Sequim Health & Rehabilitation

Sequim Health & Rehabilitation is a Nursing Home in Washington

Sequim Health & Rehabilitation is a Nursing Home in Washington

Sequim Health & Rehabilitation

650 W Hemlock St, Sequim, WA 98382 View Map

Sequim Health & Rehabilitation is a Nursing Home in Washington

Sequim Health & Rehabilitation is a Nursing Home in Washington

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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.

+1 360-582-2400
Home Information SEQUIM BAY POST ACUTE
  • Occupancy levels track close to the statewide midpoint, indicating balanced availability. Bed capacity aligns with the typical community size in the state, allowing steady admissions. Resident stays are comparable to other state facilities, implying stable turnover.

  • Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll outlays align with state averages, keeping staffing resources on par with peers. Total income exceeds the majority of state facilities, highlighting strong profitability.

  • Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights hover around the statewide average, supporting a diversified mix.

Occupancy
Beds
100
Occupancy
74.9%
Total Bed Days Available
36500
Avg. Length of Stay
86 days
Avg. Residents per Day
72
Finance
Home Revenue
$13,430,807.00
Payroll Costs
$4,543,029.00
Profit
$1,786,002.00
Total Home Costs
$11,722,844.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
33.8%
House Specifics:
CCN
505128
Owner Name
ALDRED, JAMES
Rural vs. Urban
Rural
County
Clallam
Type of Control
Voluntary Nonprofit — Church
Operations
Total Admissions
321
Total Discharges
340
% Medicaid Admissions
4%
% Medicare Admissions
80%
% Private Pay Admissions
16%
% Medicaid Discharges
17%
% Medicare Discharges
60%
% Private Pay Discharges
23%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
2 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
2 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
4 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
4 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
4.22 hrs
Number of Fines
1
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
16757
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
7665
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
4649
Years in operation
18+ 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?

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Building Type: Single-story

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Fitness and Recreation

Types of Care at Sequim Health & Rehabilitation

Skilled Nursing

Places of interest near Sequim Health & Rehabilitation

Address 52.9 miles from city center

Address 650 W Hemlock St, Sequim, WA 98382

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Comparison Chart

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

24/7 care needed

Sequim
100
No
A+
49
ALDRED, JAMES
74.9%
$13,430,807.00
$4,543,029.00
33.8%
72.30
2/5
4.2247
2/5
4/5
4/5
1
Edmonds Care
SNF

24/7 care needed

Edmonds
128
No
-
61
-
68.4%
$10,758,107.00
$4,717,554.00
43.9%
75.10
2/5
4.3473
2/5
3/5
4/5
1

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 Nurse119.4 No
Licensed Practical Nurse1611.6 Yes
Certified Nursing Assistant5210.1 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 Assistant34185215,17091100%10.1
Licensed Practical Nurse79164,84291100%11.6
Nurse Aide in Training7072,5128593%10.1
Registered Nurse110111,9848796%9.4
Clinical Nurse Specialist4041,4947582%8.7
Medication Aide/Technician3031,2667987%10.8
Dental Services Staff2027666571%7.2
Speech Language Pathologist5057647077%7.3
Other Dietary Services Staff2026546774%8.3
Physical Therapy Aide2026358290%6.3
Respiratory Therapy Technician4045855864%9.9
Nurse Practitioner1014806066%8
Administrator1014725965%8
Occupational Therapy Aide2024065459%6.5
Physical Therapy Assistant3034036268%6
RN Director of Nursing1013704651%8
Mental Health Service Worker1011532224%7
Dietitian1011111314%8.5
Qualified Social Worker303771314%5.1
Medical Director022241112%2.2
Occupational Therapy Assistant022141516%0.8

Health Inspection History

Source: CMS Health Citations (Dec 2022 – Sep 2025)

