Total health inspections
16
Washington average 7.8
Last Health inspection on Sep 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Sequim Health & Rehabilitation
Nursing Home
Sequim Health & Rehabilitation
Nursing Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.6%
Residents per day (avg)
72
Occupancy rate
70.6%
Residents per day (avg)
72
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
71% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
22% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Proprietary home
Corporation
Home revenue
$12.3M
Profit
$445.8K
Proprietary home
Corporation
Home revenue
$12,258,728.00
Profit
$445,774.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.8M
25 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 49 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Additional licensing details
CMS Certification Number:
505128
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Skip Mc Donald, Administrator
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Types of Care at Sequim Health & Rehabilitation
Skilled Nursing
Compare Nursing Homes around Edmonds
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Sequim Health & Rehabilitation
-36%
-3%
SNF
Nursing Homes 24/7 care needed
Sequim
100
No
A+
49
ALDRED, JAMES
70.6%
$11,530,566.00
$4,483,963.00
38.9%
72.30
4.2247
1
56
2
-36%
0%
-3%
Edmonds Care
+48%
+3%
-12%
SNF
Nursing Homes 24/7 care needed
Edmonds
128
No
-
61
-
63.8%
$12,824,396.00
$5,057,564.00
39.4%
75.10
4.3473
1
97
1
+48%+3%-12%
Sequim Health & Rehabilitation
Type of care:
SNF
Community:
Sequim
Bed Count:
100
Pets Allowed:
No
Operator:
ALDRED, JAMES
CCN:
505128
Occupancy:
70.6%
Home Revenue:
$11,530,566.00
Payroll Costs:
$4,483,963.00
Payroll %:
38.9%
Avg Residents/Day:
72.30
Overall Rating:
Adj Nurse Hours:
4.2247
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
56
Severe Citations:
2
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-3%
-3%
Edmonds Care
Type of care:
SNF
Community:
Edmonds
Bed Count:
128
Pets Allowed:
No
CCN:
505236
Occupancy:
63.8%
Home Revenue:
$12,824,396.00
Payroll Costs:
$5,057,564.00
Payroll %:
39.4%
Avg Residents/Day:
75.10
Overall Rating:
Adj Nurse Hours:
4.3473
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
97
Severe Citations:
1
RN share vs State Avg:
+48%
+48%
Staffing vs State Avg:
+3%
+3%
Occupancy vs State Avg:
-12%
-12%Places of interest near Sequim Health & Rehabilitation
52.9 miles from city center — 0.4 miles to nearest hospital (Avamere Olympic Rehabilitation of Sequim)
650 W Hemlock St, Sequim, WA 98382
Calculate Travel Distance to Sequim Health & Rehabilitation
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
125
Total Staff
94
Employees
31
Contractors
33,179
Total Hours (Quarter)
38
Avg Staff/Day
9.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 9.4 | No |
| Licensed Practical Nurse | 16 | 11.6 | Yes |
| Certified Nursing Assistant | 52 | 10.1 | Yes |
Staff by Category
Administration ⓘ
3 staff
7.1hs shift avg
Nursing Staff ⓘ
90 staff
10.3hs shift avg
Physicians & Practitioners ⓘ
5 staff
8.5hs shift avg
Therapy Services ⓘ
18 staff
6.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
5.1hs shift avg
Dietary Services ⓘ
3 staff
8.3hs shift avg
Other Services ⓘ
3 staff
7.2hs shift avg
Contractor Analysis
7.1%
of total hours from contractors
2,361 contractor hours this quarter
Certified Nursing Assistant: 18
Licensed Practical Nurse: 9
Medical Director: 2
Occupational Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 34 | 18 | 52 | 15,170 | 91 | 100% | 10.1 |
| Licensed Practical Nurse | 7 | 9 | 16 | 4,842 | 91 | 100% | 11.6 |
| Nurse Aide in Training | 7 | 0 | 7 | 2,512 | 85 | 93% | 10.1 |
| Registered Nurse | 11 | 0 | 11 | 1,984 | 87 | 96% | 9.4 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,494 | 75 | 82% | 8.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,266 | 79 | 87% | 10.8 |
| Dental Services Staff | 2 | 0 | 2 | 766 | 65 | 71% | 7.2 |
| Speech Language Pathologist | 5 | 0 | 5 | 764 | 70 | 77% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 654 | 67 | 74% | 8.3 |
| Physical Therapy Aide | 2 | 0 | 2 | 635 | 82 | 90% | 6.3 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 585 | 58 | 64% | 9.9 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 406 | 54 | 59% | 6.5 |
| Physical Therapy Assistant | 3 | 0 | 3 | 403 | 62 | 68% | 6 |
| RN Director of Nursing | 1 | 0 | 1 | 370 | 46 | 51% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 153 | 22 | 24% | 7 |
| Dietitian | 1 | 0 | 1 | 111 | 13 | 14% | 8.5 |
| Qualified Social Worker | 3 | 0 | 3 | 77 | 13 | 14% | 5.1 |
| Medical Director | 0 | 2 | 2 | 24 | 11 | 12% | 2.2 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 14 | 15 | 16% | 0.8 |
Health Inspection History
Inspections
Total health citations
56
Citations per inspection
3.5
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than Washington averageWashington average: 0.3
Serious Health citations
1
1
41% better than Washington averageWashington average: 1.7
1 critical citation
1 serious citation
52 moderate citations
2 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Sep 12, 2025
Corrected
Nursing Services moderate citation
Aug 22, 2025
Corrected
Quality of Care moderate citation
Aug 22, 2025
Corrected
Quality of Care moderate citation
Aug 22, 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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Kalesta Healthcare Group
Resident Census by Payment Source
76
Total Residents
Medicare
26
(34.2%)
ⓘ
Medicaid
43
(56.6%)
ⓘ
Private Pay/Other
7
(9.2%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
42% better than Washington averageWashington average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.3%
Percent of long-stay residents whose ability to move independently worsened
19.3%
11% better than Washington averageWashington average: 21.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
41.8%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
64% better than Washington averageWashington average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.0%
Percent of long-stay high risk residents with pressure ulcers
8.0%
62% worse than Washington averageWashington average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.3%
Percent of long-stay residents with a urinary tract infection
3.3%
91% worse than Washington averageWashington average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.9%
Percent of long-stay residents who lose too much weight
3.9%
33% better than Washington averageWashington average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.0%
Percent of long-stay residents who have depressive symptoms
1.0%
94% better than Washington averageWashington average: 16.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.6%
Percent of long-stay residents who received an antipsychotic medication
12.6%
13% better than Washington averageWashington average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
In line with Washington averageWashington average: 96.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with Washington averageWashington average: 93.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
In line with Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
29% worse than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
13% better than Washington averageWashington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$61K
25% lower than Washington averageWashington average: $82K
Number of fines
1
46% fewer fines than Washington averageWashington average: 1.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$61K
Washington average
$82K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 14, 2023
$61K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Sequim Health & Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
70.6%
↓ 9.0pp vs 2022
Net Income
$445,774
↓ ~$1.3M vs 2022
Total Payroll
$5,199,523
↓ ~$52K vs 2022
Profit Margin
3.9%
↓ 9.4pp vs 2022
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