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North Bend Post Acute, North Bend, WA: 1 star rating, fined $143,754 across 1 fine and had 1 payment denial

North Bend Post Acute in North Bend, WA is owned by Foundation Healthcare Services LLC, is rated 1 of 5 stars by Medicare, and was fined $143,754 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 87 health citations from inspections in that time, the latest survey on June 5, 2026, and 4 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Washington
Address
219 Cedar Avenue South, North Bend, WA 98045
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
4 of 5
Certified beds
64
Residents per day
60 on average
Ownership type
For profit, limited liability company
Legal business name
Middles Holdings LLC
Fines
$143,754 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
87, of which 4 with actual harm or immediate jeopardy
Latest survey
June 5, 2026
CMS Certification Number
505339
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 12, 2023Fine$143,754Not listeddata.cms.gov
December 12, 2023Payment denialNot listedMarch 12, 202410data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 5, 2026F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesE: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 5, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
March 5, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F660Plan the resident's discharge to meet the resident's goals and needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2025data.cms.gov
March 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 21, 2025data.cms.gov
November 7, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 5, 2024data.cms.gov
December 12, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F825Provide or get specialized rehabilitative services as required for a resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F732Post nurse staffing information every day.B: pattern, minimal harm potentialCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F728Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F625Notify 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
December 12, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2024data.cms.gov
October 4, 2023F699Provide care or services that was trauma informed and/or culturally competent.G: isolated, actual harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F758Implement 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F732Post nurse staffing information every day.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 4, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 28 individual or personal trusts (4 owners, 12 managers, 12 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Foundation Healthcare Services LLCDirect ownerNot listedMay 1, 2021data.cms.gov
Foundation Resource Center LLCOperational or managerial controlNot listedOctober 15, 2018data.cms.gov
Foundation Resource Center LLCAdditional disclosable partyNot listedJuly 8, 2025data.cms.gov
Wa3west, LLCAdditional disclosable partyNot listedMay 5, 2021data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.