, patternThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint · F-0625
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint · F-0645
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Nov 4, 2024D · 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. · from a complaint · F-0677
Nov 4, 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. · from a complaint · F-0684
Nov 4, 2024D · 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. · from a complaint · F-0757
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · from a complaint · F-0881
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint · F-0883
Nov 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · from a complaint · F-0909
Oct 17, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Sep 9, 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. · from a complaint · F-0880
May 23, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Mar 11, 2024D · Potential for more than minimal harm, isolatedThe facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint · F-0660
Dec 15, 2023▲ G · Actual 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
Dec 15, 2023▲ G · Actual harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Dec 15, 2023D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Jul 28, 2023F · Potential for more than minimal harm, widespreadThe 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
Jul 28, 2023F · Potential for more than minimal harm, widespreadThe 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
Jul 28, 2023E · Potential for more than minimal harm, patternThe 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
Jul 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (20 → 21).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 7
Serious citations (G–L): 2
2024
All citations: 24
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 21
Serious citations (G–L): 0

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

YearCitationsSerious (G–L)Worst severity that year
202372G ▲
2024240E
202550D
2026210F

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 →

0 fines totaling $0, plus 2 Medicare payment denial periods.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Sep 9, 2024Payment Denial30 days from Dec 9, 2024
May 20, 2024Payment Denial1 day from Aug 20, 2024

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: 3.65
Washington average: 4.24
U.S. average: 3.95
Registered Nurse hours
This facility: 1.19
Washington average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.22
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)3.654.243.95bottom 21% in Washington; bottom 44% in the U.S.
Registered Nurse hours1.190.910.69top 17% in Washington; top 10% in the U.S.
Weekend total nurse staffing3.223.693.50bottom 28% in Washington; bottom 43% in the U.S.
Weekend RN hours (not acuity-adjusted)0.970.670.48top 12% in Washington; top 6% in the U.S.
Total nursing staff turnover (%)66.745.145.8bottom 6% in Washington; bottom 8% in the U.S.
RN turnover (%)82.445.442.9bottom 5% in Washington; bottom 4% 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 4.20, RN 1.36, weekend 3.70.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.20 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

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: 4/5 · long-stay residents: 2/5 · 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 Cascades of St Anne. CMS inspection and staffing records do not tell us what this home will charge you.

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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 - Corporation

Owner / managerTypeRoleStakeSince
Furuma FLPOrganization5% or Greater Direct Ownership Interest23%10/01/2024
Liberty Rae FLPOrganization5% or Greater Direct Ownership Interest23%10/01/2024
Moore, ThomasIndividual5% or Greater Indirect Ownership Interest10%10/01/2024
Nordmark FLPOrganization5% or Greater Direct Ownership Interest23%10/01/2024
Quest FLPOrganization5% or Greater Direct Ownership Interest10%10/01/2024
Sunburst Grove FLPOrganization5% or Greater Direct Ownership Interest23%10/01/2024
Crump, JasonIndividualCorporate DirectorNOT APPLICABLE10/01/2024
Fullmer, ChadIndividualCorporate DirectorNOT APPLICABLE10/01/2024
Furuma FLPOrganization5% or Greater Mortgage InterestNOT APPLICABLE10/01/2024
Furuma FLPOrganizationADP of the SNFNOT APPLICABLE12/10/2024
Liberty Rae FLPOrganization5% or Greater Mortgage InterestNOT APPLICABLE10/01/2024
Liberty Rae FLPOrganizationADP of the SNFNOT APPLICABLE12/10/2024
Ly, YayaIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2024
Ly, YayaIndividualADP of the SNFNOT APPLICABLE10/01/2024
McSpadden, DarinIndividualManaging Control - Governing BodyNOT APPLICABLE10/01/2024
McSpadden, DarinIndividualCorporate OfficerNOT APPLICABLE10/01/2024
Moore, ThomasIndividual5% or Greater Mortgage InterestNOT APPLICABLE10/01/2024
Moore, ThomasIndividualADP of the SNFNOT APPLICABLE12/10/2024
Nordmark FLPOrganization5% or Greater Mortgage InterestNOT APPLICABLE10/01/2024
Nordmark FLPOrganizationADP of the SNFNOT APPLICABLE12/10/2024

Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Cascades Healthcare — 19 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 18 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.

  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
  • "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "Where do you post your daily staffing numbers, and can I see today's?"
  • "What is your current medication error rate, and what have you changed to bring errors down?"

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 67% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 29 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 52 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Shoreline Health and Rehabilitation1.8 miSeattle, WA★★★★★4/5
Avamere Rehabilitation of Shoreline2.0 miSeattle, WA★★☆☆☆1/5
The Broadview Center3.4 miSeattle, WA★★☆☆☆1/5
Life Care Center of Kirkland3.7 miKirkland, WA★★☆☆☆2/5
Fircrest Nursing Facility3.8 miSeattle, WA★★★★★4/5
Ballard Center3.8 miSeattle, WA★★☆☆☆2/5
Columbia Lutheran Home4.2 miSeattle, WA★★★★☆3/5
Bridges to Home4.6 miShoreline, WA★★☆☆☆2/5
Park Shore5.1 miSeattle, WA★★★★☆3/5
Queen Anne Healthcare5.2 miSeattle, WA★★★★★5/5
Richmond Beach Rehab5.9 miShoreline, WA★★★★☆3/5
Bailey-Boushay House5.9 miSeattle, WA★★★☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in King, WA — 47 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 Seattle →

Facility data as of CMS processing date 2026-08-01. CCN 505417.

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