16
Inspections
56
Total Citations
1
Critical (J-L)
1
Serious (G-I)
3.5
Citations/Inspection
Sep 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
2
Moderate (D-F)
52
Serious (G-I)
1
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
22
39% of total
Resident Rights
10
18% of total
Infection Control
3
5% of total
Abuse, Neglect & Exploitation
1
2% of total
Pharmacy Services
1
2% of total
Citation Sources
Standard Inspections 35
Complaint Investigations 21
Infection Control 1
State Comparison (WA)
Avg Citations (State)
48.9
This Facility: 56
Avg Critical (State)
0.3
This Facility: 1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Sep 12, 2025 D Care PlanningF0842 Corrected
Aug 22, 2025 F Nursing ServicesF0727 Corrected
Aug 22, 2025 E Quality of CareF0684 Corrected
Aug 22, 2025 D Quality of CareF0745 Corrected
Aug 22, 2025 D Quality of CareF0825 Corrected
Aug 22, 2025 E Care PlanningF0645 Corrected
Aug 22, 2025 D Care PlanningF0657 Corrected
Aug 22, 2025 E Care PlanningF0658 Corrected
Oct 09, 2024 D Abuse/NeglectF0609 Corrected
Aug 12, 2024 D Infection ControlF0880 Corrected
Aug 12, 2024 F Nursing ServicesF0725 Corrected
Aug 12, 2024 E NutritionF0803 Corrected
Aug 12, 2024 E NutritionF0804 Corrected
Aug 12, 2024 E Quality of CareF0688 Corrected
Aug 12, 2024 D Quality of CareF0693 Corrected
Aug 12, 2024 E Quality of CareF0694 Corrected
Aug 12, 2024 D Care PlanningF0641 Corrected
Aug 12, 2024 E Care PlanningF0657 Corrected
Aug 12, 2024 D Care PlanningF0658 Corrected
Aug 12, 2024 D Resident RightsF0552 Corrected
Aug 12, 2024 D Resident RightsF0623 Corrected
Aug 12, 2024 D Resident RightsF0625 Corrected
Jun 06, 2024 D Resident RightsF0585 Corrected
Apr 26, 2024 D Care PlanningF0658 Corrected
Apr 12, 2024 D Quality of CareF0690 Corrected
Feb 23, 2024 D Quality of CareF0688 Corrected
Feb 23, 2024 D Care PlanningF0657 Corrected
Jan 31, 2024 E Quality of CareF0677 Corrected
Jul 31, 2023 K Infection ControlF0880 Corrected
Jul 31, 2023 F Nursing ServicesF0727 Corrected
Jul 31, 2023 C Nursing ServicesF0732 Corrected
Jul 31, 2023 E Nursing ServicesF0947 Corrected
Jul 31, 2023 E PharmacyF0761 Corrected
Jul 31, 2023 D Quality of CareF0676 Corrected
Jul 31, 2023 D Quality of CareF0677 Corrected
Jul 31, 2023 D Quality of CareF0679 Corrected
Jul 31, 2023 D Quality of CareF0684 Corrected
Jul 31, 2023 D Quality of CareF0686 Corrected
Jul 31, 2023 D Quality of CareF0692 Corrected
Jul 31, 2023 D Care PlanningF0658 Corrected
Jul 31, 2023 E Resident RightsF0550 Corrected
Jul 31, 2023 D Resident RightsF0578 Corrected
Jul 31, 2023 E Resident RightsF0584 Corrected
Jul 14, 2023 D Quality of CareF0684 Corrected
Apr 27, 2023 D Quality of CareF0684 Corrected
Apr 27, 2023 D Quality of CareF0695 Corrected
Apr 27, 2023 D Care PlanningF0655 Corrected
Apr 07, 2023 D Resident RightsF0557 Corrected
Mar 14, 2023 C Infection ControlF0880 Corrected
Feb 23, 2023 D Quality of CareF0677 Corrected

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.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
8.3 Score
17% better than avg State avg: 10.0

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
23.5 Score
13% worse than avg State avg: 20.9

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
9.5%
Lost Too Much Weight
3.9%
Urinary Tract Infection
3.3%
Depressive Symptoms
1.0%
Falls with Major Injury
0.9%
Pneumococcal Vaccine
99.1%
Antipsychotic Use
12.6%
Walking Ability Worsened
19.3%
Influenza Vaccine
96.6%
High Risk Residents with Pressure Ulcers
8.0%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
41.8%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
91.3% Near average State: 88.1%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.8% 29% worse than avg State: 1.4%
Influenza Vaccine
92.4% 13% better than avg State: 82.0%

Penalties & 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 $61K State avg: $82K 25% better than avg
Number of Fines 1 State avg: 1.8
Compared to State Average Facility: $61K | State Avg: $82K
Penalty History

Showing all 1 penalties (Jul 2023 - Jul 2023)

Jul 14, 2023 Civil Money Penalty
$61K
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Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for Washington Seniors

