3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Sequim Health and Rehabilitation is a remarkable senior living community situated on Hemlock Street, Sequim, WA, providing short-term rehab, long-term skilled nursing, and therapy services. With round-the-clock skilled nursing, residents may let go of their worries, and families ease their minds knowing their loved ones are well taken care of. The community also offers speech, occupational, and physical therapy ensuring residents’ overall wellness.
By conducting wellness-focused activities, the community encourages residents to live an active and engaged lifestyle. The community takes pride in a team of experienced and compassionate professionals, who exceed expectations in delivering the highest quality of care. Sequim Health and Rehabilitation ensures residents live their golden years in comfort and style with its serene grounds.
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 32nd out of 61 homes in Washington for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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.
| 39m per day | ▼ 26% 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.
| 47m per day | ▼ 4% 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 21m per day | ▼ 12% State avg: 2h 41m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 16m per day | ▼ 13% 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.
| 5m per day | ▼ 5% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 16m per day | ▼ 59% State avg: 38m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
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, deficiency, 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
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 57 | 31 | This facility has 84% more total deficiencies than a typical Washington nursing home (57 vs. WA avg 31).↑ 84% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Washington 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.
35 of 56 citations resulted from standard inspections; and 21 of 56 resulted from complaint investigations.
233% worse than Washington averageWashington average: 0.3
41% better than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% fewer staff per resident than Washington average
12% better than Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
19 total: 11 full-time employees and 8 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursHelps with daily care and mobility.
59 total: 37 full-time employees and 22 contractors.
59
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,525 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 22 | 59 | 15,701 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 11 | 8 | 19 | 5,358 | 92 | 100% | 10.2 |
| Registered Nurse | 11 | 0 | 11 | 2,583 | 91 | 99% | 9.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,877 | 80 | 87% | 8.6 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,300 | 70 | 76% | 7.2 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,218 | 67 | 73% | 11 |
| Nurse Aide in Training | 3 | 0 | 3 | 764 | 50 | 54% | 10.2 |
| Physical Therapy Aide | 2 | 0 | 2 | 731 | 73 | 79% | 6.2 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 596 | 62 | 67% | 9.6 |
| RN Director of Nursing | 2 | 0 | 2 | 539 | 62 | 67% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 490 | 68 | 74% | 7.2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 484 | 60 | 65% | 8.1 |
| Dietitian | 1 | 0 | 1 | 477 | 58 | 63% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 476 | 65 | 71% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 461 | 62 | 67% | 7.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 281 | 57 | 62% | 4.9 |
| Feeding Assistant | 0 | 3 | 3 | 256 | 31 | 34% | 7.5 |
| Physician Assistant | 0 | 1 | 1 | 157 | 27 | 29% | 5.8 |
| Other Physician | 0 | 3 | 3 | 51 | 8 | 9% | 6.4 |
| Medical Director | 0 | 1 | 1 | 32 | 19 | 21% | 1.7 |
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 (Data as of Jan 2026)
25% lower than Washington averageWashington average: $82K
46% fewer fines than Washington averageWashington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
8.3
17% better than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
13% worse 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
9.5%
42% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
19.3%
11% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
41.8%
72% worse than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
64% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
8.0%
62% worse than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
3.3%
91% worse than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
3.9%
33% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
1.0%
94% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
12.6%
13% better than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with Washington averageWashington average: 93.8%
Number of hospitalizations per 1,000 long-stay resident days.
0.78
43% better than Washington averageWashington average: 1.38
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.00
34% 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
91.3%
In line with Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
29% worse than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
13% better than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.3%
In line with Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.0%
47% better than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.4%
43% better than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.4%
In line with Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.4%
19% 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.
71% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
76Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Sequim Health & Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #52 / 61Payroll — State benchmarkedThis home is ranked 52nd out of 61 homes in Washington for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #43 / 61Payroll % — State benchmarkedThis home is ranked 43rd out of 61 homes in Washington for payroll %. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 50–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Building Type: Single-story
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (71% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.7 miles from city center
Estimated distance in miles from Sequim's city center to Sequim Health & Rehabilitation's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Sequim Health & Rehabilitation | NH | Sequim | 100
Facility
100
WA AVG
81
Rank
#91 / 355 |
81.6%
Facility
81.6%
WA AVG
73.6
Rank
#107 / 282 | +11% | 4.22
Facility
4.22
WA AVG
4.22
Rank
#32 / 61 | -39% | 0% | $61.3k
Facility
$61.3k
WA AVG
$87.7k
Rank
#47 / 61 | 56
Facility
56
WA AVG
48.9
Rank
#39 / 61 | 3.5
Facility
3.5
WA AVG
6.9
Rank
#4 / 61 | 2 | 82 | A+ |
49
Facility
49
WA AVG
51
Rank
#334 / 626 | James Aldred | $10.8MFiscal year ending 12/2023
Facility
$10.8MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#46 / 61 | $5.2MFiscal year ending 12/2023
Facility
$5.2MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#52 / 61 | 48.2%Fiscal year ending 12/2023
Facility
48.2%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#43 / 61 | 505128 | ||||
| Edmonds Care | NH RC SNF | Edmonds (72Nd Avenue West) | 128
Facility
128
WA AVG
81
Rank
#32 / 355 |
73.8%
Facility
73.8%
WA AVG
73.6
Rank
#155 / 282 | 0% | 4.35
Facility
4.35
WA AVG
4.22
Rank
#24 / 61 | -13% | +3% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 61 | 97
Facility
97
WA AVG
48.9
Rank
#56 / 61 | 6.1
Facility
6.1
WA AVG
6.9
Rank
#28 / 61 | 1 | 94 | - |
61
Facility
61
WA AVG
51
Rank
#238 / 626 | - | $12.2MFiscal year ending 12/2023
Facility
$12.2MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#40 / 61 | $5.9MFiscal year ending 12/2023
Facility
$5.9MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#46 / 61 | 48.3%Fiscal year ending 12/2023
Facility
48.3%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#38 / 61 | 505236 |
Sequim Health & Rehabilitation is located in Sequim, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Sequim Health & Rehabilitation has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Sequim Health & Rehabilitation's occupancy is 70.6%.
Sequim Health & Rehabilitation has been operating for approximately 25 years, based on available licensing and registration records.
No, Sequim Health & Rehabilitation has a no-pet policy.
Sequim Health & Rehabilitation is registered as a for-profit in WA.
Yes — there are 4 photos of Sequim Health & Rehabilitation in the photo gallery on this page.
Sequim Health & Rehabilitation is located at 650 W Hemlock St, Sequim, WA 98382.
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