Bainbridge Island Health & Rehab Center
835 MADISON AVENUE NORTH, Bainbridge Island, WA, 98110
Yes. Federal inspectors cited 6 deficiencies against Bainbridge Island Health & Rehab Center in Bainbridge Island, Washington at its most recent standard inspection on 2025-11-17, 2 of them arising from complaints. Medicare rates it 5 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 19 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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 · F0600 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0605 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-07-15 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0657 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0676 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0761 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
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 · F0842 · 2023-09-29 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Bainbridge Island Health & Rehab Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| DE ORO, THOMAS | Individual | NOT APPLICABLE | since 04/01/2015 |
| KRETCHMAR, JOSHUA | Individual | NOT APPLICABLE | since 12/01/2021 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 12/02/2014 |
| FARNSWORTH, STEPHEN | Individual | NOT APPLICABLE | since 01/01/2023 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| DE ORO, THOMAS | Individual | NOT APPLICABLE | since 04/01/2015 |
| KRETCHMAR, JOSHUA | Individual | NOT APPLICABLE | since 12/01/2021 |
| PORT, BARRY | Individual | NOT APPLICABLE | since 09/12/2025 |
| BAINBRIDGE HEALTH HOLDINGS LLC | Organization | NOT APPLICABLE | since 05/01/2015 |
| STANDARD BEARER HEALTHCARE OP LP | Organization | NOT APPLICABLE | since 01/01/2022 |
| THE ENSIGN GROUP INC | Organization | NOT APPLICABLE | since 01/01/2022 |
| DE ORO, THOMAS | Individual | NOT APPLICABLE | since 04/01/2015 |
Part of the THE ENSIGN GROUP group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 505325.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction