Josephine Caring Community
9901 272nd Place Northwest, Stanwood, WA 98292 · Snohomish County · 160 certified beds · avg 116 residents/day · certified since Jan 1, 1992
4/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.49
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 20, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (31)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 22, 2026 | E · Potential for harm, repeated | 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 |
| Jan 22, 2026 | D · Potential for harm, one-off | 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 |
| Sep 15, 2025 | E · Potential for harm, repeated | 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. |
| Sep 15, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Sep 15, 2025 | D · Potential for harm, one-off | 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. |
| Sep 15, 2025 | D · Potential for harm, one-off | 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. |
| Sep 15, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 15, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Sep 15, 2025 | D · Potential for harm, one-off | 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. |
| Sep 15, 2025 | D · Potential for harm, one-off | 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. |
| Sep 15, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Sep 15, 2025 | D · Potential for harm, one-off | 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. |
| Jul 15, 2024 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jul 15, 2024 | E · Potential for harm, repeated | 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. |
| Jul 15, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 15, 2024 | D · Potential for harm, one-off | 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. |
| Jul 15, 2024 | D · Potential for harm, one-off | 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. |
| Jul 15, 2024 | D · Potential for harm, one-off | 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. |
| Jul 15, 2024 | D · Potential for harm, one-off | 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. |
| Apr 25, 2023 | E · Potential for harm, repeated | 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. |
| Apr 25, 2023 | E · Potential for harm, repeated | 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. |
| Apr 25, 2023 | E · Potential for harm, repeated | 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. |
| Apr 25, 2023 | D · Potential for harm, one-off | 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. |
| Apr 25, 2023 | D · Potential for harm, one-off | 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. |
| Apr 25, 2023 | D · Potential for harm, one-off | 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. |
| Apr 25, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 25, 2023 | D · Potential for harm, one-off | 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. |
| Apr 25, 2023 | D · Potential for harm, one-off | 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. |
| Apr 25, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Apr 25, 2023 | D · Potential for harm, one-off | 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. |
| Apr 25, 2023 | B · Minimal risk, repeated | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
| 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
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 |
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
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 →
Facility data as of CMS processing date 2026-08-01. CCN 505465.