Find a nursing home

Home / Washington / Battle Ground

Brookfield Health and Rehab of Cascadia

510 North Parkway, Battle Ground, WA 98604 · Clark County · (360) 687-5141

83 certified beds, about 56 residents a day · For profit - Corporation · Medicare and Medicaid since 1989

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505331 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 4, 2026, inspectors cited 14 health deficiencies (the Washington average is 15.8, the national average 9.2).

Of 40 health citations since January 2024, 6 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $10,358 in the last three years; the largest was $10,358, and the latest is dated April 18, 2025.

Nurses and nurse aides worked 3.46 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 1.03 of those hours.

65.9% of nursing staff left within the year CMS measured (Washington average 45.1%).

CMS links it to Cascadia Healthcare, an affiliated group of 47 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
6G
0H
0I
Potential for more than minimal harm
27D
5E
0F
Potential for minimal harm
0A
0B
2C
June 4, 2026Standard inspection · 14 citations
  1. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents who had personal fund accounts established received accrued interest in those accounts for 2 of 3 sampled residents (Residents 34 and 36) reviewed for Trust Funds interest accrued. This failure placed residents at risk not to receive, or have access to, monies owed to them.
  2. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to complete an AIMS (Abnormal Involuntary Movement Scale) test (a rating scale used to assess the severity of involuntary movements that sometimes develop as a side effect of treatment with antipsychotic medications [drugs used primarily to treat symptoms such as hallucinations and delusions]) for 1 of 5 sampled residents (Resident 51) reviewed for unnecessary medications. This failure placed residents at risk for adverse medication side-effects, medical complications, and a diminished quality of life.
  3. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide a written Bed-Hold notice to residents and/or residents' representative at the time of transfer to the hospital for 2 of 2 sampled residents (Residents 39 and 3) reviewed for hospitalization. This failure placed residents at risk for lack of knowledge regarding their right to hold their bed while in the hospital.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Minimum Data Set (MDS, an assessment tool) was completed accurately to reflect a resident's health status and/or care needs for 1 of 5 sampled residents (Resident 46) reviewed for activities of daily living; failed to identify Hospice services for 1 of 2 sampled residents (Resident 14) reviewed for Hospice; and 1 of 5 sampled residents (Resident 52) reviewed for unnecessary medications. This failure placed residents at risk for unidentified and/or unmet care needs and a diminished quality of life.
  5. D
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    F646 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to notify the state mental health authority coordinator of a significant change in physical condition, for 1 of 5 residents (Resident 7) reviewed for PASARR process (Preadmission Screening and Resident Review, a screening tool used to identify mental health needs). This failure placed the residents at risk for unmet care needs and a diminished quality of life.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident care plans were revised to accurately reflect care needs for 1 of 2 sampled residents (Resident 7) reviewed for hospice and 1 of 1 sampled resident (Resident 39) reviewed for skin conditions. This failure placed residents at risk for unmet care needs and a diminished quality of life.
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure services provided met professional standards by not following physician's orders for 1 of 5 residents (Resident 51) reviewed for unnecessary medications. This failure placed residents at risk for unmet care needs, medical complications, and a diminished quality of life.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain physician and/or treatment orders for skin and/or wound care for 1 of 1 sampled resident (Resident 39) reviewed for skin conditions. This failure placed residents at risk of injury, unmet care needs, and a diminished quality of life.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain physician orders for oxygen and/or BiPAP (Bi-level Positive Airway Pressure, a non-invasive ventilator that delivers air and oxygen into the lungs using a mask to help people breathe more easily) use for 1 of 2 sampled residents (Resident 39) and failed to change oxygen tubing as ordered for 1 of 2 sampled residents (Residents 60) reviewed for respiratory care. This failure placed residents at risk for worsening health complications, unmet care needs, and a diminished quality of life.
  10. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure monthly pharmacy review recommendations were addressed as indicated for 1 of 5 residents (Resident 51) reviewed for unnecessary medications. This failure placed residents at risk of inadequately monitored medications, adverse effects, and a diminished quality of life.
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to ensure resident's medical records were accurate and up to date for 1 of 2 sampled residents (Resident 7) reviewed for hospice and 1 of 5 sampled residents (Resident 7) reviewed for pre-admission screening and resident review (PASARR, An assessment used to identify individuals [residents] with serious mental issues, intellectual disabilities, or related conditions are not inappropriately placed in nursing facilities for long term care). This failure placed residents at risk for unmet care needs and a diminished quality of life.
  12. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on interview and record review, the facility failed to offer the Covid-19 (Coronavirus disease 2019, an infectious respiratory illness caused by a virus) vaccine and/or provide education regarding risks, benefits, and potential side effects associated with the vaccine, for 1 of 5 sampled residents (Resident 52) reviewed for unnecessary medications. This failure placed residents at risk for contracting Covid-19 infections, related complications, and a diminished quality of life.
  13. C
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide eating assistance in a manner that promoted resident respect and dignity for 1 of 9 residents (Resident 14) reviewed for dining. This failure place residents at risk for diminished self-worth, embarrassment, and a deceased quality of life.
  14. C
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) July 18, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a current Clinical Laboratory Improvement Amendments (CLIA Waiver- also known as a Medical Test Site Certificate of Waiver License, a license that allows the facility to legally perform certain simple, low risk medical tests like blood glucose checks and COVID-19 [Corona Virus Disease 2019, a respiratory illness] tests). This failure placed residents at risk for substandard care, delayed diagnosis and incorrect medical treatment.
June 9, 2025Complaint inspection · 2 citations
  1. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from significant medication errors for 1 of 3 sampled residents (Resident 1) reviewed for medication errors when another resident's medication(s) were left unattended and then taken by/ingested by the wrong resident. Resident 1 experienced harm when they became unresponsive and required intensive care level hospitalization and mechanical ventilation. This failure placed all residents at risk for medical complications.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2025
    Inspectors wroteBased on interview and record review, the facility failed to report a significant medication error to the State Survey Agency, as required for 1 of 3 residents (Resident 1) reviewed for medication administration and resulted in hospitalization and ventilator support. The failure to report a serious incident delayed appropriate oversight and investigation, placing residents at risk for harm.
May 7, 2025Standard inspection · 11 citations
  1. E
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure bed placement and bed side rails were assessed, physician ordered and had an informed consent for 3 of 8 sampled residents (29, 47 & 250) reviewed for physical restraints. This failure placed residents at risk for injury, unmet care needs, and a diminished quality of life.
  2. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to ensure medication carts were locked when without supervision for 3 of 4 medication carts (on 200 Hall and 300 Hall) reviewed for medication storage. This failure placed residents at risk of having access to medications, and/or misappropriation of narcotic medications.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's personal privacy was protected and maintained when a privacy curtain was not installed for 1 of 2 sampled residents (200) reviewed for resident rights. This failure placed residents at risk for diminished self-worth, self-esteem and overall well-being.
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure personal privacy was maintained by not having a privacy curtain installed for 1 of 2 sampled residents (200) reviewed for personal privacy. This failure placed residents at risk for loss of privacy during personal care, embarrassment and decreased quality of life.
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a thorough investigation was conducted for 1 of 3 sampled residents (35) reviewed for accident and incident investigations. This failure placed residents at risk for identified abuse and neglect, inappropriate corrective actions, recurrent falls, and a diminished quality of life.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure resident care plans were revised to accurately reflect care needs for 1 of 8 sampled residents (29) reviewed for care plan revisions. This failure placed residents at risk for unidentified and unmet care needs and a diminished quality of life.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure physician orders were followed to obtain weights for 1 of 5 sampled residents (35), and failed to follow physician orders and resident's care plan to label intravenous (IV, a way to give a drug through a needle or tube inserted into a vein) bag and/or tubing for 1 of 1 sampled residents (250) reviewed for quality of care related to following physician orders and/or resident's care plan. This failure placed residents at risk for medical complications, inaccurate physician treatment plan and a diminished quality of life.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a safe environment was maintained and free from hazards related to a bed and/or linens against a baseboard heater on the wall for 1 of 8 beds reviewed for accident hazards. This failure placed residents at risk for avoidable accidents and injuries, negative health outcomes, and a diminished quality of life.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure supplemental oxygen use was accurately documented in the Electronic Health Record (EHR) and oxygen tubing was changed for 1 of 2 sampled residents (47) reviewed for respiratory care. This failure placed residents at risk of not receiving accurate assessments, worsening health complications, and a decreased quality of life.
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff properly donned (putting on) personal protective equipment for 1 of 2 sampled residents (37) reviewed for infection prevention and control. This failure placed residents at risk for the spread of infection transmission in the facility and a diminished quality of life.
  11. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the pneumococcal vaccine was administered for 1 of 5 sampled residents (8) reviewed for immunizations. This failure placed residents at risk for developing pneumonia with potential negative outcomes and a diminished quality of life.
April 18, 2025Complaint inspection · 1 citation
