Colfax Health and Rehabilitation of Cascadia
1150 West Fairview Road · Colfax, WA · 99111 · 5093974603
55 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
75% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.80 | 0.55–0.75 |
| Weekend hours / resident-day | 3.36 | ≈ weekday level |
| Nursing turnover / year | 75% | median 45% |
| Fines (3-yr window) | 2 · $67,484 |
Inspection citations (64 in the current record)
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Actual harm · G April 7, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · D April 7, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 30, 2026 · Pharmacy Service
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Potential for harm · E January 28, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · E January 28, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · F September 11, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 16, 2025 · Nursing and Physician Services
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Potential for harm · D June 14, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D June 14, 2025 · found via complaint
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.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · E June 14, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · E June 14, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 14, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · D June 14, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · E June 14, 2025 · found via complaint
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.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · F June 14, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 21, 2025 · Nursing and Physician Services
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Potential for harm · E June 14, 2025 · found via complaint
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 July 21, 2025 · Nursing and Physician Services
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Potential for harm · E June 14, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected July 21, 2025 · Nursing and Physician Services
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Potential for harm · D June 14, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · D June 14, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 21, 2025 · Pharmacy Service
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Potential for harm · D June 14, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 21, 2025 · Pharmacy Service
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Potential for harm · E June 14, 2025 · found via complaint
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 July 21, 2025 · Pharmacy Service
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Potential for harm · E June 14, 2025 · found via complaint
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.
Corrected July 21, 2025 · Nutrition and Dietary
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Potential for harm · F June 14, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 21, 2025 · Nutrition and Dietary
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Potential for harm · E June 14, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 21, 2025 · Infection Control
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Potential for harm · D June 14, 2025 · found via complaint
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 July 21, 2025 · Infection Control
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Potential for harm · F June 14, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 21, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 28, 2024 | Fine | $39,867 |
| October 12, 2023 | Fine | $27,617 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505251 · certified since December 15, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.