Federal inspection record · CMS data as of October 1, 2026
Colville Health and Rehabilitation of Cascadia
1000 East Elep Street, Colville, WA · (509) 684-2573
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 92
- Residents per day
- 56
- Ownership
- For-Profit
- Chain
- Cascadia Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1983
1
How this home got 1 star
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.
-
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 (already 1)
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Washington homes
Colville Health and Rehabilitation of Cascadia carries 491.25 inspection points. That is fewer than 1% 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
55 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.
Harm and immediate-jeopardy citations (6)
-
L
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
H
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
G
Ensure that residents are free from significant medication errors.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care15E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 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 and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration9F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- E
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E
Provide training in compliance and ethics.
- D
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
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.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- E
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.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning4E
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights3E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Keep residents' personal and medical records private and confidential.
- D
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.
Nursing and Physician Services2F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- 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.
Environmental2F
- F
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-05-23
32 health deficiencies · 7 fire-safety deficiencies
Top issue: Administration (8 deficiencies)
2024-05-16
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-02-03
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 23 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 75% of registered nurses left in the past year, along with 2 administrators.
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
$68,351 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-05-07 | Fine | $59,378 |
| 2024-05-16 | Fine | $8,973 |
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 days0.3 pts better | 1.0 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3.2 pts worse | 4.7 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 96.2% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 96.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts worse | 5.4% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.7 pts worse | 20.6% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 8.3% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better | 11.8% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.1 pts worse | 18.1% | 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 worsened10.8 pts worse | 26.4% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.5 pts worse | 21.3% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.6% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.6% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts worse | 30.0% | 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 vaccine1.9 pts better | 90.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.7 pts worse | 24.7% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.3% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 88.9% | 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
14 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 |
|---|---|---|---|
| Cascadia Hc Group LLC | Operational/Managerial Control · Organization | 0% | 42 facilities |
| Cascadia Holdco LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Cascadia Services LLC | Operational/Managerial Control · Organization | 0% | 47 facilities |
| Cascadia Services LLC | Adp Of The SNF · Organization | 0% | 47 facilities |
| Colville 1000 Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Colville 1000 Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Flemming, Stanley | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Flemming, Stanley | Adp Of The SNF · Individual | 0% | 6 facilities |
| Hammond, Owen | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Laforte, Stephen | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Nelson, Timothy | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Weichers, Roger | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Weichers, Roger | Adp Of The SNF · Individual | 0% | 1 facilities |
| White Oak Healthcare Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 48 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Establish policies and procedures including evacuation.
- F
Address patient/client population and determine types of services needed.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address subsistence needs for staff and patients.
- F
Create arrangements with other facilities to receive patients.
- F
Conduct risk assessment and an All-Hazards approach.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Construction2F
- D
Meet other general requirements.
- F
Meet other general requirements.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
Have properly located and lighted "Exit" signs.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Buena Vista Healthcare
Colville, WA · Evergreen Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 57 min
- Fines
- $13,104
-
Colville Tribal Convalescent C
Nespelem, WA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 13 min
- Fines
- $8,173
-
Avalon Care Center At Northpointe
Spokane, WA · Avalon Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
- $84,614