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Nursing Home

Sequim Health & Rehabilitation

Nursing Home

Sequim Health & Rehabilitation

650 W Hemlock St, Sequim, WA 98382 View map
Overview of Sequim Health & Rehabilitation

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.

(360) 582-2400

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5
Washington average: 3.5/5
Health Inspection Info 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.
2/5
Washington average: 2.9/5
Staffing Info 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.
4/5
Washington average: 3.9/5
Quality Measures Info 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.
4/5
Washington average: 4.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 13m per day

This home provides 3% less nursing time per resident than the Washington average.

Washington average: 4h 22m per day

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.

Lower demand than the Washington average
Occupancy rate 70.6%
Residents per day (avg) 72
Occupancy rate
70.6%
Residents per day (avg)
72

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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

Privately-owned community
Operated by a business corporation.
Home revenue
$12.3M
Profit
$445.8K
Privately-owned community Operated by a business corporation.
Home revenue
$12,258,728.00
Profit
$445,774.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.5M
36.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.3M
Total costs $11.8M
Years in operation
25 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 49 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
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

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 icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Sequim Health & Rehabilitation

Skilled Nursing

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.

18 visits/inspections

7 visits/inspections triggered by complaints

5 routine inspections

Results

17 with issues

1 without issues

Washington average: 8 complaint visits

Washington average: 9 inspections

Latest inspection

Date:September 12, 2025
Type:Other

57 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 16

Washington average 7.8


Last Health inspection on Sep 2025

Total health citations 56

Washington average 48.9

Citations per inspection
3.5

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.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
233% worse than Washington average

Washington average: 0.3


Serious Health citations More info 1
41% better than Washington average

Washington average: 1.7

1 critical citation More info Washington average: 0.3

1 serious citation More info Washington average: 1.7

52 moderate citations More info Washington average: 46.3

2 minor citations More info Washington average: 0.5
Citations history (last 3 years)
Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 12, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Aug 22, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Aug 22, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Aug 22, 2025
Corrected

Compare Nursing Homes around Edmonds The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

2 facilities compared · CMS & WA Dept. of Health data · Updated Apr 2026

Sequim Health & 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).

Sequim
100
70.6%
-3%
4.22
-36%
0%
1
56
2
72
A+
49
Aldred, James
$11,5M
$4,5M
38.9%
505128
Edmonds Care
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).

Edmonds
128
63.8%
-12%
4.35
+48%
+3%
1
97
1
75
-
61
-
$12,8M
$5,1M
39.4%
505236

Places of interest near Sequim Health & Rehabilitation

Address 52.9 miles from city center — 0.4 miles to nearest hospital (Avamere Olympic Rehabilitation of Sequim)

Address 650 W Hemlock St, Sequim, WA 98382

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 125
Employees 94
Contractors 31
Staff to resident ratio 1.64:1
11% worse than Washington average

Washington average ratio: 1.85:1

Avg staff/day 38
Average shift 9.6 hours
19% better than Washington average

Washington average: 8.1 hours

Total staff hours (quarter) 33,179
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.6 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 52
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

7.1%

2,361 contractor hours this quarter

Certified Nursing Assistant: 18 Licensed Practical Nurse: 9 Medical Director: 2 Occupational Therapy Assistant: 2
Staff by category
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
52 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
7 Nurse Aide in Training
% of Days 93%
11 Registered Nurse
% of Days 96%
4 Clinical Nurse Specialist
% of Days 82%
3 Medication Aide/Technician
% of Days 87%
2 Dental Services Staff
% of Days 71%
5 Speech Language Pathologist
% of Days 77%
2 Other Dietary Services Staff
% of Days 74%
2 Physical Therapy Aide
% of Days 90%
4 Respiratory Therapy Technician
% of Days 64%
1 Nurse Practitioner
% of Days 66%
1 Administrator
% of Days 65%
2 Occupational Therapy Aide
% of Days 59%
3 Physical Therapy Assistant
% of Days 68%
1 RN Director of Nursing
% of Days 51%
1 Mental Health Service Worker
% of Days 24%
1 Dietitian
% of Days 14%
3 Qualified Social Worker
% of Days 14%
2 Medical Director
% of Days 12%
2 Occupational Therapy Assistant
% of Days 16%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
76 residents
Residents by payment source
Medicare
26 residents (34.2%)
Medicaid
43 residents (56.6%)
Private pay or other
7 residents (9.2%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info 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 average

Washington average: 10.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.5
13% worse than Washington average

Washington average: 20.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.5%
42% better than Washington average

Washington average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.3%
11% better than Washington average

Washington average: 21.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 41.8%
72% worse than Washington average

Washington average: 24.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.9%
64% better than Washington average

Washington average: 2.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.0%
62% worse than Washington average

Washington average: 4.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.3%
91% worse than Washington average

Washington average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.9%
33% better than Washington average

Washington average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.0%
94% better than Washington average

Washington average: 16.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.6%
13% better than Washington average

Washington average: 14.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
In line with Washington average

Washington average: 96.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.6%
In line with Washington average

Washington average: 93.8%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.3%
In line with Washington average

Washington average: 88.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.8%
29% worse than Washington average

Washington average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.4%
13% better than Washington average

Washington average: 82.0%

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 average

Washington average: $82K

Number of fines 1
46% fewer fines than Washington average

Washington average: 1.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Washington average

Washington 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 14, 2023
$61K

Last updated: Jan 2026

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Financial Aid for Washington Seniors

Get financial aid guidance

Community Options Program Entry System (COPES)

WA Medicaid COPES

Age 65+ or disabled, Washington resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand in urban areas (e.g., Seattle).

Washington Family Caregiver Support Program

WA NFCSP

Caregiver of someone 60+ (or with dementia), Washington resident.

No strict limit; prioritizes low-income.

Not applicable.

High urban demand; rural outreach.

Community First Choice (CFC)

Washington Community First Choice

Age 65+ (or disabled 18+), WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.

~$2,829/month; QIT optional.

$2,000 (individual), $3,000 (couple).

Broader than COPES; serves ~20,000; self-directed option.

Older Americans Act (OAA) Services

Washington OAA Services

Age 60+, WA resident; no income/asset limits.

None; donations encouraged.

Not assessed.

13 AAAs; includes Meals on Wheels; rural focus.

Medicare Savings Program (MSP)

Washington Medicare Savings Program

Age 65+ or disabled, WA resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Washington LIHEAP

Age 60+ prioritized, WA resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

Covers gas, electric, wood; emergency aid available.

Senior Community Service Employment Program (SCSEP)

Washington SCSEP

Age 55+, unemployed, low-income, WA resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Washington VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, WA resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran use; supports rural/urban needs.

Senior Citizens Property Tax Exemption

Washington Senior Property Tax Exemption

Age 61+ or disabled retiree, WA resident, homeowner, income-based.

~$45,000-$70,000/year (varies by county, e.g., King: $70,000).

Not assessed; home value cap varies (~$250,000-$400,000).

Saves ~$500-$1,500/year; offered statewide.

Senior Farmers’ Market Nutrition Program (SFMNP)

Washington SFMNP

Age 60+, WA resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$80/season); serves ~20,000 via AAAs.

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