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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.
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.
Josephine Caring Community is an 86-bed nonprofit community in Stanwood, Washington, offering memory care, assisted living, transitional rehabilitation, and long-term care. Established in 1908, it is operated by Barbara Christoferson and serves residents across Snohomish County. The community accepts Medicare, Medicaid, and private pay.
CMS rates Josephine five stars overall, with Health Inspection and Quality Measure scores each running well above the Washington average. Across five inspections since 2023, the facility recorded 17 total deficiencies — 45% fewer than the Washington mean — with no fines, no Immediate Jeopardy findings, and no license actions. A substantiated complaint in August 2025 found an 11-day gap in Nurse Delegator coverage; the facility subsequently hired a replacement. The more significant data tension is staffing: nurse staffing averages 3 hours and 26 minutes per resident per day, 22.1% below the Washington average, ranking the facility 81st out of 89 state SNFs.
Two programs distinguish the community beyond standard care: Josephine At Home extends services to residents living in their own homes, and an onsite Early Learning and Childcare program integrates intergenerational programming into daily life. The facility’s occupancy rate is 59%, below the state average of 72.5%, indicating current availability across care levels.
Josephine Caring Community fits residents seeking long-term assisted living or memory care within a mission-driven, nonprofit setting and is structured for short-term rehabilitation stays for those who can tolerate staffing levels below the state norm.
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 81st out of 89 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.
| 48m per day | ▼ 9% 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.
| 54m per day | ▲ 11% 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 54m per day | ▲ 8% State avg: 2h 41m per day · National avg: 2h 20m 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 47m per day | ■ Avg 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.
| 2m per day | ▼ 59% 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.
| 34m per day | ▼ 11% State avg: 38m per day · National avg: 28m per day |
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
| 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.
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.
29 of 32 citations resulted from standard inspections; and 3 of 32 resulted from complaint investigations.
100% better 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.
29% fewer staff per resident than Washington average
0% compared with 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 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
All 74 CNA Staff are full-time employees. No contractors work on this role.
74
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,630 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 74 | 0 | 74 | 30,361 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 19 | 0 | 19 | 8,193 | 92 | 100% | 9 |
| Registered Nurse | 16 | 0 | 16 | 7,719 | 92 | 100% | 10.5 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,771 | 91 | 99% | 7.9 |
| RN Director of Nursing | 3 | 0 | 3 | 1,294 | 65 | 71% | 7.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,293 | 63 | 68% | 7.7 |
| Administrator | 2 | 0 | 2 | 860 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 359 | 48 | 52% | 6.4 |
| Dental Services Staff | 1 | 0 | 1 | 338 | 52 | 57% | 6.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 296 | 38 | 41% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 245 | 42 | 46% | 5.8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 242 | 59 | 64% | 4.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 225 | 32 | 35% | 7 |
| Qualified Social Worker | 0 | 2 | 2 | 185 | 41 | 45% | 4.5 |
| Physical Therapy Assistant | 0 | 8 | 8 | 121 | 37 | 40% | 2.5 |
| Occupational Therapy Aide | 0 | 3 | 3 | 102 | 44 | 48% | 2.2 |
| Medical Director | 0 | 3 | 3 | 100 | 30 | 33% | 3.2 |
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.
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.
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.
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.
Historical financial and operational data for Josephine Caring Community based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #13 / 93Payroll — State benchmarkedThis home is ranked 13th out of 93 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Add your location
Josephine Caring Community is located in Stanwood, Washington.
Here are the financial assistance programs available to residents in Washington.
