Cashmere Post Acute
A nursing home in Cashmere, Washington 98815
817 Pioneer Avenue, Cashmere, Washington 98815. (509) 782-1251.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 15 health citations at the latest inspection cycle Washington average: 15.7
- 3.70 nurse hours per resident per day Washington average: 4.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
15 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Apr 3, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Dec 1, 2023
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
34 citations in 5 months of the last 36. Last cited Apr 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 49 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 8 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 3, 2026: standard inspection15 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide care or services that was trauma informed and/or culturally competent.
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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.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 13, 2025: standard inspection15 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Keep residents’ personal and medical records private and confidential.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Notify 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.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe, appropriate pain management for a resident who requires such services.
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Ensure medication error rates are not 5 percent or greater.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Post nurse staffing information every day.
Dec 17, 2024: complaint inspection2 citations
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Respond appropriately to all alleged violations.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 27, 2024: complaint inspection1 citation
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Give residents a notice of rights, rules, services and charges.
Dec 1, 2023: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 15, 2023: standard inspection11 citations
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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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.
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Provide and implement an infection prevention and control program.
Nov 15, 2023: standard and complaint inspection4 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 31, 1967.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 95 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $15,340 in all.
- No Medicare payment denials in the last three years.
- 8 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 15, 2023 | Fine | $15,340 |
Who does the caring?
3.70 nurse hours per resident per day
The Washington average is 4.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Washington average |
|---|---|---|
| Nurse hours per resident per day | 3.70 | 4.42 |
| Of which registered nurses | 0.99 | 0.99 |
| At weekends | 3.16 | 3.82 |
| Nursing staff turnover | 28.1% | 43.9% |
| Registered nurse turnover | 17.4% | 43.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Foundation Healthcare Services LLC owns 100% directly since Feb 1, 2019.
- Powerback Rehabilitation LLC and Pacific Medical Specialty Group and Foundation Resource Center LLC and Consolidated Billing Services Inc. run it.
- 33 owners or officers are people: Scott Lindahl (owns 5% or more through other companies, 25%); Steven Frost (owns 5% or more through other companies, 25%); Kirkman Lindahl (owns 5% or more through other companies, 25%); Jeffrey Lindahl (owns 5% or more through other companies, 25%); Brenden Ginn (runs it (operational or managerial control)); Brenden Ginn (additional disclosable party (controls, leases property to, or provides services to the home)); Scott Lindahl (corporate officer); David Lindahl (additional disclosable party (controls, leases property to, or provides services to the home)); Brandt Anderson (corporate officer); Brandt Anderson (runs it (operational or managerial control)); Brandt Anderson (additional disclosable party (controls, leases property to, or provides services to the home)); Wendy Martinson (runs it (operational or managerial control)); Wendy Martinson (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Frost (corporate officer); Steven Frost (runs it (operational or managerial control)); Steven Frost (additional disclosable party (controls, leases property to, or provides services to the home)); Kirkman Lindahl (corporate officer); Kirkman Lindahl (runs it (operational or managerial control)); Kirkman Lindahl (additional disclosable party (controls, leases property to, or provides services to the home)); Brianna De Oro (runs it (operational or managerial control)); Brianna De Oro (additional disclosable party (controls, leases property to, or provides services to the home)); Alexandra Ricketts (runs it (operational or managerial control)); Alexandra Ricketts (additional disclosable party (controls, leases property to, or provides services to the home)); Stanley Flemming (runs it (operational or managerial control)); Stanley Flemming (additional disclosable party (controls, leases property to, or provides services to the home)); Jay Zwahlen (corporate officer); Jay Zwahlen (runs it (operational or managerial control)); Jay Zwahlen (additional disclosable party (controls, leases property to, or provides services to the home)); Brianna Ellington (runs it (operational or managerial control)); Brianna Ellington (additional disclosable party (controls, leases property to, or provides services to the home)); Jeffrey Lindahl (corporate officer); Jeffrey Lindahl (runs it (operational or managerial control)); Jeffrey Lindahl (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Foundation Healthcare Services LLC | Owns 5% or more directly | 100% | Feb 1, 2019 |
| Powerback Rehabilitation LLC | Runs it (operational or managerial control) | Jan 1, 2019 | |
| Powerback Rehabilitation LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 10, 2025 | |
| Pacific Medical Specialty Group | Runs it (operational or managerial control) | Dec 21, 2021 | |
| Pacific Medical Specialty Group | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 10, 2025 | |
| Foundation Resource Center LLC | Runs it (operational or managerial control) | Feb 1, 2019 | |
| Foundation Resource Center LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 11, 2025 | |
| Consolidated Billing Services Inc. | Runs it (operational or managerial control) | Jan 1, 2019 | |
| Consolidated Billing Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 10, 2025 | |
| 817 Pioneer Ave, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2019 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Washington average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 63.1 miles, this one had the 3rd most health citations at the latest inspection cycle (15; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Cashmere Post Acute This nursing home | 15 | |
| Regency Wenatchee Rehabiliation & Nursing Center | 10.3 | 2 |
| Colonial Vista Post-Acute & Rehab Center | 10.6 | 9 |
| Mountain View Post Acute | 36.9 | 22 |
| Columbia Basin Hospital | 46.1 | 8 |
| Mckay Healthcare & Rehab Ctr | 47.1 | 7 |
| Regency Harmony House Rehab & Nursing | 52.2 | 5 |
| Yakima Valley School | 59.3 | 9 |
| North Bend Post Acute | 61.2 | 12 |
| Good Samaritan Health Care Ctr | 62.8 | 5 |
| Englewood Health & Rehabilitation | 62.8 | 18 |
| Crescent Health Care | 63.1 | 11 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
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