  1. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from significant medication errors when medications were not administered in accordance with provider orders for 5 of 5 sampled residents (Residents 1, 2, 3, 4, & 5) reviewed for significant medication errors. This failure placed residents at risk of adverse medical conditions, a change in health condition, and a diminished quality of life.
August 6, 2024Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from avoidable accidents during resident bed mobility assistance for 1 of 3 sampled residents (Resident 1) reviewed for accident hazards. Resident 1 experienced harm when the resident was found to have a fractured femur (thighbone) after a fall that required medical intervention when facility staff did not use two-person assistance with bed mobility as indicated as necessary by the comprehensive care plan. This failure placed residents at risk for injury and a diminished quality of life.
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's representative was notified of a significant change of condition for 1 of 3 sample residents (Resident 1) reviewed for notification of change. This failure placed residents and their representatives at risk of not being able to participate in resident care decisions and a diminished quality of life.
July 11, 2024Standard inspection, Complaint inspection · 4 citations
  1. E
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure issue and/or complete a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) and/or a Notice of Medicare Non-Coverage (NOMNC) was completed and issued timely, at least two calendar days before Medicare services ended, for 3 of 3 sampled residents (33, 49, & 214) reviewed for SNF ABN and NOMNC notification. This failure placed residents and their representatives at risk for not having adequate information to make financial decisions related to a continued stay in the facility and a diminished quality of life.
  2. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure grooming assistance was provided for 1 of 6 sampled residents (44) reviewed for activities of daily living (ADLs). This failure placed residents at risk for unmet care needs, poor hygiene, and a diminished quality of life.
  3. D
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure policies and procedures were in place to reflect resident's choices and facility procedures failed to ensure residents' preferences and physician orders were accurately addressed and communicated for 4 of 6 sampled residents (Residents 8,10, 11 & 36) reviewed for code status documentation and facility wide communication. This failure placed residents at risk for increased harm and decreased quality of life.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders and/or resident's care plan to label intravenous (IV, a way to give a drug through a needle or tube inserted into a vein) and tube feeding (TF) bags and/or tubing for 1 of 2 sampled residents (8) reviewed for TF and antibiotics, and failed to implement physician's orders when bowel protocol was not followed to address constipation for 2 of 5 sampled residents (10 & 23) reviewed for unnecessary medications. These failures placed residents at risk for inaccurate physician treatment plan, unrelieved constipation, and a diminished quality of life.
March 7, 2024Complaint inspection · 2 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on interview and record review, the facility failed to assess and provide preventative equipment interventions to prevent further pressure injury development and deterioration for 1 of 6 sampled residents (Resident 1) reviewed for pressure injuries. [...]
  2. G
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure timely laboratory services were provided for 1 of 6 sampled residents (1) reviewed for laboratory services. This caused harm to Resident 1 when STAT (immediate) lab tests were not completed timely (three days after the STAT order) and the resident required a hospital evaluation for high lab values. This failure placed residents at risk for delay in treatment, decline in medical conditions and a diminished quality of life.
January 8, 2024Complaint inspection · 4 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was free from sexual abuse by a staff member for 1 of 5 sampled residents (Resident 1) reviewed for abuse. Resident 1 experienced harm when the facility failed to take timely action once allegations of potential staff to resident abuse were first identified and suspected by staff in order to protect the resident from the potential of further abuse. This failure placed residents at risk for abuse and a diminished quality of life.
  2. G
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on interview and record review, the facility failed to timely initiate and complete an investigation of potential staff-to-resident abuse and put interventions in place to prevent further potential resident abuse at the time the alleged abuse was suspected for 1 of 5 sampled residents (Resident 1) reviewed for investigation to prevent alleged abuse. This caused harm to Resident 1 when the facility's delay in investigation of potential sexual abuse allowed the alleged staff member, in a position of power (caregiver), to continue to have access to Resident 1 and did not protect the resident from further potential abuse after they were first aware of a pattern of questionable behavior. This failure placed residents at risk for abuse, having allegations of abuse not being responded to and thoroughly investigated, and a diminished quality of life.
  3. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure all staff reported multiple allegations of abuse immediately to the State Survey Agency causing a delay in investigating alleged staff to resident abuse for 1 of 5 sampled residents (Resident 1) reviewed for reporting of allegations of abuse. This failure placed residents at risk for lack of protection from being abused and a diminished quality of life.
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure toileting was provided for 1 of 3 sampled residents (Resident 2) reviewed for activities of daily living (ADLs). This placed residents at risk for skin impairments, loss of dignity and a diminished quality of life.

