Quick answers
- Where is North Bend Post Acute?
- 219 Cedar Avenue South, North Bend, WA 98045, in King County, Washington.
- What is the phone number of North Bend Post Acute?
- (425) 888-2129, as listed by Medicare (CMS).
- What is the Medicare star rating of North Bend Post Acute?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has North Bend Post Acute been fined?
- Medicare lists 1 fine totaling $143,754 and 1 payment denial.
- What did inspectors find at North Bend Post Acute?
- In its last three inspection cycles (October 4, 2023 to June 5, 2026), Medicare lists 87 health citations; the most serious was level G. 4 were 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 (October 4, 2023 to June 5, 2026), North Bend Post Acute had 87 health citations; the most serious was level G (actual harm to residents). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $143,754 in total (1 fine, the latest on December 12, 2023) and had 1 Medicare payment denial. 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: June 5, 2026 — 12 health citations
Inspections in this cycle: June 5, 2026 (complaint investigation); June 5, 2026 (standard health inspection).
Show 12 citations (levels A to F, no actual harm)
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0628 Level E
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0645 Level E
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Previous cycle: March 5, 2025 — 22 health citations
Inspections in this cycle: November 7, 2024 (complaint investigation); March 5, 2025 (complaint investigation); March 5, 2025 (standard health inspection).
Show 22 citations (levels A to F, no actual harm)
F0727 Level F
“Have 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.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0585 Level E
“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.”
F0655 Level E
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level E
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0803 Level E
“Ensure 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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0881 Level E
“Implement a program that monitors antibiotic use.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0660 Level D
“Plan the resident's discharge to meet the resident's goals and needs.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0688 Level D
“Provide 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.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0851 Level D
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
Earlier cycle: December 12, 2023 — 53 health citations
Inspections in this cycle: October 4, 2023 (complaint investigation); December 12, 2023 (complaint investigation); December 12, 2023 (standard health inspection).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
F0699 Level G
“Provide care or services that was trauma informed and/or culturally competent.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 49 less serious citations (levels A to F)
F0623 Level F
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level F
“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.”
F0801 Level F
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0802 Level F
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0607 Level F
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0732 Level F
“Post nurse staffing information every day.”
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0837 Level F
“Establish 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.”
F0838 Level F
“Conduct 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.”
F0843 Level F
“Have 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.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0940 Level F
“Develop, implement, and/or maintain an effective training program for all new and existing staff members.”
F0584 Level E
“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.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
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.”
F0730 Level E
“Observe each nurse aide's job performance and give regular training.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0881 Level E
“Implement a program that monitors antibiotic use.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0686 Level E
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0726 Level E
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0729 Level E
“Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.”
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.”
F0947 Level E
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
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.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
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.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0726 Level D
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0727 Level D
“Have 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.”
F0758 Level D
“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.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0825 Level D
“Provide or get specialized rehabilitative services as required for a resident.”
F0732 Level B
“Post nurse staffing information every day.”
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 (67)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0007 Level F
“Address patient/client population and determine types of services needed.”
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
E0020 Level F
“Establish policies and procedures including evacuation.”
E0023 Level F
“Establish policies and procedures for medical documentation.”
E0034 Level F
“Provide a means of sharing information on occupancy/needs.”
E0036 Level F
“Establish emergency prep training and testing.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0023 Level F
“Establish policies and procedures for medical documentation.”
E0030 Level F
“List the names and contact information of those in the facility.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0232 Level F
“Have corridors or aisles that are unobstructed and are at least 8 feet in width.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0761 Level E
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0007 Level F
“Address patient/client population and determine types of services needed.”
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0018 Level F
“Establish procedures for tracking staff and patients during an emergency.”
E0020 Level F
“Establish policies and procedures including evacuation.”
E0022 Level F
“Establish policies and procedures for sheltering.”
E0023 Level F
“Establish policies and procedures for medical documentation.”
27 more fire safety citations are not listed here.
Fines and payment denials
Total fines over about the last three years: $143,754 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| December 12, 2023 | Fine | $143,754 |
| December 12, 2023 | Payment denial | from March 12, 2024, 10 days |
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 | 0.40 | 0.99 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.96 | 0.74 | 0.86 |
| Nurse aide hours per resident per day | 2.35 | 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 | 3.42 | 3.82 | 3.43 |
| RN hours per resident per day on the weekend | 0.31 | 0.71 | 0.48 |
| Nursing staff turnover (per year) | 36.4% | 43.9% | 45.3% |
| Administrators who left in the last year | 1.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Middles Holdings LLC.
Owners and managers Medicare lists (6)
| Name | Role | Share | Since |
|---|---|---|---|
| Foundation Healthcare Services LLC | Direct owner | NOT APPLICABLE | May 1, 2021 |
| Frost, Steven | Indirect owner | NOT APPLICABLE | May 1, 2021 |
| Lindahl, Jeffrey | Indirect owner | NOT APPLICABLE | May 1, 2021 |
| Lindahl, Kirkman | Indirect owner | NOT APPLICABLE | May 1, 2021 |
| Lindahl, Scott | Indirect owner | NOT APPLICABLE | May 1, 2021 |
| Foundation Resource Center LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 15, 2018 |
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 | 64 |
| Average residents per day | 59.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Legal business name | Middles Holdings LLC |
| First approved by Medicare/Medicaid | 1989-10-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 219 Cedar Avenue South, North Bend, WA 98045 |
| County | King County |
| State | Washington |
| Phone | (425) 888‑2129 |
| CMS Certification Number | 505339 |
| Name in Medicare records | NORTH BEND 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).
- Avamere Rehabilitation of Issaquah12 mi · Issaquah, WA · 2 of 5 stars
- Marianwood Health and Rehabilitation13 mi · Issaquah, WA · 3 of 5 stars
- Briarwood at Timber Ridge13 mi · Issaquah, WA · 5 of 5 stars
- Bellevue Post Acute19 mi · Bellevue, WA · 3 of 5 stars
- Cedar River Healthcare Center19 mi · Renton, WA · 3 of 5 stars
Nearest hospital emergency rooms
- Snoqualmie Valley Hospital4.6 mi · Snoqualmie, WA · Critical Access Hospital
- Swedish Issaquah11 mi · Issaquah, WA · Acute Care Hospital
- Multicare Covington Medical Center17 mi · Covington, WA · Acute Care 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