Program
State Program Name
Eligibility
Benefits
Community Options Program Entry System (COPES)
WA Medicaid COPES
  • General: Age 65+ or disabled, Washington resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • WA Specifics: High demand in urban areas (e.g., Seattle).
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($70/day), home modifications ($1,500 avg.).
Washington Family Caregiver Support Program
  • General: Caregiver of someone 60+ (or with dementia), Washington resident.
  • Income Limits: No strict limit; prioritizes low-income.
  • Asset Limits: Not applicable.
  • WA Specifics: High urban demand; rural outreach.
  • Services: In-home respite (4-6 hours/day), adult day care (~$70/day), short-term facility care (up to 5 days).
Community First Choice (CFC)
Washington Community First Choice
Official government program page
  • General: Age 65+ (or disabled 18+), WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
  • Income Limits (2025): ~$2,829/month; QIT optional.
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • WA Specifics: Broader than COPES; serves ~20,000; self-directed option.
  • Services: Personal care (4-6 hours/day), respite (~240 hours/year), assistive devices, training, transportation.
Older Americans Act (OAA) Services
Washington OAA Services
  • General: Age 60+, WA resident; no income/asset limits.
  • Income Limits (2025): None; donations encouraged.
  • Asset Limits: Not assessed.
  • WA Specifics: 13 AAAs; includes Meals on Wheels; rural focus.
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Medicare Savings Program (MSP)
Washington Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, WA resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • WA Specifics: Includes Extra Help for Part D; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIHEAP)
Washington LIHEAP
  • General: Age 60+ prioritized, WA resident, low-income household.
  • Income Limits (2025): ~$3,970/month (185% FPL).
  • Asset Limits: Not assessed.
  • WA Specifics: Covers gas, electric, wood; emergency aid available.
  • Services: Heating/cooling aid ($300-$1,000/season), crisis aid ($500 max).
Senior Community Service Employment Program (SCSEP)
Washington SCSEP
  • General: Age 55+, unemployed, low-income, WA resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified.
  • WA Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Washington VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, WA resident, wartime service, ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth).
  • WA Specifics: High veteran use; supports rural/urban needs.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Senior Citizens Property Tax Exemption
Washington Senior Property Tax Exemption
Official government program page
  • General: Age 61+ or disabled retiree, WA resident, homeowner, income-based.
  • Income Limits (2025): ~$45,000-$70,000/year (varies by county, e.g., King: $70,000).
  • Asset Limits: Not assessed; home value cap varies (~$250,000-$400,000).
  • WA Specifics: Saves ~$500-$1,500/year; offered statewide.
  • Services: Tax exemption (~$500-$1,500/year depending on county).
Senior Farmers’ Market Nutrition Program (SFMNP)
  • General: Age 60+, WA resident, low-income.
  • Income Limits (2025): ~$2,322/month (185% FPL).
  • Asset Limits: Not assessed.
  • WA Specifics: Vouchers (~$80/season); serves ~20,000 via AAAs.
  • Services: Vouchers (~$80/season) for produce at farmers’ markets.

Claim What’s Yours Financial Aid for Washington Seniors

WA Medicaid COPES

Community Options Program Entry System (COPES)

Requirements:
  • General:
    Age 65+ or disabled, Washington resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • WA Specifics:
    High demand in urban areas (e.g., Seattle).
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($70/day), home modifications ($1,500 avg.).
WA NFCSP

Washington Family Caregiver Support Program

Requirements:
  • General:
    Caregiver of someone 60+ (or with dementia), Washington resident.
  • Income Limits:
    No strict limit; prioritizes low-income.
  • Asset Limits:
    Not applicable.
  • WA Specifics:
    High urban demand; rural outreach.
Benefits without Contact:
  • Services: In-home respite (4-6 hours/day), adult day care (~$70/day), short-term facility care (up to 5 days).
Washington Community First Choice

Community First Choice (CFC)

Requirements:
  • General:
    Age 65+ (or disabled 18+), WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
  • Income Limits (2025):
    ~$2,829/month; QIT optional.
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • WA Specifics:
    Broader than COPES; serves ~20,000; self-directed option.
Benefits without Contact:
  • Services: Personal care (4-6 hours/day), respite (~240 hours/year), assistive devices, training, transportation.
Washington OAA Services

Older Americans Act (OAA) Services

Requirements:
  • General:
    Age 60+, WA resident; no income/asset limits.
  • Income Limits (2025):
    None; donations encouraged.
  • Asset Limits:
    Not assessed.
  • WA Specifics:
    13 AAAs; includes Meals on Wheels; rural focus.
Benefits without Contact:
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Washington Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, WA resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • WA Specifics:
    Includes Extra Help for Part D; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Washington LIHEAP

Low-Income Home Energy Assistance Program (LIHEAP)

Requirements:
  • General:
    Age 60+ prioritized, WA resident, low-income household.
  • Income Limits (2025):
    ~$3,970/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • WA Specifics:
    Covers gas, electric, wood; emergency aid available.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), crisis aid ($500 max).
Washington SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, WA resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified.
  • WA Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Washington VA Aid and Attendance/Housebound

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

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, WA resident, wartime service, ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth).
  • WA Specifics:
    High veteran use; supports rural/urban needs.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Washington Senior Property Tax Exemption

Senior Citizens Property Tax Exemption

Requirements:
  • General:
    Age 61+ or disabled retiree, WA resident, homeowner, income-based.
  • Income Limits (2025):
    ~$45,000-$70,000/year (varies by county, e.g., King: $70,000).
  • Asset Limits:
    Not assessed; home value cap varies (~$250,000-$400,000).
  • WA Specifics:
    Saves ~$500-$1,500/year; offered statewide.
Benefits without Contact:
  • Services: Tax exemption (~$500-$1,500/year depending on county).
Washington SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Requirements:
  • General:
    Age 60+, WA resident, low-income.
  • Income Limits (2025):
    ~$2,322/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • WA Specifics:
    Vouchers (~$80/season); serves ~20,000 via AAAs.
Benefits without Contact:
  • Services: Vouchers (~$80/season) for produce at farmers’ markets.
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