Federal inspection record · CMS data as of October 1, 2026

Colville Tribal Convalescent C

1 Convalescent Center Blvd, Nespelem, WA · (509) 634-2878

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
44
Residents per day
31
Ownership
Government
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1992

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Washington homes

Colville Tribal Convalescent C carries 34 inspection points. That is fewer than 89% of Washington's 192 rated homes.

5★4★3★2★1★+6 homes above 393.505102550100200inspection points → fewer is better on the leftThis home · 34 pts · 4★

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

18 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 4 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (1)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 21, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 29, 2024

Everything else, by area of care

Nutrition and Dietary5E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 26, 2026 · Standard · F812 · Corrected August 10, 2026

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    April 3, 2025 · Standard · F804 · Corrected May 1, 2025

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 3, 2025 · Standard · F812 · Corrected May 1, 2025

  4. D

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    April 30, 2024 · Standard · F801 · Corrected May 30, 2024

  5. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 30, 2024 · Standard · F812 · Corrected May 30, 2024

Pharmacy Service3D
  1. D

    Ensure that residents are free from significant medication errors.

    June 26, 2026 · Standard · F760 · Corrected August 10, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    April 3, 2025 · Standard · F760 · Corrected May 1, 2025

  3. 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.

    April 3, 2025 · Standard · F761 · Corrected May 1, 2025

Resident Assessment and Care Planning2D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    June 26, 2026 · Standard · F644 · Corrected August 6, 2026

  2. D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    April 30, 2024 · Standard · F661 · Corrected May 30, 2024

Quality of Life and Care2D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 26, 2026 · Standard · F684 · Corrected August 10, 2026

  2. 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.

    June 26, 2026 · Standard · F688 · Corrected August 10, 2026

Administration2D
  1. D

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    September 16, 2024 · Complaint · F851 · Corrected May 30, 2024

  2. D

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    April 30, 2024 · Standard · F851 · Corrected May 30, 2024

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    April 3, 2025 · Standard · F880 · Corrected May 1, 2025

Resident Rights1D
  1. D

    Reasonably accommodate the needs and preferences of each resident.

    April 3, 2025 · Standard · F558 · Corrected May 1, 2025

Environmental1D
  1. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 3, 2025 · Standard · F921 · Corrected May 1, 2025

Inspection history

  1. 2026-06-26

    5 health deficiencies · 9 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2025-04-03

    7 health deficiencies · 11 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2024-04-30

    6 health deficiencies · 8 fire-safety deficiencies

    Top issue: Administration (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 13 min of nursing staff time a day, 1 h 14 min of it from a registered nurse.

This home

5 h 13 min

Washington average

4 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 30% 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

$8,173 in federal fines on record over the past three years.

DatePenaltyAmount
2024-02-21Fine$8,173

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.01.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse2.01.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better100.0%96.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts better100.0%94.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better0.0%2.6%3.2%
Percentage of long-stay residents who have depressive symptoms17.9 pts better0.0%17.9%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better3.9%5.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts better5.5%12.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication12 pts worse27.0%15.0%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better12.3%15.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts worse17.2%13.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.3%0.8%0.7%
Percentage of long-stay residents with a urinary tract infection3.6 pts worse5.3%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts worse23.4%21.6%18.3%
Percentage of long-stay residents with pressure ulcers4.5 pts worse8.9%4.4%4.5%

·

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
NameRoleShareHomes
Confederated Tribes Of The Colville Reservation5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Confederated Tribes Of The Colville ReservationAdp Of The SNF · Organization0%1 facilities
Erickson, Jarred-MichaelManaging Control - Governing Body · Individual0%1 facilities
Erickson, Jarred-MichaelOperational/Managerial Control · Individual0%1 facilities
Erickson, Jarred-MichaelAdp Of The SNF · Individual0%1 facilities
Hutton, SallyOperational/Managerial Control · Individual0%1 facilities
Hutton, SallyAdp Of The SNF · Individual0%1 facilities
Lewis, LorenOperational/Managerial Control · Individual0%1 facilities
Lewis, LorenAdp Of The SNF · Individual0%1 facilities
Moore, CaseyManaging Control - Governing Body · Individual0%1 facilities
Moore, CaseyOperational/Managerial Control · Individual0%1 facilities
Moore, CaseyAdp Of The SNF · Individual0%1 facilities

·

Fire safety

28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke14F
  1. F

    Provide properly protected cooking facilities.

    June 26, 2026 · K324 · Corrected August 4, 2026

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 26, 2026 · K345 · Corrected August 4, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 26, 2026 · K353 · Corrected August 4, 2026

  4. D

    Install corridor and hallway doors that block smoke.

    June 26, 2026 · K363 · Corrected July 15, 2026

  5. F

    Provide properly protected cooking facilities.

    April 3, 2025 · K324 · Corrected May 1, 2025

  6. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 3, 2025 · K345 · Corrected May 26, 2025

  7. E

    Inspect, test, and maintain automatic sprinkler systems.

    April 3, 2025 · K353 · Corrected May 1, 2025

  8. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    April 3, 2025 · K355 · Corrected May 1, 2025

  9. F

    Provide properly protected cooking facilities.

    April 30, 2024 · K324 · Corrected May 30, 2024

  10. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 30, 2024 · K353 · Corrected May 30, 2024

  11. F

    Install corridor and hallway doors that block smoke.

    April 30, 2024 · K363 · Corrected May 30, 2024

  12. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    April 30, 2024 · K374 · Corrected May 30, 2024

  13. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 30, 2024 · K321 · Corrected May 30, 2024

  14. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    April 30, 2024 · K355 · Corrected May 30, 2024

Emergency Preparedness6F
  1. F

    Establish procedures for tracking staff and patients during an emergency.

    June 26, 2026 · E18 · Corrected July 30, 2026

  2. F

    Establish policies and procedures including evacuation.

    June 26, 2026 · E20 · Corrected August 4, 2026

  3. F

    Address patient/client population and determine types of services needed.

    June 26, 2026 · E7 · Corrected July 30, 2026

  4. F

    Develop and maintain an Emergency Preparedness Program (EP).

    April 3, 2025 · E4 · Corrected May 1, 2025

  5. F

    Conduct testing and exercise requirements.

    April 30, 2024 · E39 · Corrected May 30, 2024

  6. F

    Develop and maintain an Emergency Preparedness Program (EP).

    April 30, 2024 · E4 · Corrected May 30, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 3, 2025 · K918 · Corrected May 26, 2025

  2. F

    Ensure that testing and maintenance of electrical equipment is performed.

    April 3, 2025 · K921 · Corrected May 26, 2025

  3. E

    Ensure proper usage of power strips and extension cords.

    April 3, 2025 · K920 · Corrected May 1, 2025

Miscellaneous2F
  1. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    June 26, 2026 · K761 · Corrected July 13, 2026

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    April 3, 2025 · K761 · Corrected May 1, 2025

Services2D
  1. D

    Have properly installed electrical wiring and gas equipment.

    June 26, 2026 · K511 · Corrected August 4, 2026

  2. D

    Have properly installed electrical wiring and gas equipment.

    April 3, 2025 · K511 · Corrected May 1, 2025

Egress1F
  1. F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    April 3, 2025 · K211 · Corrected May 1, 2025

·

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