BAINBRIDGE ISLAND HEALTH & REHAB CENTER

BAINBRIDGE ISLAND, WA · 58 beds · For profit - Limited Liability company

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 5-star health inspection rating
  • 4-star staffing rating
  • Below-average deficiency count (5 vs 17 state avg)
  • No fines or penalties on record
  • Above-average RN staffing (1.27 hrs vs 0.84 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★★
Health Inspection
5
0.3x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

November 16, 2025

8 deficiencyies
F0605 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0804 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0605 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide activities to meet all resident's needs.

F0804 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

July 14, 2025

3 deficiencyies
F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure that residents are free from significant medication errors.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

September 12, 2024

8 deficiencyies
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide safe and appropriate respiratory care for a resident when needed.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

September 28, 2023

1 deficiency
F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident when there is a significant change in condition

See full violation history →

Staffing

1.27
RN hrs/res/day
0.33
LPN hrs/res/day
2.16
CNA hrs/res/day
2.96
Weekend hrs/res/day
36%
Total nurse turnover
17%
RN turnover

A nurse checks on each resident roughly every 6.4 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: THE ENSIGN GROUP
  • BURNAM, SOON

    CORPORATE OFFICER

    Since since 12/01/2014

    Individual
  • FITCH, CRAIG

    CORPORATE OFFICER

    Since since 01/01/2019

    Individual
  • JENKINS, TRACY

    CORPORATE OFFICER

    Since since 01/01/2019

    Individual
  • PENNANT HEALTHCARE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/01/2014

    100% Organization
  • THE ENSIGN GROUP INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/22/2011

    100% Organization
  • DE ORO, THOMAS

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2015

    Individual
  • DE ORO, THOMAS

    W-2 MANAGING EMPLOYEE

    Since since 04/01/2015

    Individual

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