MADISON POST ACUTE
CCN: 505463 · EVERETT, WA 98203 · Snohomish County
Overview
- Address
- 2520 MADISON, EVERETT, WA 98203
- Phone
- 4253534040
- Certified beds
- 59
- Avg daily residents
- 40 (67% of beds filled)
- Ownership
- For-profit partnership
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1992-01-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.29 | 4.21 | 3.94 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.89 | 0.74 | 0.82 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.84 | 0.93 | 0.78 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.56 | 2.54 | 2.34 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.74 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-21 | 15 | 14 | 4 | 108 | 1 | 108 |
| Cycle 2/3 (prior) | 2024-08-07 | 14 | 14 | 1 | 52 | 1 | 52 |
Deficiencies (55)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2025-11-24 | 2025-12-24 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-07-21 | 2025-09-01 |
| 0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-07-21 | 2025-09-01 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2025-07-21 | 2025-09-01 |
| 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-07-21 | 2025-09-01 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2025-07-21 | 2025-09-01 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-07-21 | 2025-09-01 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-07-21 | 2025-09-01 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-07-21 | 2025-09-01 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-07-21 | 2025-09-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-07-21 | 2025-09-01 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2025-07-21 | 2025-09-01 |
| 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2025-07-21 | 2025-09-01 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-07-21 | 2025-09-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-07-21 | 2025-09-01 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-08-07 | 2024-09-20 |
| 0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-08-07 | 2024-09-20 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-08-07 | 2024-09-20 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-08-07 | 2024-09-20 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-08-07 | 2024-09-20 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-07 | 2024-09-20 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-07 | 2024-09-20 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-07 | 2024-09-20 |
| 0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-08-07 | 2024-09-20 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-08-07 | 2024-09-20 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-08-07 | 2024-09-20 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2024-08-07 | 2024-09-20 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2024-08-07 | 2024-09-20 |
| 0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-08-07 | 2024-09-20 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-10-16 | 2023-11-30 |
| 0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2023-10-16 | 2023-11-30 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-10-16 | 2023-11-30 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-10-16 | 2023-11-30 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-10-16 | 2023-11-30 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-16 | 2023-11-30 |
| 0610 | Respond appropriately to all alleged violations. | E | 2023-10-16 | 2023-11-30 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2023-10-16 | 2023-11-30 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-10-16 | 2023-11-30 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-10-16 | 2023-11-30 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-10-16 | 2023-11-30 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-16 | 2023-11-30 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-10-16 | 2023-11-30 |
| 0679 | Provide activities to meet all resident's needs. | D | 2023-10-16 | 2023-11-30 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-10-16 | 2023-11-30 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-16 | 2023-11-30 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-16 | 2023-11-30 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-10-16 | 2023-11-30 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-10-16 | 2023-11-30 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-16 | 2023-11-30 |
| 0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2023-10-16 | 2023-11-30 |
Showing 50 most recent of 55. See the All Data CSV for the full list.
Penalties (1)
| Date | Type | Fine amount |
|---|---|---|
| 2023-10-16 | Fine | $71,318 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| 2520 MADISON STREET LLC | 5% OR GREATER MORTGAGE INTEREST | since 05/01/2024 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| STOCK, SHMUEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 05/01/2024 |
| BRITO, JOSE | W-2 MANAGING EMPLOYEE | since 05/01/2024 |
| PENNER, ANNIE | W-2 MANAGING EMPLOYEE | since 05/01/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $45 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 4.93 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 64.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 6.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-705,336 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,351,121 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 70.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -11.5% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,226,828 | metrics.total_assets |
| Cost Report | Total Costs ($) | $679,810 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $3,426,503 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $800,325 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -11.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.77507 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.34484 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.81952 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.93943 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.54882 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 39.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.93402 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.53845 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.73621 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.20868 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.70951 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | EVERETT | City/Town |
| Provider Information | CMS Certification Number (CCN) | 505463 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Snohomish | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1992-01-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 47.9361 | Latitude |
| Provider Information | Legal Business Name | EVERETT POST ACUTE, LLC | Legal Business Name |
| Provider Information | Location | 2520 MADISON,EVERETT,WA,98203 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.2 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 59 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.49095 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.08224 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Partnership | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2520 MADISON | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | MADISON POST ACUTE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 300 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 108 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 4 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 14 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-21 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 108 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 15 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 14 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-08-07 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 52 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 52 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 14 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.96184 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 55.6 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.73821 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.84488 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.55604 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05643 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.89333 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.29425 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | WA | State |
| Provider Information | Telephone Number | 4253534040 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 71318.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.86847 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 33.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 94.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 98203 | ZIP Code |