Federal inspection record · CMS data as of October 1, 2026
Colonial Vista Post-Acute & Rehab Center
625 Okanogan Ave, Wenatchee, WA · (509) 663-1171
- Certified beds
- 100
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Pacs Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1992
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.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Colonial Vista Post-Acute & Rehab Center carries 54 inspection points. That is fewer than 73% 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
25 health citations on record since 2023. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide care or services that was trauma informed and/or culturally competent.
Resident Rights7E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
- E
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.
- 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.
- 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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2D
- 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.
- 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.
Resident Assessment and Care Planning1E
- E
PASARR screening for Mental disorders or Intellectual Disabilities
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-08-22
9 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-09-27
12 health deficiencies · 33 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-08-08
4 health deficiencies · 20 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 1 h 2 min of it from a registered nurse.
This home
3 h 50 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 54% 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
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-27 | Payment Denial · 39 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.4 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 98.4% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 98.1% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 4.1% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.2 pts better | 9.7% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 4.5% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.1 pts better | 4.4% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.8 pts better | 9.2% | 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 ability to walk independently worsened12.9 pts better | 2.7% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.3 pts better | 5.5% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.4% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.6% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.3 pts better | 11.3% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts worse | 5.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.3 pts better | 98.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts better | 12.6% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.8 pts better | 90.2% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts worse | 20.9% | 19.7% | 23.4% |
·
Who owns and runs it
12 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 |
|---|---|---|---|
| Providence Group Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 32 facilities |
| Apt, Frederick | Operational/Managerial Control · Individual | 0% | 258 facilities |
| Carpenter, Kyra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Carpenter, Kyra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hammonds, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hammonds, Matthew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jergensen, Joshua | Operational/Managerial Control · Individual | 0% | 262 facilities |
| Jones, Camille | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mitchell, John | Operational/Managerial Control · Individual | 0% | 276 facilities |
| Providence Administrative Consulting Services Inc | Adp Of The SNF · Organization | 0% | 71 facilities |
| Truist Bank | 5% Or Greater Security Interest · Organization | 0% | 77 facilities |
| Wenatchee 625 Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
67 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness19F
- F
Address subsistence needs for staff and patients.
- F
Conduct testing and exercise requirements.
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
Establish policies and procedures for sheltering.
- F
Establish policies and procedures for volunteers.
- F
Create arrangements with other facilities to receive patients.
- F
List the names and contact information of those in the facility.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Include a process for Emergency Preparedness collaboration.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- D
List the names and contact information of those in the facility.
Smoke16F
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- 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.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 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
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems12F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 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.
- D
Ensure proper usage of power strips and extension cords.
- 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.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 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.
Miscellaneous8F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress6F
- F
Have properly located and lighted "Exit" signs.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Services5F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1F
- F
Meet other general requirements.
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Cashmere Post Acute
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