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Timber Ridge |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Issaquah (Talus) | 26
Facility
26
WA AVG
82
Rank
#352 / 366 |
88.5%
Facility
88.5%
WA AVG
72.5%
Rank
#56 / 310 | +22% | 5.65
Facility
5.65
WA AVG
4.22
Rank
#5 / 89 | -34% | +34% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 91 | 17
Facility
17
WA AVG
48.9
Rank
#6 / 91 | 5.7
Facility
5.7
WA AVG
6.9
Rank
#37 / 91 | - | 23 | A+ |
19
Facility
19
WA AVG
51
Rank
#532 / 628 | Lcs Timber Ridge LLC | $36.1M
Facility
$36.1M
WA AVG
$13.2M
Rank
#6 / 93 | $13.6M
Facility
$13.6M
WA AVG
$5.7M
Rank
#11 / 93 | 37.7%
Facility
37.7%
WA AVG
45.5%
Rank
#76 / 93 | 505518 | ||||
| Life Care Center of Port Townsend |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Port Townsend (Kearney Street) | 94
Facility
94
WA AVG
82
Rank
#128 / 366 |
41.3%
Facility
41.3%
WA AVG
72.5%
Rank
#289 / 310 | -43% | 3.99
Facility
3.99
WA AVG
4.22
Rank
#52 / 89 | +17% | -6% | $34.8k
Facility
$34.8k
WA AVG
$87.7k
Rank
#57 / 91 | 32
Facility
32
WA AVG
48.9
Rank
#20 / 91 | 6.4
Facility
6.4
WA AVG
6.9
Rank
#48 / 91 | 3 | 42 | - |
64
Facility
64
WA AVG
51
Rank
#198 / 628 | Angela Cerna | $7.5M
Facility
$7.5M
WA AVG
$13.2M
Rank
#82 / 93 | $4.2M
Facility
$4.2M
WA AVG
$5.7M
Rank
#76 / 93 | 56.5%
Facility
56.5%
WA AVG
45.5%
Rank
#24 / 93 | 505306 | ||||
| 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
Facility
86
WA AVG
82
Rank
#147 / 366 |
59.3%
Facility
59.3%
WA AVG
72.5%
Rank
#257 / 310 | -18% | 3.44
Facility
3.44
WA AVG
4.22
Rank
#81 / 89 | -25% | -19% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 91 | 32
Facility
32
WA AVG
48.9
Rank
#20 / 91 | 8.0
Facility
8.0
WA AVG
6.9
Rank
#63 / 91 | 1 | 51 | - |
59
Facility
59
WA AVG
51
Rank
#261 / 628 | Barbara Christoferson | $26.6M
Facility
$26.6M
WA AVG
$13.2M
Rank
#11 / 93 | $13.0M
Facility
$13.0M
WA AVG
$5.7M
Rank
#13 / 93 | 48.9%
Facility
48.9%
WA AVG
45.5%
Rank
#47 / 93 | 505465 | ||||
| Sharon Care Center |
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. | Centralia | 72
Facility
72
WA AVG
82
Rank
#202 / 366 |
86.1%
Facility
86.1%
WA AVG
72.5%
Rank
#67 / 310 | +19% | 4.21
Facility
4.21
WA AVG
4.22
Rank
#38 / 89 | +25% | 0% | $0
Facility
$0
WA AVG
$87.7k
Rank
#36 / 91 | 35
Facility
35
WA AVG
48.9
Rank
#27 / 91 | 11.7
Facility
11.7
WA AVG
6.9
Rank
#81 / 91 | - | 62 | - |
49
Facility
49
WA AVG
51
Rank
#334 / 628 | Summit Care LLC | $12.9M
Facility
$12.9M
WA AVG
$13.2M
Rank
#58 / 93 | $6.4M
Facility
$6.4M
WA AVG
$5.7M
Rank
#52 / 93 | 49.6%
Facility
49.6%
WA AVG
45.5%
Rank
#42 / 93 | 505429 | ||||
| Kline Galland Home |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seattle (Seward Park) | 205
Facility
205
WA AVG
82
Rank
#5 / 366 |
93.5%
Facility
93.5%
WA AVG
72.5%
Rank
#30 / 310 | +29% | 4.63
Facility
4.63
WA AVG
4.22
Rank
#15 / 89 | +8% | +10% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 91 | 22
Facility
22
WA AVG
48.9
Rank
#10 / 91 | 7.3
Facility
7.3
WA AVG
6.9
Rank
#55 / 91 | - | 197 | - |
44
Facility
44
WA AVG
51
Rank
#377 / 628 | Jeanie Alhadeff | $57.8M
Facility
$57.8M
WA AVG
$13.2M
Rank
#1 / 93 | $36.6M
Facility
$36.6M
WA AVG
$5.7M
Rank
#1 / 93 | 63.4%
Facility
63.4%
WA AVG
45.5%
Rank
#9 / 93 | 505442 |
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.
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.
Josephine Caring Community is in Snohomish County.
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