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Josephine Caring Community
9901 272nd Place Northwest, Stanwood, WA 98292 (opens Google Maps) · Snohomish County · (360) 629-2126· 160 certified beds · avg 116 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 →
4/5
Health inspection rating (on-site)
inspected Sep 15, 2025
1
Serious findings on record
most recent Jul 15, 2024
$0
Fines, last 3 years
3.49
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Jul 15, 2024 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
▲ Actual harm, isolated · Jul 15, 2024 · F-0692
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: Aug 20, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 31 inspection findings. Open the full record below to read every finding.
The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint F-0561
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
The 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
View all 31 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 22, 2026 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint · F-0561 |
| Jan 22, 2026 | 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 |
| Sep 15, 2025 | E · Potential for more than minimal harm, pattern | The 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 15, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Sep 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Sep 15, 2025 | D · Potential for more than minimal harm, isolated | The 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 15, 2025 | D · Potential for more than minimal harm, isolated | The 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 |
| Sep 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Sep 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
| Sep 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. · F-0712 |
| Sep 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Sep 15, 2025 | D · Potential for more than minimal harm, isolated | The 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 15, 2024 | ▲ G · Actual harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Jul 15, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Jul 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Jul 15, 2024 | D · Potential for more than minimal harm, isolated | The 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 |
| Jul 15, 2024 | D · Potential for more than minimal harm, isolated | The 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 |
| Jul 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Jul 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Apr 25, 2023 | E · Potential for more than minimal harm, pattern | The 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 |
| Apr 25, 2023 | E · Potential for more than minimal harm, pattern | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Apr 25, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Apr 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Apr 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
| Apr 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Apr 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Apr 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Apr 25, 2023 | D · Potential for more than minimal harm, isolated | The 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 |
| Apr 25, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Apr 25, 2023 | D · Potential for more than minimal harm, isolated | The 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 |
| Apr 25, 2023 | B · Potential for minimal harm, pattern | The 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. · F-0623 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
All citationsSerious citations (G–L)
2023
All citations: 12
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 1
2025
All citations: 10
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.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 0 | E |
| 2024 | 7 | 1 | G ▲ |
| 2025 | 10 | 0 | E |
| 2026 | 2 | 0 | E |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityWashington averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.49
Washington average: 4.24
U.S. average: 3.95
Registered Nurse hours
This facility: 0.58
Washington average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.84
Washington average: 3.69
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Washington avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.49 | 4.24 | 3.95 | bottom 12% in Washington; bottom 36% in the U.S. |
| Registered Nurse hours | 0.58 | 0.91 | 0.69 | bottom 10% in Washington; bottom 50% in the U.S. |
| Weekend total nurse staffing | 2.84 | 3.69 | 3.50 | bottom 5% in Washington; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.67 | 0.48 | bottom 38% in Washington; top 28% in the U.S. |
| Total nursing staff turnover (%) | 30.4 | 45.1 | 45.8 | top 12% in Washington; top 15% in the U.S. |
| RN turnover (%) | 41.7 | 45.4 | 42.9 | top 46% in Washington; top 50% 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 4.69, RN 0.78, weekend 3.82.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.69 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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 Josephine Caring Community. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
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 →
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Andrea O'Neill | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2014 |
| Baker Tilly Us LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2004 |
| Barnes, Janet | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Barnes, Janet | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Burchard, Clint | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/05/2023 |
| Christoferson, Barbara | Individual | Corporate Director | NOT APPLICABLE | 05/01/2023 |
| Christoferson, Barbara | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Curtis, Earl | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
| Curtis, Earl | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Dew, John | Individual | ADP of the SNF | NOT APPLICABLE | 02/26/2025 |
| Ellerton, R | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/29/2018 |
| Ellerton, R | Individual | ADP of the SNF | NOT APPLICABLE | 05/29/2018 |
| Fosse, Ernest | Individual | Corporate Director | NOT APPLICABLE | 07/26/2022 |
| Fosse, Ernest | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Green, Charlotte | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Hanson, Alisha | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/23/2008 |
| Hutchison, Kay | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/31/2017 |
| Johnson, Julie | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2025 |
| Johnson, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Kinney, Brett | Individual | Corporate Director | NOT APPLICABLE | 07/26/2022 |
Showing 20 of 43 parties CMS has on file for this facility; 23 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
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 30% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 43 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 (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Arlington Health and Rehabilitation | 11.7 mi | Arlington, WA | ★★★★☆ | 3/5 | |
| Life Care Center of Mount Vernon | 12.3 mi | Mount Vernon, WA | ★☆☆☆☆ | 1/5 | abuse |
| Mira Vista Care Center | 12.4 mi | Mount Vernon, WA | ★★★★☆ | 3/5 | |
| Regency Coupeville Rehab and Nursing Center | 14.4 mi | Coupeville, WA | ★★☆☆☆ | 2/5 | abuse |
| Marysville Care Center | 15.6 mi | Marysville, WA | ★★★★☆ | 3/5 | |
| Mountain View Rehabilitation and Care Center | 16.3 mi | Marysville, WA | ★★★★☆ | 4/5 | |
| Life Care Center of Skagit Valley | 18.8 mi | Sedro Woolley, WA | ★★★☆☆ | 3/5 | |
| Bethany at Pacific | 19.3 mi | Everett, WA | ★★★★☆ | 3/5 | |
| Everett Transitional Care Services | 19.7 mi | Everett, WA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Snohomish, WA — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Lynnwood Post Acute Rehabilitation Center — Lynnwood, WA · overall 4/5
- Madison Post Acute — Everett, WA · overall 3/5
- Pine Ridge Post Acute — Edmonds, WA · overall 4/5
- Regency Care Center at Monroe — Monroe, WA · overall 4/5
- Snohomish Health and Rehabilitation of Cascadia — Snohomish, WA · overall 2/5
- View Ridge Care Center — Everett, WA · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 505465.