Madison Post Acute
2520 Madison · Everett, WA · 98203 · 4253534040
59 certified beds For profit - Partnership Chain: The Mandelbaum Family
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.73 | 0.55–0.75 |
| Weekend hours / resident-day | 3.74 | ≈ weekday level |
| Nursing turnover / year | 28% | median 45% |
| Fines (3-yr window) | 1 · $71,318 |
Inspection citations (55 in the current record)
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Potential for harm · E November 24, 2025 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 21, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 1, 2025 · Resident Rights
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Potential for harm · D July 21, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected September 1, 2025 · Resident Rights
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Potential for harm · E July 21, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 1, 2025 · Resident Rights
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Potential for harm · E July 21, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 1, 2025 · Resident Rights
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Potential for harm · E July 21, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 1, 2025 · Quality of Life and Care
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Potential for harm · E July 21, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 1, 2025 · Quality of Life and Care
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Potential for harm · D July 21, 2025
Provide and implement an infection prevention and control program.
Corrected September 1, 2025 · Infection Control
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Potential for harm · F July 21, 2025 · found via complaint
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.
Corrected September 1, 2025 · Nutrition and Dietary
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Potential for harm · E July 21, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 1, 2025 · Nutrition and Dietary
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Potential for harm · F July 21, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 1, 2025 · Nutrition and Dietary
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No harm found · B July 21, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected September 1, 2025 · Environmental
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Potential for harm · D August 7, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 20, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
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.
Corrected September 20, 2024 · Resident Rights
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Potential for harm · D August 7, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · D August 7, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · D August 7, 2024
Observe each nurse aide's job performance and give regular training.
Corrected September 20, 2024 · Nursing and Physician Services
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Potential for harm · D August 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 20, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 16, 2023 | Fine | $71,318 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505463 · certified since January 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.