31 health deficiencies
Top issue: Administration (8 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Colville, WA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $100,323 in total fines with 31 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1000 East Elep Street, Colville, WA
(509) 684-2573
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
92
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cascadia Healthcare
Operator or chain grouping
Approved since
1983-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
44 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
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
0.66
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.78
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
3.03
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
3.80
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
73%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,380
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.40
Composite VBP score used to determine payment impact.
Payment multiplier
0.9898
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.50
Baseline 20.12% · Performance 17.95% · Measure score 7.50 · Achievement 7.50 · Improvement 6.51
Healthcare-associated infections
6.06
Baseline 7.12% · Performance 6.02% · Measure score 6.06 · Achievement 6.06 · Improvement 4.66
Total nurse turnover
0
Performance 61.91% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.99
Baseline 4.43 hours · Performance 3.36 hours · Measure score 0.99 · Achievement 0.99 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.14% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 8.2% · Lower 95% interval 7.38% |
| Discharge to community | 50.86% |
50.57%
0.3 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 46.77% · Lower 95% interval 40.58% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 43 · Denominator 43 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 43 |
| Discharge self-care score | 33.33% |
53.69%
20.4 pts worse
|
Numerator 11 · Denominator 33 |
| Discharge mobility score | 48.48% |
50.94%
2.5 pts worse
|
Numerator 16 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 9.3% |
2.29%
7 pts worse
|
Numerator 4 · Denominator 43 · Adjusted rate 10.98% |
| Healthcare-associated infections requiring hospitalization | 6.02% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 2.13% · Lower 95% interval 3.18% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 79 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 157 |
| Discharge function score | 42.42% |
56.45%
14 pts worse
|
Numerator 14 · Denominator 33 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.15% |
96.28%
0.1 pts worse
|
Numerator 25 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 25.93% |
25.2%
0.7 pts better
|
Numerator 7 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.4
0.7 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.4 |
1.5
2.9 pts worse
|
1.8
2.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 3.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
96.0%
2.5 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 93.8% · 4Q avg 98.5% |
| 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 | 3.6% |
2.6%
1 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 6.5% · Q4 6.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 32.6% |
16.3%
16.3 pts worse
|
11.4%
21.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.9% · Q2 34.7% · Q3 24.4% · Q4 22.9% · 4Q avg 32.6% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
5.8%
3.1 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 2.2% · Q4 4.7% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% |
12.1%
2.2 pts better
|
19.6%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 6.0% · Q3 8.7% · Q4 15.2% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
15.9%
2.9 pts worse
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 19.5% · Q3 23.8% · Q4 16.3% · 4Q avg 18.8% · 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 | 17.9% |
20.0%
2.1 pts better
|
16.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.6% |
15.8%
4.8 pts worse
|
14.9%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 18.2% · Q3 20.9% · Q4 27.3% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.2%
0.8 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long 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 long-stay residents with new or worsened bowel or bladder incontinence | 17.9% |
23.5%
5.6 pts better
|
19.8%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 13.6% · Q3 1.9% · Q4 29.0% · 4Q avg 17.9% |
| Percentage of long-stay residents with pressure ulcers | 0.6% |
4.7%
4.1 pts better
|
5.1%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.3% |
87.7%
2.6 pts better
|
81.7%
8.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 93.4% · Q3 77.4% · Q4 91.0% · 4Q avg 90.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.4% |
13.2%
9.2 pts worse
|
12.0%
10.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 22.7% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.4%
1.1 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.4% · Q3 2.3% · Q4 2.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.7% |
82.0%
14.7 pts better
|
79.7%
17 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% |
19.9%
0.1 pts better
|
23.9%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 18.2% · Expected 21.9% · Used in QM five-star |
Survey summary
Top issue: Administration (8 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-06-18
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-06-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-18
Fire Safety
Meet other general requirements.
Corrected 2025-06-18
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-18
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-29
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-05-29
Fire Safety
Meet other general requirements.
Corrected 2024-05-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-05-29
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-28
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-02-28
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-02-28
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-02-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-28
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-30
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-06-30
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-30
Health
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.
Corrected 2025-06-30
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-06-30
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-06-30
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-06-30
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-06-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-30
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-06-30
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-06-30
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-30
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-30
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-06-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-30
Health
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.
Corrected 2025-06-30
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-06-30
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-06-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-30
Health
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.
Corrected 2025-06-30
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 2025-06-30
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-06-30
Health
Provide training in compliance and ethics.
Corrected 2025-06-30
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-06-30
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 2025-06-30
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-30
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-06-30
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 2025-06-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-25
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-20
Health
Provide activities to meet all resident's needs.
Corrected 2024-06-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-20
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-06-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-06-20
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 2024-06-20
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-20
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-04-25
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 2024-04-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-04
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-05-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-07
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-03-07
Penalties and ownership
Fine · fine $91,350
Fine
Fine · fine $8,973
Fine
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
Nearby options
Colville, WA
4-star overall rating with 4-star inspections with $13,104 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Nespelem, WA
3-star overall rating with 4-star inspections with $8,173 in total fines with 7 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Spokane, WA
1-star overall rating with 1-star inspections with $84,614 in total fines with 36 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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