Fire safety inspections

29 fire safety citations on file: 7 on June 4, 2026, 9 on May 7, 2025, 13 on July 11, 2024.

Every fire safety citation29 citations
  1. F
    Include a process for Emergency Preparedness collaboration.
    E 9 · June 4, 2026 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · June 4, 2026 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 4, 2026 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 4, 2026 · Corrected (the home has a date of correction)
  5. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 4, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · June 4, 2026 · Corrected (the home has a date of correction)
  7. D
    Establish policies and procedures including evacuation.
    E 20 · June 4, 2026 · Corrected (the home has a date of correction)
  8. F
    Conduct testing and exercise requirements.
    E 39 · May 7, 2025 · Corrected (the home has a date of correction)
  9. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 7, 2025 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 7, 2025 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 7, 2025 · Corrected (the home has a date of correction)
  12. F
    Ensure proper usage of power strips and extension cords.
    K 920 · May 7, 2025 · Corrected (the home has a date of correction)
  13. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · May 7, 2025 · Corrected (the home has a date of correction)
  14. F
    Have proper medical gas storage and administration areas.
    K 923 · May 7, 2025 · Corrected (the home has a date of correction)
  15. D
    Provide properly protected cooking facilities.
    K 324 · May 7, 2025 · Corrected (the home has a date of correction)
  16. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · May 7, 2025 · Corrected (the home has a date of correction)
  17. F
    Meet other general requirements.
    K 100 · July 11, 2024 · Corrected (the home has a date of correction)
  18. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 11, 2024 · Waiver
  19. F
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · July 11, 2024 · Corrected (the home has a date of correction)
  20. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 11, 2024 · Corrected (the home has a date of correction)
  21. F
    Install corridor and hallway doors that block smoke.
    K 363 · July 11, 2024 · Waiver
  22. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 11, 2024 · Corrected (the home has a date of correction)
  23. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 11, 2024 · Corrected (the home has a date of correction)
  24. F
    Have proper medical gas storage and administration areas.
    K 923 · July 11, 2024 · Corrected (the home has a date of correction)
  25. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · July 11, 2024 · Corrected (the home has a date of correction)
  26. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · July 11, 2024 · Corrected (the home has a date of correction)
  27. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 11, 2024 · Corrected (the home has a date of correction)
  28. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 11, 2024 · Corrected (the home has a date of correction)
  29. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 11, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 18, 2025Fine $10,358

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWashingtonUnited States
All nursing staff (RN, LPN and aides)3.464.363.86
Registered nurses1.030.940.69
All nursing staff on weekends2.933.803.42
Nurse aides1.78
Licensed practical nurses0.64
Nursing staff turnover (share who left in a year)65.9%45.1%45.8%
Registered nurse turnover47.1%45.4%42.9%
Administrators who left3

CMS expects 3.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.67 on weekdays and 2.93 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.12 in April to June 2025 to 3.46 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.461.033.672.93 10.9%0 of 9056
Oct to Dec 20253.480.993.692.96 5.5%0 of 9254
Jul to Sep 20253.621.003.833.08 1.3%0 of 9255
Apr to Jun 20254.121.094.383.47 21.6%0 of 9151
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Washington, Jan to Mar 20264.210.904.443.663.7%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Washington

JobMedianMiddle halfEmployed
Washington, all employers
CNAs (nursing assistants)$23.65$22.59 to $27.8530,270
LPNs and LVNs$39.98$36.98 to $45.186,780
Registered nurses$59.71$49.57 to $64.5469,260
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWashingtonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.014.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.31.00.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.21.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.22.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.617.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.64.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.915.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.419.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.113.412.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Brookfield Health and Rehab of Cascadia's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (59.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

59.6% this home

No different from the national rate

US median of homes 51.5% · Washington: 71 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 131 eligible stays.

Potentially preventable readmissions

11.1% this home

No different from the national rate

US median of homes 10.7% · Washington: 7 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 126 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Washington: 4 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 58 eligible stays.

Self-care and mobility at discharge

63.6% this home

Median of homes: Washington61.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 22 residents counted.

Falls with major injury

0.0% this home

Median of homes: Washington0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 39 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Washington1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 39 residents counted.

Medication list given at discharge

95.0% this home

Median of homes: Washington98.3% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 20 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: BATTLEGROUND OF CASCADIA LLC. CMS links this home to Cascadia Healthcare, a group of 47 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Cascadia Washington Operations LLCDirect ownership interestOrganization09/01/2017
Cascadia Hc Group LLCIndirect ownership interestOrganization06/05/2025
Cascadia Healthcare LLCIndirect ownership interestOrganization09/01/2017
Cascadia Holdco LLCIndirect ownership interestOrganization06/05/2025
Hammond, OwenIndirect ownership interestIndividual06/05/2025
Laforte, StephenIndirect ownership interestIndividual06/05/2025
Nelson, TimothyIndirect ownership interestIndividual06/05/2025
Battle Ground 510 Realty, LLC5% or greater security interestOrganization06/05/2025
White Oak Healthcare Finance LLC5% or greater security interestOrganization08/11/2022
Cascadia Healthcare LLCOperational/managerial controlOrganization09/01/2017
Cascadia Services LLCOperational/managerial controlOrganization12/16/2024
Cascadia Washington Operations LLCOperational/managerial controlOrganization09/01/2017
Cavalli, ReahnaOperational/managerial controlIndividual06/09/2025
Hammond, OwenOperational/managerial controlIndividual06/05/2025
Laforte, StephenOperational/managerial controlIndividual06/05/2025
Morris, ChristopherOperational/managerial controlIndividual05/01/2023
Nelson, TimothyOperational/managerial controlIndividual06/05/2025
Battle Ground 510 Realty, LLCAdp of the SNFOrganization06/05/2025
Cascadia Services LLCAdp of the SNFOrganization12/16/2024
White Oak Healthcare Finance LLCAdp of the SNFOrganization10/24/2025
Cavalli, ReahnaAdp of the SNFIndividual07/03/2025
Morris, ChristopherAdp of the SNFIndividual02/14/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on June 4, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on June 4, 2026: "Honor the resident's right to manage his or her financial affairs."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on June 4, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on June 4, 2026: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.93 hours per resident per day, below the Washington average of 3.80.
  6. How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.

Other nursing homes nearby

Washington contacts for a concern about a nursing home

These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.

Common questions

What is Brookfield Health and Rehab of Cascadia's Medicare star rating?
CMS rates Brookfield Health and Rehab of Cascadia 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Brookfield Health and Rehab of Cascadia get at its last inspection?
14 health deficiencies at the standard inspection on June 4, 2026. The Washington average is 15.8.
Has Brookfield Health and Rehab of Cascadia been fined?
Yes. CMS lists 1 fine totaling $10,358 in the last three years.
Does Brookfield Health and Rehab of Cascadia accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Brookfield Health and Rehab of Cascadia?
CMS lists 22 owners and managers, and links the home to Cascadia Healthcare. Legal business name: BATTLEGROUND OF CASCADIA LLC.

Sources

Find a nursing home Read an inspection