Josephine Caring Community
Stanwood, Snohomish County, Washington · CCN 505465 · Non-profit (Church related) · not part of a chain
CMS rates Josephine Caring Community 5 of 5 overall as of August 2026. 160 certified beds, 116 residents a day on average. 31 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 4.68908 hours per resident per day |
|---|---|
| Registered nurses | 0.78247 hours per resident per day |
| Weekend total | 3.81881 hours per resident per day |
| Nursing staff turnover | 30.4% (registered nurses 41.7%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-22 complaint survey |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-02 |
| 2026-01-22 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-02 |
| 2025-09-15 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · tag F0712 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-27 |
| 2025-09-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-27 |
| 2024-07-15 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-08-20 |
| 2024-07-15 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-20 |
| 2024-07-15 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-20 |
| 2024-07-15 | Develop 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 Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-20 |
| 2024-07-15 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-20 |
| 2024-07-15 | Provide 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 Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-20 |
| 2024-07-15 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-20 |
| 2023-04-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Provide 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 Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-05 |
| 2023-04-25 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2023-06-05 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| U.S. Bank Organization | 5% or greater security interest | — | 2025-10-08 |
| Andrea O'Neill Organization | adp of the snf | — | 2014-07-01 |
| Baker Tilly US LLP Organization | adp of the snf | — | 2004-01-01 |
| Dew, John Individual | adp of the snf | — | 2025-02-26 |
| Ellerton, R Individual | adp of the snf | — | 2018-05-29 |
| Lindgren, Teri Individual | adp of the snf | — | 2008-10-20 |
| Robertson, Terry Individual | adp of the snf | — | 2008-02-21 |
| Steckler, Theresa Individual | adp of the snf | — | 2021-06-01 |
| Stickle, Herbert Individual | adp of the snf | — | 2026-04-30 |
| Barnes, Janet Individual | corporate director | — | 2024-07-01 |
| Christoferson, Barbara Individual | corporate director | — | 2023-05-01 |
| Fosse, Ernest Individual | corporate director | — | 2022-07-26 |
| Kinney, Brett Individual | corporate director | — | 2022-07-26 |
| Lambing, Kristi Individual | corporate director | — | 2024-04-01 |
| Nelson, Irene Individual | corporate director | — | 2025-10-28 |
| Shoup, Paul Individual | corporate director | — | 2021-08-25 |
| Vail, Jill Individual | corporate director | — | 2025-03-21 |
| Curtis, Earl Individual | corporate officer | — | 2024-04-01 |
| Johnson, Julie Individual | corporate officer | — | 2025-04-01 |
| Larsen, Michael Individual | corporate officer | — | 2018-10-01 |
| Lucas, Thomas Individual | corporate officer | — | 2023-04-25 |
| Robertson, Terry Individual | corporate officer | — | 2008-02-21 |
| Barnes, Janet Individual | operational/managerial control | — | 2024-07-01 |
| Burchard, Clint Individual | operational/managerial control | — | 2023-09-05 |
| Christoferson, Barbara Individual | operational/managerial control | — | 2023-04-01 |
| Curtis, Earl Individual | operational/managerial control | — | 2023-04-01 |
| Ellerton, R Individual | operational/managerial control | — | 2018-05-29 |
| Fosse, Ernest Individual | operational/managerial control | — | 2022-06-01 |
| Green, Charlotte Individual | operational/managerial control | — | 2025-04-01 |
| Hanson, Alisha Individual | operational/managerial control | — | 2008-04-23 |
| Hutchison, Kay Individual | operational/managerial control | — | 2017-10-31 |
| Johnson, Julie Individual | operational/managerial control | — | 2024-06-01 |
| Kinney, Brett Individual | operational/managerial control | — | 2022-06-01 |
| Lambing, Kristi Individual | operational/managerial control | — | 2024-04-01 |
| Larsen, Michael Individual | operational/managerial control | — | 2018-10-01 |
| Lindgren, Teri Individual | operational/managerial control | — | 2008-10-20 |
| Lucas, Thomas Individual | operational/managerial control | — | 2020-04-01 |
| Nelson, Irene Individual | operational/managerial control | — | 2025-10-28 |
| Robertson, Terry Individual | operational/managerial control | — | 2008-02-21 |
| Shoup, Paul Individual | operational/managerial control | — | 2021-05-01 |
| Steckler, Theresa Individual | operational/managerial control | — | 2021-06-01 |
| Stickle, Herbert Individual | operational/managerial control | — | 2016-10-01 |
| Vail, Jill Individual | operational/managerial control | — | 2025-02-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Josephine Caring Community.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Snohomish County.