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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 57th out of 59 homes in Washington.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 49m per day | ▼ 8% State avg: 53m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 49m per day | ■ Avg State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 49m per day | ▲ 5% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 40m per day | ▼ 3% State avg: 3h 47m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 31m per day | ▼ 18% State avg: 38m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
45% of new residents, usually for short-term rehab.
14% of new residents, often for short stays.
41% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #12 / 62Payroll — state benchmarkedThis home is ranked 12th out of 62 homes in Washington.Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Washington average: 72.5%Key information about the people who lead and staff this community.
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 17 | 31 | This facility has 45% fewer total deficiencies than a typical Washington nursing home (17 vs. WA avg 31).↓ 45% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 5.7 | 10.3 | This facility has 45% fewer deficiencies per year than a typical Washington nursing home (5.7 vs. WA avg 10.3).↓ 45% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 13, 2025, found a deficiency related to the facility lacking an active Nurse Delegator for medication oversight, resulting in medication administration without proper supervision. Earlier inspections showed a mix of issues including medication management, resident safety, facility maintenance, and fire safety compliance. Prior complaint investigations identified problems with medication orders and failure to report suspected financial exploitation, with citations issued for these deficiencies. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The inspection history shows ongoing challenges with medication oversight and regulatory reporting, with some improvements noted in facility maintenance and training after follow-up inspections.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWashington average 7.8
Last Health inspection on Sep 2025
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 32 citations resulted from standard inspections; and 3 of 32 resulted from complaint investigations.
100% better than Washington averageWashington average: 0.3
1
41% better than Washington averageWashington average: 1.7
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 15, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 15, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 15, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 15, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Josephine Caring Community is located in Stanwood, Washington.
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0.0 miles from city center
Estimated distance in miles from Stanwood's city center to Josephine Caring Community's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
27% worse than Washington averageWashington average ratio: 1.85:1
0% compared with Washington averageWashington average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Total hours from contractors
1,932 contractor hours this quarter
| Certified Nursing Assistant | 68 | 0 | 68 | 27,792 | 91 | 100% | 8.3 |
| Registered Nurse | 17 | 0 | 17 | 8,708 | 91 | 100% | 10.2 |
| Licensed Practical Nurse | 18 | 0 | 18 | 7,391 | 91 | 100% | 8.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,853 | 91 | 100% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,368 | 69 | 76% | 7.4 |
| RN Director of Nursing | 3 | 0 | 3 | 1,183 | 64 | 70% | 7.9 |
| Administrator | 2 | 0 | 2 | 928 | 63 | 69% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 763 | 69 | 76% | 6.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 637 | 46 | 51% | 7.4 |
| Nurse Aide in Training | 4 | 0 | 4 | 605 | 49 | 54% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 397 | 61 | 67% | 6.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 339 | 39 | 43% | 7.2 |
| Qualified Social Worker | 0 | 1 | 1 | 198 | 38 | 42% | 5.2 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 191 | 31 | 34% | 5.6 |
| Occupational Therapy Aide | 0 | 2 | 2 | 150 | 37 | 41% | 3 |
| Physical Therapy Assistant | 0 | 8 | 8 | 139 | 38 | 42% | 3.1 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 139 | 27 | 30% | 5.1 |
| Medical Director | 0 | 2 | 2 | 76 | 25 | 27% | 3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 63 | 57 | 63% | 1.1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
21% better than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
18% better than Washington averageWashington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.2%
14% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
16.5%
24% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
16% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
48% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
2.0%
59% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.6%
69% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
5.4%
7% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
91.0%
461% worse than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
21.9%
51% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
In line with Washington averageWashington average: 93.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.16
16% better than Washington averageWashington average: 1.38
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.20
21% better than Washington averageWashington average: 1.51
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
12% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
70% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.2%
7% worse than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.2%
12% worse than Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.6%
27% better than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
In line with Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.1%
12% worse than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.6%
12% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Josephine Caring Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Stanwood | 86 | 72.5% | 0% | 3.44 | -18% | -19% | 0 | 32 | 8.0 | 1 | 114 | 59 | Barbara Christoferson | $26.6M | $10.4M | 39.1% | 505465 | ||||
| Alderwood Post Acute & Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lynnwood | 113 | 71.4% | -2% | 3.97 | +57% | -6% | 3 | 131 | 8.7 | 5 | 98 | 65 | - | $10.6M | $4.2M | 39.2% | 505319 |
Historical financial and operational data for Josephine Caring Community based on CMS SNF Cost Reports.
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Josephine Caring Community has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to WA state health department records, Josephine Caring Community's license number is 569.
Josephine Caring Community's occupancy is 59%.
Josephine Caring Community has 86 beds.
Yes — there are 4 photos of Josephine Caring Community in the photo gallery on this page.
Josephine Caring Community is located at 9901 272nd Pl NW.
(360) 629-2126 will put you in contact with the team at Josephine Caring Community.
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