Nursing HomeInspections

North Bend Post Acute

Nursing home in North Bend, WA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
219 Cedar Avenue South, North Bend, WA 98045
Phone
(425) 888-2129
Listed under
For-profit
Medicare CCN
505339
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
64
Average residents per day
60
Ownership
For-profit, limited Liability company
Legal business name
Middles Holdings LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 505339. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jun 5, 2026. CMS lists 87 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 4, 2023 to Jun 5, 2026): 24 from complaint inspections, 4 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 5, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 5, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 5, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 5, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 5, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 5, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
Jun 5, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jun 5, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 5, 2026Develop 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		E
Potential for more than minimal harm, pattern
Jun 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jun 5, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jun 5, 2026Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 87. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $143,754 and 1 denial of Medicare payment for new admissions in the last three years.

Dec 12, 2023Fine: $143,754
Dec 12, 2023Payment denial for 10 days from Mar 12, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.70 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
2.35 hours
Total nurse staffing on weekends
3.42 hours
Nursing staff turnover (yearly)
36%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error