Colville Health and Rehabilitation of Cascadia

1000 East Elep Street, Colville, WA 99114 · (509) 684-2573
For profit - Corporation · 92 certified beds

Colville Health and Rehabilitation of Cascadia has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 30 citations, 4 for actual harm or immediate jeopardy (the Washington average is 15.8). It was fined 2 times in the last three years, $68,351 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 23, 2025 found 30 citations. What an inspection citation means

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 23, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 23, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · 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.May 23, 2025 · F0725 · Level of harm: Actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.May 23, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Few
• 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.May 23, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.May 23, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have a plan that describes the process for conducting QAPI and QAA activities.May 23, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.May 23, 2025 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyMay 23, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.May 23, 2025 · F0880 · 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.May 23, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.May 23, 2025 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure that residents are fully informed and understand their health status, care and treatments.May 23, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.May 23, 2025 · F0607 · 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.May 23, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.May 23, 2025 · F0658 · 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 23, 2025 · F0684 · 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.May 23, 2025 · F0726 · 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.May 23, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide medically-related social services to help each resident achieve the highest possible quality of life.May 23, 2025 · F0745 · 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.May 23, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.May 23, 2025 · F0837 · 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.May 23, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.May 23, 2025 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide training in compliance and ethics.May 23, 2025 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep residents' personal and medical records private and confidential.May 23, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 23, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 23, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.May 23, 2025 · F0699 · 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.May 23, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 37 citations.

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 1, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 7, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.May 23, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 23, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 23, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 23, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.May 23, 2025 · F0607 · 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.May 23, 2025 · F0644 · 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 23, 2025 · F0684 · 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.May 23, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Provide care or services that was trauma informed and/or culturally competent.May 23, 2025 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 23, 2025 · F0725 · Level of harm: 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.May 23, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.May 23, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.May 23, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.May 23, 2025 · F0760 · Level of harm: 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.May 23, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 23, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.May 23, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.May 23, 2025 · F0837 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a plan that describes the process for conducting QAPI and QAA activities.May 23, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.May 23, 2025 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyMay 23, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.May 23, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.May 23, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that a working call system is available in each resident's bathroom and bathing area.May 23, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.May 23, 2025 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.May 23, 2025 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide training in compliance and ethics.May 23, 2025 · F0946 · 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.May 7, 2025 · F0689 · 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.November 27, 2024 · F0609 · 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 17, 2024 · F0677 · 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.June 25, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.May 16, 2024 · F0697 · 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.April 15, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 9, 2024 · F0690 · 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.January 10, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few

Fines and payment denials

• Fine of $59,378May 7, 2025
• Fine of $8,973May 16, 2024

Nurse staffing

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

About this home