Show Inspection Reports
Total health inspections
4
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.
Josephine Caring Community
Nursing Home
Josephine Caring Community
Nursing Home
Josephine Caring Community is a caregiving community located in Stanwood, WA. It offers a range of services including Memory Care, Transitional Rehabilitation, Assisted Living, and Long Term Care. The community has been serving individuals and families since its establishment in 1908.
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
Smaller home
May offer a more intimate, personalized care environment.
Total beds
86
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.5%
Residents per day (avg)
114
Occupancy rate
72.5%
Residents per day (avg)
114
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
45% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
14% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
41% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Voluntary non-profit home
Church
Home revenue
$26.6M
Surplus of revenue
$697.2K
Voluntary non-profit home
Church
Home revenue
$26,598,310.00
Surplus of revenue
$697,155.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$10.4M
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.
$15.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$25.9M
86-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy Rate
59%
Occupied Beds
51 of 86
Percentage of available beds currently in use by residents.
License Status
OP
Facility Type
BH
Additional licensing details
License number:
569
CMS Certification Number:
505465
County:
Snohomish
Care Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Programs & Activities
Specific Programs
Memory Care, Transitional Rehabilitation, Assisted Living, Long Term Care, Early Learning and Childcare, Josephine At Home
Inspection History
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.
5 visits/inspections
3 visits/inspections triggered by complaints
1 other visits
1 life safety inspections
Results
5 with issues
0 without issues
Latest inspection
Date:August 13, 2025
Type:Complaint Investigation
17 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Washington
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Josephine Caring Community
-18%
-19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WA 98292
160
No
-
CHRISTOFERSON, BARBARA
72.5%
$20,310,123.00
$10,402,228.00
51.2%
113.70
3.4352
-
32
1
-18%-19%
0%
Hillcrest Assisted Living
-16%
+7%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WA 98902
313
No
-
EMMANS, PAUL
82.9%
$17,252,683.00
$8,685,952.00
50.3%
53.40
4.5293
4
34
4
-16%+7%+14%
Emerald Heights
+47%
+39%
-14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WA 98052
121
No
-
COMFORT, CRAIG
62.3%
$36,420,906.00
$10,671,940.00
29.3%
53.40
5.8770
2
42
1
+47%+39%-14%
Alderwood Post Acute & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Lynnwood
-
No
65
-
-
-
-
-
-
-
-
-
-
-
-
Josephine Caring Community
Type of care:
SNF
AL
Community:
WA 98292
Bed Count:
160
Pets Allowed:
No
Operator:
CHRISTOFERSON, BARBARA
CCN:
505465
Occupancy:
72.5%
Home Revenue:
$20,310,123.00
Payroll Costs:
$10,402,228.00
Payroll %:
51.2%
Avg Residents/Day:
113.70
Overall Rating:
Adj Nurse Hours:
3.4352
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
32
Severe Citations:
1
RN share vs State Avg:
-18%
-18%
Staffing vs State Avg:
-19%
-19%
Occupancy vs State Avg:
0%
Hillcrest Assisted Living
Type of care:
SNF
AL
Community:
WA 98902
Bed Count:
313
Pets Allowed:
No
Operator:
EMMANS, PAUL
CCN:
505409
Occupancy:
82.9%
Home Revenue:
$17,252,683.00
Payroll Costs:
$8,685,952.00
Payroll %:
50.3%
Avg Residents/Day:
53.40
Overall Rating:
Adj Nurse Hours:
4.5293
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
34
Severe Citations:
4
RN share vs State Avg:
-16%
-16%
Staffing vs State Avg:
+7%
+7%
Occupancy vs State Avg:
+14%
+14%
Emerald Heights
Type of care:
SNF
AL
Community:
WA 98052
Bed Count:
121
Pets Allowed:
No
Operator:
COMFORT, CRAIG
CCN:
505478
Occupancy:
62.3%
Home Revenue:
$36,420,906.00
Payroll Costs:
$10,671,940.00
Payroll %:
29.3%
Avg Residents/Day:
53.40
Overall Rating:
Adj Nurse Hours:
5.8770
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
42
Severe Citations:
1
RN share vs State Avg:
+47%
+47%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
-14%
-14%Places of interest near Josephine Caring Community
0.0 miles from city center
Stanwood, WA 98292
Calculate Travel Distance to Josephine Caring Community
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
152
Total Staff
124
Employees
28
Contractors
53,367
Total Hours (Quarter)
71
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 17 | 10.2 | No |
| Licensed Practical Nurse | 18 | 8.9 | No |
| Certified Nursing Assistant | 68 | 8.3 | No |
Staff by Category
Administration ⓘ
4 staff
7.1hs shift avg
Nursing Staff ⓘ
110 staff
8.7hs shift avg
Physicians & Practitioners ⓘ
4 staff
7hs shift avg
Therapy Services ⓘ
24 staff
4.8hs shift avg
Activities & Recreation ⓘ
1 staff
5.1hs shift avg
Social Services ⓘ
1 staff
5.2hs shift avg
Dietary Services ⓘ
4 staff
8hs shift avg
Other Services ⓘ
4 staff
7.2hs shift avg
Contractor Analysis
3.6%
of total hours from contractors
1,932 contractor hours this quarter
Occupational Therapy Assistant: 2
Physical Therapy Assistant: 8
Qualified Social Worker: 1
Physical Therapy Aide: 3
Occupational Therapy Aide: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 7
Medical Director: 2
Therapeutic Recreation Specialist: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
32
Citations per inspection
8
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Washington averageWashington average: 0.3
Serious Health citations
1
1
41% better than Washington averageWashington average: 1.7
0 critical citations
1 serious citation
30 moderate citations
1 minor citation
Citations history (last 3 years)
Administration moderate citation
Sep 15, 2025
Corrected
Infection Control moderate citation
Sep 15, 2025
Corrected
Nursing Services moderate citation
Sep 15, 2025
Corrected
Pharmacy moderate citation
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit (Church)
Resident Census by Payment Source
113
Total Residents
Medicare
21
(18.6%)
ⓘ
Medicaid
81
(71.7%)
ⓘ
Private Pay/Other
11
(9.7%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
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.
7.9
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
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
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
14.2%
Percent of long-stay residents whose need for help with daily activities has increased
14.2%
14% better than Washington averageWashington average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.5%
Percent of long-stay residents whose ability to move independently worsened
16.5%
24% 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
20.4%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
48% better than Washington averageWashington average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
59% better than Washington averageWashington average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
69% better than Washington averageWashington average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.4%
Percent of long-stay residents who lose too much weight
5.4%
7% better than Washington averageWashington average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
91.0%
Percent of long-stay residents who have depressive symptoms
91.0%
461% worse than Washington averageWashington average: 16.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.9%
Percent of long-stay residents who received an antipsychotic medication
21.9%
51% worse than Washington averageWashington average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
In line with Washington averageWashington average: 96.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
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
98.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
12% better than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
70% better than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.2%
7% worse 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.
Financial Trends
Historical financial and operational data for Josephine Caring Community based on CMS SNF Cost Reports.
Occupancy Rate
72.5%
↓ 3.9pp vs 2022
Net Income
$697,155
↑ ~$3.4M vs 2022
Total Payroll
$13,016,256
↑ ~$236K vs 2022
Profit Margin
3.4%
↑ 17.6pp vs 2022
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