Colfax Health and Rehabilitation of Cascadia

1150 West Fairview Road, Colfax, WA 99111 · (509) 397-4603
For profit - Limited Liability company · 55 certified beds

Colfax Health and Rehabilitation of Cascadia has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 22 citations (the Washington average is 15.8). It was fined 3 times in the last three years, $76,831 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on June 14, 2025 found 22 citations. What an inspection citation means

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 14, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Make sure that a working call system is available in each resident's bathroom and bathing area.June 14, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.June 14, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.June 14, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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 14, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.June 14, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Observe each nurse aide's job performance and give regular training.June 14, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.June 14, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.June 14, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 14, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.June 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.June 14, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.June 14, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 14, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.June 14, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 14, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.June 14, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.June 14, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.June 14, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 14, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 14, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 42 citations.

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 7, 2026 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.April 7, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 28, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 28, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.September 11, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.June 14, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 14, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.June 14, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.June 14, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.June 14, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 14, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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 14, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 14, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.June 14, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Observe each nurse aide's job performance and give regular training.June 14, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.June 14, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.June 14, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.June 14, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 14, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.June 14, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 14, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.June 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.June 14, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.June 14, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 14, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.June 14, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 24, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.October 25, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 17, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 22, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.July 22, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 22, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.June 28, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 3, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that the resident and his/her doctor meet face-to-face at all required visits.May 3, 2024 · F0712 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.April 8, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 8, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 22, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 12, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 12, 2023 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 12, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many

Fines and payment denials

• Fine of $9,347April 7, 2026
• Fine of $39,867June 28, 2024
• Fine of $27,617October 12, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home