Nursing HomeInspections

North Bend Post Acute

Nursing home in North Bend, WA

Medicare & Medicaid certified1★ overall (CMS)

Call (425) 888-2129Send a messageMap ↗

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
1 of 5
Quality measures rating
3 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 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 5, 2025. CMS lists 104 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 12, 2022 to Jun 5, 2026): 24 from complaint inspections, 4 at the “actual harm” level or higher.

InspectionCitationSeverity
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
Mar 5, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 5, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 5, 2025Notify 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 5, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2025Develop 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		D
Potential for more than minimal harm, isolated
Mar 5, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2025Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2025Provide 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
Mar 5, 2025Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 2025Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 104. 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 Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $206,072 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
Oct 4, 2023Fine: $62,318

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

Staffing

Total nurse staffing per resident per day
3.58 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
2.25 hours
Total nurse staffing on weekends
3.24 hours
Nursing staff turnover (yearly)
42%
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.