Show Inspection Reports
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 in Edmonds
CMS overall rating
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.
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.
Sequim Health & Rehabilitation
Nursing Home in Edmonds
CMS overall rating
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.
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.
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
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 35th out of 66 homes in Washington.
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.
This home is ranked 35th out of 66 homes in Washington.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.
4h 13m per day
vs Washington avg
-3%
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%
Avg. Length of Stay
108 days
Occupancy rate
70.6%
Avg. Length of Stay
108 days
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
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
$12.3M
Profit
$445.8K
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
CMS Certification Number505128
Staffing
Key information about the people who lead and staff this community.
ContactSkip Mc Donald, Administrator
What does this home offer?
Building Type: Single-story
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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Washington average: 8 complaint visits
Washington average: 9 inspections
Latest inspection
Date
September 12, 2025
Other57 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Washington average: 31 deficiencies
Inspection Report Summary for Sequim Health & Rehabilitation
The most recent inspection on September 12, 2025, identified a deficiency related to incomplete and inaccessible medical records, which delayed Social Security payments for one resident. Earlier inspections showed a pattern of deficiencies involving care planning, medication administration, staffing shortages, infection control, and timely provision of services such as rehabilitative therapy and wound care. Complaint investigations substantiated issues with staffing shortages causing delayed assistance, inadequate urinary catheter care leading to hospitalization, and failures in resident dignity and grievance procedures. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with care coordination and staffing, with some improvement noted in the absence of immediate jeopardy findings since mid-2023.
Health Inspection History
Inspections
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
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
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 12, 2025
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
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 22, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 22, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 22, 2025
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 22, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Compare Nursing Homes around Edmonds The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Filter by care type
| 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 | 3.5 | 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 (72Nd Avenue West) | 128 | 63.8% | -12% | 4.35 | +48% | +3% | 1 | 97 | 6.1 | 1 | 75 | - | 61 | - | $12.8M | $5.1M | 39.4% | 505236 |
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Places of interest near Sequim Health & Rehabilitation
52.9 miles from city center
Estimated distance in miles from Sequim's city center to Sequim Health & Rehabilitation's address, calculated via Google Maps.
— 0.4 miles to nearest hospital (Avamere Olympic Rehabilitation of Sequim)
Calculate Travel Distance to Sequim Health & Rehabilitation
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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 averageWashington average ratio: 1.85:1
Avg staff/day
38
Average shift
9.6 hours
19% better than Washington averageWashington 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
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis 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 residents
76
Medicare
26
34.2% of residents
Medicaid
43
56.6% of residents
Private pay or other
7
9.2% of residents
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
$445.8K
↓ ~$1.3M vs 2022
Total Payroll
$5.2M
↓ ~$52.3K vs 2022
Profit Margin
3.9%
↓ 9.4pp vs 2022
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