Home / Washington / Hoquiam
Pacific Care and Rehabilitation
3035 Cherry Street, Hoquiam, WA 98550 · Grays Harbor County · (360) 532-7882
72 certified beds, about 65 residents a day · For profit - Corporation · Medicare and Medicaid since 1972
CMS Care Compare ratings, data as of September 1, 2026 · CCN 505081 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2026, inspectors cited 1 health deficiency (the Washington average is 15.8, the national average 9.2).
None of its 8 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.01 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
40.5% of nursing staff left within the year CMS measured (Washington average 45.1%).
CMS links it to The Ensign Group, an affiliated group of 344 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.
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 8 health citations on file.
July 9, 2026Standard inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review, the facility failed to ensure physician and/or treatment orders were updated and/or complete for 1 of 1 sampled resident (Resident 6) reviewed for pressure ulcer/injury (an area of damaged skin and soft tissue due to prolonged pressure, usually over a bony prominence). This failure placed residents at risk of unmet care needs, an inaccurate physician treatment plan, and a diminished quality of life.
May 23, 2025Standard inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, the facility failed to provide care and services in a manner that maintained and promoted dignity for 1 of 15 sampled residents (32) when staff stood next to her while assisting with eating her meal. This failure placed residents at risk for diminished self-worth, self-esteem, and feelings of embarrassment.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Minimum Data Set (MDS) assessment was completed accurately to reflect a resident's health status and/or care needs for 1 of 5 sampled residents (31) reviewed for unnecessary medications. This failure placed residents at risk for inaccurate and/or unmet care needs and a diminished quality of life.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review, the facility failed to develop a person-centered care plan addressing medication self-administration for 1 of 3 residents (21) reviewed for medication administration. This failure placed residents at risk of un-met care needs and a diminished quality of life. Findings Included . Facility policy entitled, Self Administration of Medications, revised on 05/2016, documented .9. Appropriate notation of these determinations will be placed in the residents care plan. Resident 21 was admitted to the facility on [DATE]. The admission /Medicare - 5 Day Minimum Data Set assessment, dated 04/10/2025, documented Resident 21 was alert and oriented. Review of Resident 21's care plan did not show documentation of self-administration of medications focus and/or interventions. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure oxygen and/or nebulizer (a medical device that turns liquid medication into a fine mist that can be inhaled through a mouthpiece or mask) tubing was changed and/or bagged for 1 of 3 residents (14) reviewed for respiratory care. This failure placed residents at risk of respiratory infections, worsening health complications, and a decreased quality of life. Findings Included . Record review of the facility's policy entitled, Oxygen Administration, revised 04/2016, documented .INSTRUCTIONS FOR TUBING AND HUMIDIFIER CHANGES: . 2. Oxygen tubing is to be replaced every seven (7) days or when visible soiled . [...]
August 28, 2024Complaint inspection · 1 citation
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents had the ability to exercise self-determination related to aspects of life in the facility that were significant to the resident, including health care decisions and accessing outside providers of health care services consistent with their interests, for 1 of 5 sampled residents (Resident 1) reviewed for self determination. This failure placed residents at risk for not being able to choose treatment options outside the facility, decreased autonomy, powerlessness, and a diminished quality of life.
April 4, 2024Standard inspection · 2 citations
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents received timely hearing services to maintain their ability to hear adequately and effectively for 1 of 2 sampled residents (5) reviewed for hearing treatment and services. This failure placed residents at risk for frustrations, decline in communication, and a diminished quality of life.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide prompt dental services for 1 of 2 sampled residents (51) reviewed for dental services. This failure places residents at risk for continued dental problems and a diminished quality of life.
Fire safety inspections
11 fire safety citations on file: 5 on July 9, 2026, 3 on May 23, 2025, 3 on April 4, 2024.
Every fire safety citation11 citations
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Meet other general requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have properly installed electrical wiring and gas equipment.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Install corridor and hallway doors that block smoke.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Washington | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.01 | 4.36 | 3.86 |
| Registered nurses | 0.70 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.49 | 3.80 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 40.5% | 45.1% | 45.8% |
| Registered nurse turnover | 27.3% | 45.4% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.15 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 4.23 on weekdays and 3.49 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 4.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.01 | 0.70 | 4.23 | 3.49 | 0.0% | 0 of 90 | 65 |
| Oct to Dec 2025 | 3.97 | 0.65 | 4.16 | 3.50 | 0.0% | 0 of 92 | 65 |
| Jul to Sep 2025 | 4.04 | 0.74 | 4.27 | 3.48 | 0.1% | 0 of 92 | 65 |
| Apr to Jun 2025 | 4.02 | 0.81 | 4.34 | 3.22 | 2.1% | 0 of 91 | 64 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Washington, Jan to Mar 2026 | 4.21 | 0.90 | 4.44 | 3.66 | 3.7% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Washington | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.5 | 14.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.0 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 2.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.3 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.0 | 15.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.6 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.1 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.8 |
Owners and operators
Legal business name: HOQUIAM HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cheney, Mark | Managing control - governing body | Individual | 03/06/2019 | |
| Chheda, Neel | Managing control - governing body | Individual | 08/01/2023 | |
| Burnam, Soon | Corporate officer | Individual | 01/03/2006 | |
| Farnsworth, Stephen | Corporate officer | Individual | 01/01/2023 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Ross, Steve | Corporate officer | Individual | 01/01/2024 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Cmg Cit Acquisition, LLC | Operational/managerial control | Organization | 08/01/2006 | |
| Cheney, Mark | Operational/managerial control | Individual | 03/06/2019 | |
| Chheda, Neel | Operational/managerial control | Individual | 08/01/2023 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/09/2025 | |
| Caretrust Gp LLC | Adp of the SNF | Organization | 08/01/2006 | |
| Caretrust Reit Inc | Adp of the SNF | Organization | 08/01/2006 | |
| Cherry Health Holdings LLC | Adp of the SNF | Organization | 08/01/2006 | |
| Ctr Partnership LP | Adp of the SNF | Organization | 08/01/2006 | |
| Ensign Services Inc | Adp of the SNF | Organization | 02/01/2006 | |
| Burnam, Soon | Adp of the SNF | Individual | 03/11/2026 | |
| Cheney, Mark | Adp of the SNF | Individual | 03/06/2019 | |
| Chheda, Neel | Adp of the SNF | Individual | 07/09/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 9, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 23, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 23, 2025: "Ensure each resident receives an accurate assessment."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.49 hours per resident per day, below the Washington average of 3.80.
Other nursing homes nearby
- Grays Harbor Health & Rehabilitation Center Aberdeen, 0.5 mi · 4 of 5 stars · 24 citations
- Montesano Health-Rehab Center Montesano, 12.8 mi · 5 of 5 stars · 16 citations
- Willapa Harbor Care Raymond, 21.4 mi · 4 of 5 stars · 30 citations
Washington contacts for a concern about a nursing home
These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Washington DSHS Aging and Long-Term Support Administration, Residential Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Washington State Long-Term Care Ombudsman Program, 1-800-562-6028. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Pacific Care and Rehabilitation's Medicare star rating?
- CMS rates Pacific Care and Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pacific Care and Rehabilitation get at its last inspection?
- 1 health deficiency at the standard inspection on July 9, 2026. The Washington average is 15.8.
- Has Pacific Care and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Pacific Care and Rehabilitation 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 Pacific Care and Rehabilitation?
- CMS lists 19 owners and managers, and links the home to The Ensign Group. Legal business name: HOQUIAM HEALTHCARE, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.