SNF
JOSEPHINE CARING COMMUNITY
CCN: 505465 · STANWOOD, WA 98292 · Snohomish County
CCRC
Overview
- Address
- 9901 272ND PLACE NORTHWEST, STANWOOD, WA 98292
- Phone
- 3606292126
- Certified beds
- 160
- Avg daily residents
- 116 (73% of beds filled)
- Ownership
- Non-profit (church-affiliated)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1992-01-01
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
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 | 4.45 | 5.02 | 3.42 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.81 | 0.88 | 0.62 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.82 | 1.12 | 0.63 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.82 | 3.03 | 2.17 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.63 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
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
Total nurse (weekend)
3.62
hrs / resident / day
RN (weekend)
0.52
hrs / resident / day
Total nurse (adjusted, weekend)
2.78
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
23.9%
annual
RN turnover
38.1%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.78
higher acuity than avg
Case-Mix Index Ratio
1.29
facility / state ratio
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) | 2025-09-15 | 12 | 10 | 2 | 60 | 1 | 60 |
| Cycle 2/3 (prior) | 2024-07-15 | 7 | 7 | 0 | 52 | 1 | 52 |
Total weighted health score
58.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (31)
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).
1 A/B/C No actual harm — minor
29 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2026-01-22 | 2026-03-02 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-22 | 2026-03-02 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-09-15 | 2025-10-27 |
| 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 | 2025-09-15 | 2025-10-27 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-09-15 | 2025-10-27 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-09-15 | 2025-10-27 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-09-15 | 2025-10-27 |
| 0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2025-09-15 | 2025-10-27 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-09-15 | 2025-10-27 |
| 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-09-15 | 2025-10-27 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-09-15 | 2025-10-27 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-09-15 | 2025-10-27 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-07-15 | 2024-08-20 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-15 | 2024-08-20 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-07-15 | 2024-08-20 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-07-15 | 2024-08-20 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-07-15 | 2024-08-20 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-07-15 | 2024-08-20 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-07-15 | 2024-08-20 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-04-25 | 2023-06-05 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-04-25 | 2023-06-05 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2023-04-25 | 2023-06-05 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-04-25 | 2023-06-05 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2023-04-25 | 2023-06-05 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-04-25 | 2023-06-05 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-04-25 | 2023-06-05 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2023-04-25 | 2023-06-05 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-04-25 | 2023-06-05 |
| 0791 | Provide or obtain dental services for each resident. | D | 2023-04-25 | 2023-06-05 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-04-25 | 2023-06-05 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-04-25 | 2023-06-05 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 5.8% Medicaid 69.0% Other 25.2%
Operating performance
Operating Margin
-29.4%
Total Margin
2.8%
Occupancy Rate
72.5%
Cost per Resident Day
$25
Revenue & costs
Net Patient Revenue
$19.0M
Total Costs
$1.1M
Net Income
$697K
Balance sheet
Total Assets
$34.0M
Total Liabilities
$7.9M
Fund Balance
$26.1M
Current Ratio
1.54
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| MISSION INVESTMENT FUND OF THE ELCA | 5% OR GREATER MORTGAGE INTEREST | since 11/01/2023 |
Owner / manager individuals (15)
| Name | Role | Association |
|---|---|---|
| DEW, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 01/29/2019 |
| HANSON, ALISHA | OPERATIONAL/MANAGERIAL CONTROL | since 04/23/2008 |
| LINDGREN, TERI | OPERATIONAL/MANAGERIAL CONTROL | since 10/20/2008 |
| ROBERTSON, TERRY | OPERATIONAL/MANAGERIAL CONTROL | since 02/21/2008 |
| BARNES, JANET | CORPORATE DIRECTOR | since 07/01/2024 |
| CHRISTOFERSON, BARBARA | CORPORATE DIRECTOR | since 05/01/2023 |
| FOSSE, ERNEST | CORPORATE DIRECTOR | since 07/26/2022 |
| JOHNSON, JULIE | CORPORATE DIRECTOR | since 06/01/2024 |
| KINNEY, BRETT | CORPORATE DIRECTOR | since 07/26/2022 |
| LAMBING, KRISTI | CORPORATE DIRECTOR | since 04/01/2024 |
| SHOUP, PAUL | CORPORATE DIRECTOR | since 08/25/2021 |
| CURTIS, EARL | CORPORATE OFFICER | since 04/01/2024 |
| LARSEN, MICHAEL | CORPORATE OFFICER | since 10/01/2018 |
| LUCAS, THOMAS | CORPORATE OFFICER | since 04/25/2023 |
| ROBERTSON, TERRY | CORPORATE OFFICER | since 02/21/2008 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 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 ($) | $25 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.54 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 69.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.8% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $697,155 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $19,021,600 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 72.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -29.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $34,024,068 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,070,383 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $26,111,859 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $7,912,209 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.63289 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.16554 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.62113 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.41957 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.78284 | 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 | 116.4 | 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 | 1.11512 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 3.03066 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.87896 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 5.02474 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.42878 | 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 | STANWOOD | City/Town |
| Provider Information | CMS Certification Number (CCN) | 505465 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | 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 | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 48.2436 | Latitude |
| Provider Information | Legal Business Name | JOSEPHINE CARING COMMUNITY | Legal Business Name |
| Provider Information | Location | 9901 272ND PLACE NORTHWEST,STANWOOD,WA,98292 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.37 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 160 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.78004 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.29209 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Church related | 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 | 9901 272ND PLACE NORTHWEST | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | JOSEPHINE CARING COMMUNITY | 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 | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 60 | 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 | 2 | 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 | 10 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-09-15 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 60 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 12 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-07-15 | 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 | 0 | 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 | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.52346 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 38.1 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.63203 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.82367 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.81830 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04247 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.80836 | 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 | 4.45034 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | 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 | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | WA | State |
| Provider Information | Telephone Number | 3606292126 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.62168 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 23.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 58.000 | 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 | 98292 | ZIP Code |