Colville Health and Rehabilitation of Cascadia
1000 East Elep Street · Colville, WA · 99114 · 5096842573
92 certified beds For profit - Corporation Chain: Cascadia Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$59,378 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
67% 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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 2 · $68,351 |
Inspection citations (54 in the current record)
-
Potential for harm · D April 7, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · L May 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K May 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 30, 2025 · Quality of Life and Care
-
Actual harm · H May 23, 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 June 30, 2025 · Nursing and Physician Services
-
Actual harm · G May 23, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 30, 2025 · Pharmacy Service
-
Potential for harm · E May 23, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 30, 2025 · Resident Rights
-
Potential for harm · E May 23, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E May 23, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected June 30, 2025 · Quality of Life and Care
-
Potential for harm · D May 23, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected June 30, 2025 · Resident Rights
-
Potential for harm · D May 23, 2025 · found via complaint
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 June 30, 2025 · Resident Rights
-
Potential for harm · D May 23, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E May 23, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E May 23, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E May 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 30, 2025 · Quality of Life and Care
-
Potential for harm · D May 23, 2025 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 30, 2025 · Quality of Life and Care
-
Potential for harm · E May 23, 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 June 30, 2025 · Nursing and Physician Services
-
Potential for harm · F May 23, 2025 · found via complaint
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 June 30, 2025 · Nursing and Physician Services
-
Potential for harm · E May 23, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected June 30, 2025 · Quality of Life and Care
-
Potential for harm · D May 23, 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 June 30, 2025 · Pharmacy Service
-
Potential for harm · E May 23, 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 June 30, 2025 · Nutrition and Dietary
-
Potential for harm · F May 23, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 30, 2025 · Administration
-
Potential for harm · E May 23, 2025 · found via complaint
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 June 30, 2025 · Administration
-
Potential for harm · F May 23, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected June 30, 2025 · Administration
-
Potential for harm · F May 23, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected June 30, 2025 · Administration
-
Potential for harm · F May 23, 2025 · found via complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected June 30, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 7, 2025 | Fine | $59,378 |
| May 16, 2024 | Fine | $8,973 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505275 · certified since September 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.