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A+
Excellent

BOTHELL HEALTH CARE

707 - 228TH SOUTHWEST · BOTHELL, WA 98021

4254818500 · For profit - Individual

99 beds87.9 residents156 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BOTHELL HEALTH CARE receives an overall staffing grade of A+ (Excellent). With 5.0263 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.13 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 23.3% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
5.0263hrs/resident/day▲ 1.13
CMS benchmark: 3.48
RN HPRD
1.2694hrs/resident/day▲ 0.59
Recommended: 0.75
Weekend Drop-off
23.3%
5.3806 weekday → 4.1271 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.9102hrs/resident/day
Direct care aides
LPN HPRD
0.8252hrs/resident/day
Licensed practical nurses
Consistency
0.6173std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Snohomish County Average+0.63 HPRD
4.40
05.03 HPRD
vs. Washington State Average+0.74 HPRD
4.28
05.03 HPRD
vs. National Average+1.13 HPRD
3.90
05.03 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BOTHELL HEALTH CARE ★
BOTHELL · This facility
—
A+
5.02631.2694★★★☆☆
FIRCREST NURSING FACILITY
SEATTLE
3 mi
—
00★★★★★
ALDERWOOD POST ACUTE & REHABILITATION
LYNNWOOD
3.1 mi
B
3.95930.7983★★☆☆☆
LYNNWOOD POST ACUTE REHABILITATION CENTER
LYNNWOOD
4.1 mi
B
3.90530.8152★★★★☆
Edmonds Post Acute
EDMONDS
4.3 mi
A
4.150.7911★☆☆☆☆
PINE RIDGE POST ACUTE
EDMONDS
4.8 mi
A
4.46870.9094★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
48
Total Deficiencies
$106,698
Fines Assessed
Jun 11, 2025Health
1 deficiency cited
▼
Apr 2, 2025Health
23 deficiencies cited
▼
Oct 7, 2024Health
1 deficiency cited
▼
Jan 20, 2024Health
15 deficiencies cited
▼
Oct 6, 2023Health
3 deficiencies cited· Includes actual harm
▼
Jun 22, 2023Health
1 deficiency cited· Includes actual harm
▼
May 2, 2023Health
1 deficiency cited· Includes actual harm
▼
Oct 13, 2022Health
3 deficiencies cited
▼

Penalty History

Oct 6, 2023Fine
$42,764
Jun 22, 2023Fine
$10,384
May 2, 2023Fine
$53,550
May 2, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.