ElderGrade
A

86.3/100

Excellent

Bainbridge Island Health & Rehab Center

835 Madison Avenue North, Bainbridge Island, WA 98110

CMS 5/5 stars #1 of 9 in Kitsap County (206) 842-4765
Certified beds
58
Occupancy
73%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

29.3/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -0.7 for 19 total citations against a national median of 17

Staffing

17/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.77 total nurse hours per resident per day (national median 3.77)
  • 1.27 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 23% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.91 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.27 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.50 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 23.30%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 19 citations

Last standard health inspection: November 17, 2025 (9 months ago).

D May 6, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Nov 17, 2025 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D Nov 17, 2025 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Nov 17, 2025 F0679

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

No actual harm, potential for more than minimal harm

D Nov 17, 2025 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

D Jul 15, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

E Sep 13, 2024 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Sep 13, 2024 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of THE ENSIGN GROUP, which operates 346 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
DE ORO, THOMAS Individual MANAGING CONTROL - GOVERNING BODY
KRETCHMAR, JOSHUA Individual MANAGING CONTROL - GOVERNING BODY
BURNAM, SOON Individual CORPORATE OFFICER
FARNSWORTH, STEPHEN Individual CORPORATE OFFICER
KEETCH, CHAD Individual CORPORATE OFFICER
DE ORO, THOMAS Individual OPERATIONAL/MANAGERIAL CONTROL
KRETCHMAR, JOSHUA Individual OPERATIONAL/MANAGERIAL CONTROL
PORT, BARRY Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
BAINBRIDGE HEALTH HOLDINGS LLC Organization ADP OF THE SNF
STANDARD BEARER HEALTHCARE OP LP Organization ADP OF THE SNF
THE ENSIGN GROUP INC Organization ADP OF THE SNF
DE ORO, THOMAS Individual ADP OF THE SNF

What families say

Write a review

No family reviews yet for Bainbridge Island Health & Rehab Center. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Bainbridge Island Health & Rehab Center

What is the ElderGrade for Bainbridge Island Health & Rehab Center? +

Bainbridge Island Health & Rehab Center holds an ElderGrade of A (86.3 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Bainbridge Island Health & Rehab Center? +

Residents receive an average of 3.91 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Bainbridge Island Health & Rehab Center been cited for harming residents? +

No. None of the 19 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Bainbridge Island Health & Rehab Center accept Medicaid? +

Yes, Bainbridge Island Health & Rehab Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.