Federal inspection record · CMS data as of October 1, 2026
Columbia Basin Hospital
200 Nat Washington Way, Ephrata, WA · (509) 754-4631
- Certified beds
- 12
- Residents per day
- 11
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- August 11, 1975
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
Not ratednot rated
CMS did not rate staffing here, so it does not move the star.
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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
Columbia Basin Hospital 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
31 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights6E
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
- 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.
Freedom from Abuse, Neglect, and Exploitation6E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care4D
- 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 care or services that was trauma informed and/or culturally competent.
- 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.
- D
Provide care or services that was trauma informed and/or culturally competent.
Administration4F
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- 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.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services2E
- C
Post nurse staffing information every day.
- 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.
Nutrition and Dietary2D
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Dispose of garbage and refuse properly.
Pharmacy Service1F
- F
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.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Assessment and Care Planning1E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
2026-04-24
8 health deficiencies · 17 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-03-14
8 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-02-02
15 health deficiencies · 8 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
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 vaccine3.3 pts worse | 92.9% | 96.2% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.5 pts worse | 7.1% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.1 pts better | 8.8% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 5.0% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication29 pts worse | 41.5% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5 pts worse | 20.0% | 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 worsened6.7 pts worse | 22.3% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.4 pts worse | 22.2% | 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 infection0.7 pts worse | 2.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.2 pts worse | 31.8% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.4 pts better | 0.0% | 4.4% | 4.5% |
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Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness22F
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for volunteers.
- F
Create arrangements with other facilities to receive patients.
- 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
Establish procedures for tracking staff and patients during an emergency.
- F
List the names and contact information of those in the facility.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- D
Establish roles under a Waiver declared by secretary.
- F
List the names and contact information of those in the facility.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- D
Develop Emergency Preparedness policies and procedures.
Smoke8F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Ensure proper usage of power strips and extension cords.
Construction1F
- F
Use approved construction type or materials.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Lake Ridge Center
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Columbia Crest Center
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