Washington ›Marysville

Marysville Care Center

1821 Grove Street, Marysville, WA 98270 · Snohomish County · 97 certified beds · avg 80 residents/day · certified since Aug 1, 1991

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

3/5
Health inspection rating (on-site)
3
Serious findings on record
$95,001
Fines, last 3 years
3.42
Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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 22, 2025 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

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 15, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Aug 30, 2023 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

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: Sep 20, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Aug 30, 2023 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

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: Sep 20, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (46)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Jun 18, 2026D · Potential for harm, one-offThe 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
May 19, 2026D · Potential for harm, one-offThe 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
Sep 29, 2025E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 29, 2025E · Potential for harm, repeatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Sep 29, 2025D · Potential for harm, one-offThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Sep 29, 2025D · Potential for harm, one-offThe 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.
Sep 29, 2025D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Sep 29, 2025D · Potential for harm, one-offThe 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 29, 2025D · Potential for harm, one-offThe facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
Sep 29, 2025D · Potential for harm, one-offThe 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 29, 2025D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 29, 2025D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Sep 29, 2025D · Potential for harm, one-offThe facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Sep 29, 2025D · Potential for harm, one-offThe 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.
Jul 22, 2025▲ G · Actual harm, one-offThe 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
Jul 22, 2025D · Potential for harm, one-offThe 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
Jun 17, 2025D · Potential for harm, one-offThe facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint
Jun 17, 2025D · Potential for harm, one-offThe 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. · from a complaint
Jun 17, 2025D · Potential for harm, one-offThe 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
Feb 11, 2025D · Potential for harm, one-offThe 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
Oct 11, 2024E · Potential for harm, repeatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Oct 11, 2024E · Potential for harm, repeatedThe facility did not have a compliance and ethics program — an internal system designed to prevent and catch violations of the law and ethical standards. · from a complaint
Oct 11, 2024D · Potential for harm, one-offThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Oct 11, 2024D · Potential for harm, one-offThe 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.
Oct 11, 2024D · Potential for harm, one-offThe 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.
Oct 11, 2024D · Potential for harm, one-offThe 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.
Oct 11, 2024D · Potential for harm, one-offThe 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.
Oct 11, 2024D · Potential for harm, one-offThe 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.
Oct 11, 2024D · Potential for harm, one-offThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Oct 11, 2024D · Potential for harm, one-offThe facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Oct 11, 2024D · Potential for harm, one-offThe 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.
Oct 11, 2024D · Potential for harm, one-offThe facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Apr 30, 2024D · Potential for harm, one-offThe facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint
Apr 30, 2024D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Apr 30, 2024D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 27, 2024D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 6, 2024D · Potential for harm, one-offThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Feb 6, 2024D · Potential for harm, one-offThe facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
Sep 15, 2023E · Potential for harm, repeatedThe facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint
Sep 15, 2023D · Potential for harm, one-offThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 15, 2023D · Potential for harm, one-offThe 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.
Sep 15, 2023D · Potential for harm, one-offThe 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.
Sep 15, 2023D · Potential for harm, one-offThe 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, 2023D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Aug 30, 2023▲ G · Actual harm, one-offThe 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
Aug 30, 2023▲ G · Actual harm, one-offThe 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

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 12).

YearCitationsSerious (G–L)Worst severity that year
202382G ▲
2024180E
2025181G ▲
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)

2 fines totaling $95,001.

DateTypeAmount / length
Jun 17, 2025Fine$12,425
Aug 30, 2023Fine$82,576

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

MeasureThis facilityWashington avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.424.243.95bottom 9% in Washington; bottom 33% in the U.S.
Registered Nurse hours1.110.910.69top 21% in Washington; top 12% in the U.S.
Weekend total nurse staffing2.923.693.50bottom 8% in Washington; bottom 27% in the U.S.
Weekend RN hours (not acuity-adjusted)0.840.670.48top 21% in Washington; top 10% in the U.S.
Total nursing staff turnover (%)41.945.145.8top 43% in Washington; top 41% in the U.S.
RN turnover (%)40.045.442.9top 42% in Washington; top 46% 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 4.04, RN 1.31, weekend 3.45. 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

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Cascade Medical Investors Limited PartnershipOrganization5% or Greater Direct Ownership Interest100%08/06/2015
Developers Investment Company INCOrganizationIndirect Ownership InterestNOT APPLICABLE08/06/2015
Bhumkar, NishitaIndividualOperational/Managerial ControlNOT APPLICABLE10/17/2022
Bhumkar, NishitaIndividualADP of the SNFNOT APPLICABLE04/07/2025
Butner, NancyIndividualManaging Control - Governing BodyNOT APPLICABLE09/16/2018
Butner, NancyIndividualOperational/Managerial ControlNOT APPLICABLE09/16/2018
Cascade Medical Investors Limited PartnershipOrganizationOperational/Managerial ControlNOT APPLICABLE08/06/2015
Cascade Medical Investors Limited PartnershipOrganizationADP of the SNFNOT APPLICABLE12/20/2000
Croes, ShaunaIndividualManaging Control - Governing BodyNOT APPLICABLE01/28/2025
Croes, ShaunaIndividualOperational/Managerial ControlNOT APPLICABLE01/28/2025
Cross, CindyIndividualCorporate OfficerNOT APPLICABLE08/24/2015
Developers Investment Company INCOrganizationOperational/Managerial ControlNOT APPLICABLE08/06/2015
Espinoza Beltran, ReguloIndividualManaging Control - Governing BodyNOT APPLICABLE11/01/2024
Espinoza Beltran, ReguloIndividualOperational/Managerial ControlNOT APPLICABLE11/01/2024
Espinoza Beltran, ReguloIndividualADP of the SNFNOT APPLICABLE03/24/2025
Fletcher, ToddIndividualOperational/Managerial ControlNOT APPLICABLE12/13/2024
Henry, TerryIndividualCorporate DirectorNOT APPLICABLE08/24/2015
Lay, LisaIndividualCorporate DirectorNOT APPLICABLE04/24/2017
Lay, LisaIndividualCorporate OfficerNOT APPLICABLE02/09/2018
Life Care Centers of America, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE08/24/2015

Questions to ask on your visit

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

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Mountain View Rehabilitation and Care Center0.8 miMarysville, WA★★★★☆4/5
Bethany at Pacific5.2 miEverett, WA★★★★☆3/5
Everett Transitional Care Services6.3 miEverett, WA★★★★☆4/5
View Ridge Care Center8.2 miEverett, WA★★★☆☆3/5
Madison Post Acute8.8 miEverett, WA★★★☆☆3/5
Arlington Health and Rehabilitation8.9 miArlington, WA★★★★☆3/5
Snohomish Health and Rehabilitation of Cascadia10.2 miSnohomish, WA★★☆☆☆1/5
Bethany at Silver Lake11.9 miEverett, WA★★★★★5/5
Everett Center12.1 miEverett, WA★★★☆☆3/5
Josephine Caring Community15.6 miStanwood, WA★★★★★4/5
Regency Care Center at Monroe16.8 miMonroe, WA★★★★☆3/5
Alderwood Post Acute & Rehabilitation16.9 miLynnwood, WA★★☆☆☆1/5abuse

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Facility data as of CMS processing date 2026-08-01. CCN 505386.