nursing home in Bainbridge Island, WA
Bainbridge Island Health & Rehab Center
835 Madison Avenue North, Bainbridge Island, WA 98110 · (206) 842-4765
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★5
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Bainbridge Island Health & Rehab Center at a glance
Bainbridge Island Health & Rehab Center is a 58-bed for-profit nursing home in Bainbridge Island, Washington (Kitsap County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Washington average of 3.3.
Residents receive about 3.9 hours of nursing care per day (1.3 of them from registered nurses), worse than the state average of 4.4 hours.
Its most recent standard health inspection (November 17, 2025) found 6 health citations. The Washington average is 15.8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 23.3% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 58
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- December 1, 1988
- Resident/family council
- Resident
- County
- Kitsap County
- CMS Certification Number
- 505325
Ratings
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.9 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.91 hrs | 4.36 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.27 hrs | 0.94 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.34 hrs | 2.66 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.50 hrs | 3.80 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 23.3% | 45.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 15.4% | 45.4% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 16 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 24 | 116.6 | 80.6 | Better |
Penalties
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $52,633 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 58 | 97 | 107 | |
| Average residents per day | 42 | 76 | 86 | |
| Occupancy | 72.9% | 79.4% | 80.9% |
Long-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 2.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 25.6% | 15.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.4% | 14.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 7.3% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.8% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 36.3% | 17.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.6% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 8.7% | 22.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 85.7% | 93.8% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 96% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 82.4% | 82% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.1% | 88.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 1, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 1, 2026 |
| May 6, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected June 1, 2026 |
| November 17, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected November 3, 2025 |
| November 17, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected November 3, 2025 |
| November 17, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected November 3, 2025 |
| November 17, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected November 3, 2025 |
| November 17, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected November 3, 2025 |
| November 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 3, 2025 |
| November 17, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected November 3, 2025 |
| November 17, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected November 3, 2025 |
| November 17, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected November 3, 2025 |
| November 17, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected December 26, 2025 |
| November 17, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 26, 2025 |
| November 17, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected December 26, 2025 |
| November 17, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected December 26, 2025 |
| July 15, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 7, 2025 |
| September 13, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected October 1, 2024 |
| September 13, 2024 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | F Potential harm, widespread | Corrected October 1, 2024 |
| September 13, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected October 1, 2024 |
| September 13, 2024 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | F Potential harm, widespread | Corrected September 17, 2024 |
| September 13, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 1, 2024 |
| September 13, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected October 1, 2024 |
| September 13, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected October 1, 2024 |
| September 13, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 13, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 13, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 13, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 29, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected October 31, 2023 |
| September 29, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected October 31, 2023 |
| September 29, 2023 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected October 31, 2023 |
| September 29, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected October 31, 2023 |
| September 29, 2023 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | D Potential harm, isolated | Corrected October 31, 2023 |
| September 29, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 14, 2023 |
| September 29, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 29, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 29, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 29, 2023 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 29, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 29, 2023 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 29, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 29, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 14, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BAINBRIDGE HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2015 |
| DE ORO, THOMAS Individual | adp of the snf | NOT APPLICABLE | 04/01/2015 |
| KRETCHMAR, JOSHUA Individual | adp of the snf | NOT APPLICABLE | 12/01/2021 |
| STANDARD BEARER HEALTHCARE OP LP Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 12/02/2014 |
| FARNSWORTH, STEPHEN Individual | corporate officer | NOT APPLICABLE | 01/01/2023 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| PORT, BARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/12/2025 |
| DE ORO, THOMAS Individual | managing control - governing body | NOT APPLICABLE | 04/01/2015 |
| KRETCHMAR, JOSHUA Individual | managing control - governing body | NOT APPLICABLE | 12/01/2021 |
| DE ORO, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 04/01/2015 |
| KRETCHMAR, JOSHUA Individual | operational/managerial control | NOT APPLICABLE | 12/01/2021 |
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Frequently asked questions
What is Bainbridge Island Health & Rehab Center's rating?
Bainbridge Island Health & Rehab Center has 5 out of 5 stars on the CMS overall star rating. The average for Washington nursing homes is 3.3 stars.
How many inspection citations did Bainbridge Island Health & Rehab Center receive?
Its most recent standard health inspection found 6 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.
Does Bainbridge Island Health & Rehab Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Bainbridge Island Health & Rehab Center?
It is for profit - limited liability company and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Bainbridge Island Health & Rehab Center and how do I contact it?
Bainbridge Island Health & Rehab Center is at 835 Madison Avenue North, Bainbridge Island, WA 98110. Phone: (206) 842-4765.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.