BAINBRIDGE ISLAND HEALTH & REHAB CENTER
835 MADISON AVENUE NORTH, BAINBRIDGE ISLAND, WA 98110 · CCN 505325
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 58
- Avg residents/day
- 41.4
- Phone
- 2068424765
Inspection history vs Washington & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Washington avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-17 | 5 | 17.0 | 9.5 | -12.0 better |
| 2 | 2024-09-13 | 4 | 17.2 | 9.8 | -13.2 better |
| 3 | 2023-09-29 | 9 | 15.5 | 9.3 | -6.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.92 | 35.9% |
| RN staffing (reported) | 1.32 | 16.7% |
| Total nurse staffing (adjusted) | 3.76 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (18)
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-11-17 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-17 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-11-17 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-17 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-07-15 · Health · corrected 2025-08-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-13 · Health · corrected 2024-10-18
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-13 · Health · corrected 2024-10-18
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-13 · Health · corrected 2024-10-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-13 · Health · corrected 2024-10-18
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0761Ensure 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.2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-29 · Health · corrected 2023-11-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PENNANT HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-12-01 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2011-07-22 |
| DE ORO, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-04-01 |
| KRETCHMAR, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-12-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2014-12-02 |
| FARNSWORTH, STEPHEN | Individual | CORPORATE OFFICER | — | 2023-01-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in BAINBRIDGE ISLAND
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.