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CASCADES OF ST ANNE

Open-data reference.

CASCADES OF ST ANNE is a for profit - corporation facility in SEATTLE, WA with 47 certified beds and a 3-star overall CMS rating. The facility has 50 deficiency records on file.

3540 NORTHEAST 110TH STREET, SEATTLE, WA 98125

Phone: 2063637733

Overall Rating

3/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
505417
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
47
Residents
36
In Hospital
No
County
King
Last Inspection
Nov 4, 2024

Staffing Data

RN Hours
1.37 (nat'l avg: 0.68)
LPN Hours
0.31
CNA Hours
2.45
Total Nursing Hours
4.13 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
60.9%
RN Turnover
73.3%

What the CMS Record Reveals About CASCADES OF ST ANNE

CASCADES OF ST ANNE operates 47 certified beds in SEATTLE, WA with approximately 36 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.13 total nursing hours per resident day (national average 3.89), with RN coverage at 1.37 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, CASCADES OF ST ANNE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 60.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Dec 11, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm Feb 3, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2025

E — Pattern - Minimal harm Nov 4, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Nov 4, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Nov 4, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Nov 4, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Nov 4, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Nov 4, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Nov 4, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Nov 4, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Nov 4, 2024 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Dec 7, 2024

D — Isolated - Minimal harm Oct 17, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 7, 2024

D — Isolated - Minimal harm Sep 9, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 24, 2024

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 24, 2024

G — Isolated - Actual harm Dec 15, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 26, 2024

G — Isolated - Actual harm Dec 15, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 26, 2024

D — Isolated - Minimal harm Dec 15, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 26, 2024

F — Widespread - Minimal harm Jul 28, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 8, 2023

F — Widespread - Minimal harm Jul 28, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 8, 2023

E — Pattern - Minimal harm Jul 28, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 8, 2023

D — Isolated - Minimal harm Jul 28, 2023 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 8, 2023

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 1, 2022

E — Pattern - Minimal harm Apr 27, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm Apr 27, 2022 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 1, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 69.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 6.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.1% Yes

Penalty History

Date Type Amount
Sep 9, 2024 Payment Denial -
May 20, 2024 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for CASCADES OF ST ANNE?
CASCADES OF ST ANNE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at CASCADES OF ST ANNE?
CASCADES OF ST ANNE reports 4.13 total nursing hours per resident day (national average: 3.89). RN hours are 1.37 per resident day (national average: 0.68). Nursing staff turnover is 60.9%.
How many beds does CASCADES OF ST ANNE have?
CASCADES OF ST ANNE has 47 certified beds with approximately 36 residents. The facility is located at 3540 NORTHEAST 110TH STREET, SEATTLE, WA 98125.
Does CASCADES OF ST ANNE have any deficiencies on record?
Yes, CASCADES OF ST ANNE has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has CASCADES OF ST ANNE received any fines or penalties?
No, CASCADES OF ST ANNE has no fines or penalties on record.
Who owns CASCADES OF ST ANNE?
CASCADES OF ST ANNE is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was CASCADES OF ST ANNE last inspected?
The most recent health inspection for CASCADES OF ST ANNE was on Nov 4, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for CASCADES OF ST ANNE?
CASCADES OF ST ANNE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial