Skilled nursing facility · CMS certification number 505527

PINE RIDGE POST ACUTE

EDMONDS, Washington · Medicare and Medicaid

Certified beds, as filed in Care Compare: 80

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,222,747	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,747,519	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,475,228	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,780,612	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$305,384	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$79	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$305,305	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$305,305 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	29,280	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	7,455	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	3,621	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3,308	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	14,384	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	261	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	17	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	126	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	404	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	213	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	35.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441845, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 October 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$22,790,787	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,721,254	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,069,533	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,289,993	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$220,460	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$586,539	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$366,079	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $366,079 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,004	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	604	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	253.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	38.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440629, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 October 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$18,354,520	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,816,984	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,537,536	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,952,189	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,414,653	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$980,367	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$434,286	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$434,286 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,120	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	454	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	226.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	46.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397755, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$21,125,258	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,305,775	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,819,483	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,697,692	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$878,209	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$424,590	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$453,619	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$453,619 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,973	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	444	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	287.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	53.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1368366, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$19,093,042	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,695,132	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,397,910	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,140,923	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,743,013	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,422,506	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$320,507	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$320,507 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,558	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	474	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	184.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	47.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341125, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 February 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$16,925,070	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,059,033	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,866,037	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,859,761	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,993,724	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$3,032	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,996,756	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,996,756 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,049	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	484	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	250.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	43.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1310026, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$16,952,618	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,828,746	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,123,872	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,246,331	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,122,459	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,633	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,117,826	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,117,826 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,682	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	419	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	108.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	42.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253950, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 June 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$17,576,602	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$9,363,534	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,213,068	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,750,156	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$537,088	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,971	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$535,117	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$535,117 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,920	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	467	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	94.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	34.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1231849, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 9 March 2016 to 31 December 2016 — a reporting period of 297 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,204,694	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,403,278	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,801,416	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,430,906	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$629,490	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,554	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$625,936	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$625,936 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	6,308	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	463	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	15.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	13.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169724, read from the public cost report file SNF10FY2016.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
TRUIST BANK	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 08/01/2024
BHOGAL, NEETA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/22/2026
EDMONDS 21008 REALTY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2024
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2024
TAPPERO, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/22/2026
APT, FREDERICK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/14/2024
BHOGAL, NEETA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/13/2025
HABTU, NETSANET	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2024
JERGENSEN, JOSHUA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/14/2024
MITCHELL, JOHN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/14/2024
TAPPERO, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/18/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PINE RIDGE SNF HEALTHCARE LLC (enrollment ID O20240822001398).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
PROVIDENCE GROUP NH, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/14/2024	Private equity company: No Real estate investment trust: No Holding company: Yes
JASON H MURRAY	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	35.2	5/14/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK D HANCOCK	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	35.2	5/14/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PACS GROUP, INC.	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	8/1/2024	Private equity company: No Real estate investment trust: No Holding company: Yes
PACS HOLDINGS, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	5/14/2024	Private equity company: No Real estate investment trust: No Holding company: Yes
TRUIST BANK	Organization	5% OR GREATER SECURITY INTEREST	100	8/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
EDMONDS 21008 REALTY LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JAMES WARD TAPPERO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/22/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEETA BHOGAL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/22/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
FREDERICK G APT	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/14/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES WARD TAPPERO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/18/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN T MITCHELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/14/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSHUA O JERGENSEN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/14/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEETA BHOGAL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/13/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NETSANET HABTU	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: JOHN T MITCHELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEETA BHOGAL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEETA BHOGAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN T MITCHELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEETA BHOGAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEETA BHOGAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 March 2026: HAROLD G DELAMARTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: HAROLD G DELAMARTER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: HAROLD G DELAMARTER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: BRIAN R DELAMARTER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: BRIAN R DELAMARTER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PRESTIGE CARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PRESTIGE CARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THOMAS B MITCHELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GREGORY J. VISLOCKY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GREGORY J. VISLOCKY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARK D HANCOCK appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JOSHUA O JERGENSEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: TRUIST BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: EDMONDS 21008 REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: FREDERICK G APT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JAMES WARD TAPPERO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JAMES WARD TAPPERO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NETSANET HABTU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JOHN T MITCHELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NEETA BHOGAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NEETA BHOGAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv

Recent changes on this record

1 July 2026: JOHN T MITCHELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEETA BHOGAL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEETA BHOGAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN T MITCHELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEETA BHOGAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEETA BHOGAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 March 2026: HAROLD G DELAMARTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: HAROLD G DELAMARTER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: HAROLD G DELAMARTER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: BRIAN R DELAMARTER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: BRIAN R DELAMARTER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PRESTIGE CARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PRESTIGE CARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THOMAS B MITCHELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GREGORY J. VISLOCKY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GREGORY J. VISLOCKY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARK D HANCOCK appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JOSHUA O JERGENSEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: TRUIST BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: EDMONDS 21008 REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: FREDERICK G APT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JAMES WARD TAPPERO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JAMES WARD TAPPERO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NETSANET HABTU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JOHN T MITCHELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NEETA BHOGAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NEETA BHOGAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: enrollment_id changed from O20150922002736 to O20240822001398. Skilled_Nursing_Facility_Enrollments_:_2026-03-01.csv
31 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
10 October 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
22 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
21 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
26 January 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	25 March 2026	25 March 2026	15	3
2	18 December 2024	18 December 2024	18	9
3	28 August 2023	28 August 2023	12	18

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

45 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
25 March 2026	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0802	Nutrition and Dietary Deficiencies	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	E	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	20 April 2026
25 March 2026	Health	F 0887	Infection Control Deficiencies	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.	D	No	Deficient, Provider has date of correction	20 April 2026
14 May 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	4 June 2025
14 March 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	20 March 2025
14 March 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	20 March 2025
18 December 2024	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0646	Resident Assessment and Care Planning Deficiencies	Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	E	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	17 January 2025
18 December 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	17 January 2025
23 April 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	13 May 2024
8 February 2024	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	G	Yes	Deficient, Provider has date of correction	16 February 2024
8 February 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	16 February 2024
8 February 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	16 February 2024
28 August 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	26 September 2023
28 August 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	26 September 2023
28 August 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	26 September 2023
28 August 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	26 September 2023
28 August 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	26 September 2023
28 August 2023	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	26 September 2023
28 August 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	26 September 2023
28 August 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	26 September 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
8 February 2024	Fine	$16,445			43601

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	PINE RIDGE SNF HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services	2016-03-09
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Snohomish
Telephone Number	4257780107
Chain Name	PACS GROUP
Chain ID	690
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	80
Average Number of Residents per Day	76.9
Overall Rating	4
Health Inspection Rating	3
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on PINE RIDGE POST ACUTE: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: JOHN T MITCHELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for PINE RIDGE POST ACUTE

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Washington at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 505527.