Quick answers
- Where is Cashmere Post Acute?
- 817 Pioneer Avenue, Cashmere, WA 98815, in Chelan County, Washington.
- What is the phone number of Cashmere Post Acute?
- (509) 782-1251, as listed by Medicare (CMS).
- What is the Medicare star rating of Cashmere Post Acute?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Cashmere Post Acute been fined?
- Medicare lists 1 fine totaling $15,340.
- What did inspectors find at Cashmere Post Acute?
- In its last three inspection cycles (November 15, 2023 to April 3, 2026), Medicare lists 49 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (November 15, 2023 to April 3, 2026), Cashmere Post Acute had 49 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $15,340 in total (1 fine, the latest on November 15, 2023). Nurse staffing is 3.70 hours per resident per day; the Washington average is 4.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 3, 2026 — 15 health citations
Inspections in this cycle: April 3, 2026 (standard health inspection).
Show 15 citations (levels A to F, no actual harm)
F0770 Level F
“Provide timely, quality laboratory services/tests to meet the needs of residents.”
F0605 Level E
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0761 Level D
“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.”
Previous cycle: January 13, 2025 — 17 health citations
Inspections in this cycle: December 17, 2024 (complaint investigation); January 13, 2025 (standard health inspection).
Show 17 citations (levels A to F, no actual harm)
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0655 Level E
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0584 Level D
“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.”
F0625 Level D
“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.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0732 Level C
“Post nurse staffing information every day.”
Earlier cycle: November 15, 2023 — 17 health citations
Inspections in this cycle: November 15, 2023 (complaint investigation); November 15, 2023 (standard health inspection); December 1, 2023 (complaint investigation); January 29, 2024 (infection control inspection); August 27, 2024 (complaint investigation); August 27, 2024 (infection control inspection).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 16 less serious citations (levels A to F)
F0728 Level E
“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.”
F0758 Level E
“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.”
F0572 Level D
“Give residents a notice of rights, rules, services and charges.”
F0569 Level D
“Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.”
F0578 Level D
“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.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0585 Level D
“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.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0761 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (29)
K0161 Level F
“Use approved construction type or materials.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0761 Level D
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0007 Level F
“Address patient/client population and determine types of services needed.”
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
E0030 Level F
“List the names and contact information of those in the facility.”
E0036 Level F
“Establish emergency prep training and testing.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0926 Level F
“Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”
E0031 Level D
“Provide emergency officials' contact information.”
E0032 Level D
“Provide primary/alternate means for communication.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0100 Level F
“Meet other general requirements.”
K0222 Level F
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0223 Level F
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0926 Level F
“Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”
K0345 Level D
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0362 Level D
“Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.”
Fines and payment denials
Total fines over about the last three years: $15,340 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 15, 2023 | Fine | $15,340 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Washington | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.99 | 0.99 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.03 | 0.74 | 0.86 |
| Nurse aide hours per resident per day | 2.68 | 2.68 | 2.35 |
| Total nurse staff hours per resident per day | 3.70 | 4.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.16 | 3.82 | 3.43 |
| RN hours per resident per day on the weekend | 0.79 | 0.71 | 0.48 |
| Nursing staff turnover (per year) | 28.1% | 43.9% | 45.3% |
| RN turnover (per year) | 17.4% | 43.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: T-Street Holdings, LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Consolidated Billing Services Inc | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2019 |
| Foundation Resource Center LLC | Management company (operational or managerial control) | NOT APPLICABLE | February 1, 2019 |
| Pacific Medical Specialty Group | Management company (operational or managerial control) | NOT APPLICABLE | December 21, 2021 |
| Powerback Rehabilitation LLC | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2019 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 95 |
| Average residents per day | 88.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Legal business name | T-Street Holdings, LLC |
| First approved by Medicare/Medicaid | 1967-01-31 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 817 Pioneer Avenue, Cashmere, WA 98815 |
| County | Chelan County |
| State | Washington |
| Phone | (509) 782‑1251 |
| CMS Certification Number | 505151 |
| Name in Medicare records | CASHMERE POST ACUTE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Regency Wenatchee Rehabiliation & Nursing Center10 mi · Wenatchee, WA · 5 of 5 stars
- Colonial Vista Post-Acute & Rehab Center11 mi · Wenatchee, WA · 4 of 5 stars
Nearest hospital emergency rooms
- Confluence Health Hospital9.0 mi · Wenatchee, WA · Acute Care Hospital
- Cascade Medical Center9.9 mi · Leavenworth, WA · Critical Access Hospital
- Lake Chelan Community Hospital32 mi · Chelan, WA · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13