Federal inspection record · CMS data as of October 1, 2026
Americana Health and Rehabilitation
917 7th Avenue, Longview, WA · (360) 425-5910
- Certified beds
- 74
- Residents per day
- 48
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1990
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Americana Health and Rehabilitation carries 49 inspection points. That is fewer than 78% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Everything else, by area of care
Quality of Life and Care5E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning5D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights2D
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nursing and Physician Services2D
- D
Observe each nurse aide's job performance and give regular training.
- C
Post nurse staffing information every day.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1E
- E
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-11-21
9 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-12-17
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-01-11
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 53 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 53 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine24.9 pts worse | 71.3% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts worse | 93.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 2.8% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.1 pts better | 6.8% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.8 pts worse | 10.4% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 12.4% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication30.9 pts worse | 45.9% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts worse | 19.5% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.6 pts worse | 26.2% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine36.5 pts worse | 52.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts worse | 14.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 2.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.2 pts worse | 76.2% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts better | 17.8% | 19.7% | 23.4% |
·
Who owns and runs it
41 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Americana SNF Operations, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Americana SNF Operations, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Americana SNF Operations, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bayhon, Marissa | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Bayhon, Marissa | Adp Of The SNF · Individual | 0% | 4 facilities |
| Ch Pacific Northwest Holdings LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Ch Pacific Northwest Holdings LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Chheda, Neel | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Chheda, Neel | Adp Of The SNF · Individual | 0% | 11 facilities |
| Couve Financial Services LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Adp Of The SNF · Organization | 0% | 41 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Herzka, Yisroel | Adp Of The SNF · Individual | 0% | 75 facilities |
| Jeffries, Brandi | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Jeffries, Brandi | Corporate Officer · Individual | 0% | 1 facilities |
| Jeffries, Brandi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jeffries, Brandi | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mccoy, Michael | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Mccoy, Michael | Adp Of The SNF · Individual | 0% | 3 facilities |
| Odenthal, Jason | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Odenthal, Jason | Corporate Officer · Individual | 0% | 18 facilities |
| Odenthal, Jason | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Odenthal, Jason | Adp Of The SNF · Individual | 0% | 18 facilities |
| Pacific Northwest Opco Management LLC | Operational/Managerial Control · Organization | 0% | 29 facilities |
| Pacific Northwest Opco Management LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Pacific Northwest SNF Operations Holdings (Wa) LLC | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Pacific Northwest SNF Operations Holdings LLC | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Spielman, Shimon | Corporate Officer · Individual | 0% | 48 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Washington SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Washington SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Wilson, Tamara | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wilson, Tamara | Adp Of The SNF · Individual | 0% | 1 facilities |
| Witzcorp Global LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Witzcorp Global LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness6F
- F
Conduct testing and exercise requirements.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- F
Provide primary/alternate means for communication.
- F
Provide family notifications of emergency plan.
Smoke5F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Egress1F
- 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.
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Other homes nearby
-
Frontier Rehabilitation and Extended Care
Longview, WA · Evergreen Healthcare Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 10 min
- Fines
- $0
-
Beacon Hill Rehabilitation
Longview, WA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 49 min
- Fines
- $25,350
-
Woodland Convalescent Center
Woodland, WA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 24 min
- Fines
- $26,888