15 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Cheney, WA
3-star overall rating with 3-star inspections with 15 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
2219 North 6th Street, Cheney, WA
(509) 235-6196
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
54
Certified beds
Average residents
41
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.58
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.91
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.32
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.84
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.52
CMS adjusted total nurse staffing hours
Case-mix index
1.68
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,922
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9912
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.35
Baseline 18.65% · Performance 18.49% · Measure score 6.35 · Achievement 6.35 · Improvement 0.48
Healthcare-associated infections
6.46
Baseline 6.61% · Performance 5.91% · Measure score 6.46 · Achievement 6.46 · Improvement 3.87
Total nurse turnover
0.83
Baseline 62.07% · Performance 60.29% · Measure score 0.83 · Achievement 0.83 · Improvement 0
Adjusted total nurse staffing
1.60
Baseline 3.19 hours · Performance 3.53 hours · Measure score 1.60 · Achievement 1.60 · Improvement 0.81
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.59% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 89 · Observed rate 2.25% · Lower 95% interval 5.7% |
| Discharge to community | 52.56% |
50.57%
2 pts better
|
No Different than the National Rate · Eligible stays 89 · Observed rate 50.56% · Lower 95% interval 44.98% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.67% |
95.27%
1.4 pts better
|
Numerator 58 · Denominator 60 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 60 |
| Discharge self-care score | 63.46% |
53.69%
9.8 pts better
|
Numerator 33 · Denominator 52 |
| Discharge mobility score | 53.85% |
50.94%
2.9 pts better
|
Numerator 28 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 60 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.91% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 0% · Lower 95% interval 2.89% |
| Staff COVID-19 vaccination coverage | 5.74% |
8.2%
2.5 pts worse
|
Numerator 7 · Denominator 122 |
| Staff flu vaccination coverage | 15.13% |
42%
26.9 pts worse
|
Numerator 18 · Denominator 119 |
| Discharge function score | 61.54% |
56.45%
5.1 pts better
|
Numerator 32 · Denominator 52 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 37 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 52.94% |
25.2%
27.7 pts better
|
Numerator 18 · Denominator 34 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.0%
4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.8%
6.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
2.6%
1.7 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 5.3% · Q4 9.4% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 74.0% |
16.3%
57.7 pts worse
|
11.4%
62.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.1% · Q2 73.3% · Q3 70.6% · Q4 75.0% · 4Q avg 74.0% |
| Percentage of long-stay residents who lose too much weight | 4.8% |
5.8%
1 pts better
|
5.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 3.6% · Q3 6.1% · Q4 0.0% · 4Q avg 4.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.2% |
12.1%
5.1 pts worse
|
19.6%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 20.7% · Q3 14.7% · Q4 18.8% · 4Q avg 17.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.2% |
15.9%
1.7 pts better
|
16.7%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 15.4% · Q3 18.5% · Q4 14.8% · 4Q avg 14.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.0% |
20.0%
6 pts worse
|
16.3%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.2% |
15.8%
5.4 pts worse
|
14.9%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.1% · Q3 16.1% · Q4 25.8% · 4Q avg 21.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
1.2%
1.5 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 2.8% · Q4 2.2% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.7%
1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.2% |
23.5%
5.3 pts better
|
19.8%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 13.4% · Q3 16.1% · Q4 18.8% · 4Q avg 18.2% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
4.7%
2.1 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.2% · Q3 1.9% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.7%
12.3 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.3% |
13.2%
2.1 pts worse
|
12.0%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 14.6% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.4%
1.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
82.0%
18 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 8.8% |
19.9%
11.1 pts better
|
23.9%
15.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 8.3% · Expected 22.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-07-24
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-24
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-07-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-24
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-07-24
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-07-24
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-24
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-07-24
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-07-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-06-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-07
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-06-07
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-06-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-07
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-06-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-07
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-06-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-03
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-03-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-03-03
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-03
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-10-03
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-10-03
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-03
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-10-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-03
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-10-03
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-10-03
Health
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.
Corrected 2025-10-03
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-10-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-20
Health
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.
Corrected 2025-03-28
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-03-28
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2025-03-28
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-03-28
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-01-06
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-06
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2025-01-06
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-01-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-13
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-13
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-07-13
Health
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 2024-07-13
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-07-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-13
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-07-13
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-07-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-06
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-07-18
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2023-06-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-23
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-06-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-06-23
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-23
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-23
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-06-23
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-06-23
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-06-23
Health
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.
Corrected 2023-06-23
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-06-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
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