Americana Health and RehabilitationCMS ratings, inspections and fines
- Address
- 917 7th Avenue, Longview, WA 98632
- CCN
- 505361
- Ownership type
- For-profit, corporation
- Certified beds
- 74
- Residents per day
- 49
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Americana Health and Rehabilitation an overall rating of 4 of 5 stars. The last standard survey was on 21 Nov 2025. The latest survey cycle has 9 health citations. The median for nursing homes in Washington is 14. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Washington (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Cowlitz County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 193 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Nov 2025 | 9 | 14 |
| Cycle 2 | 17 Dec 2024 | 7 | 17 |
| Cycle 3 | No date | 4 | 13 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Nov 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 17 Dec 2025 |
| 21 Nov 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 17 Dec 2025 |
| 21 Nov 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 17 Dec 2025 |
| 21 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Dec 2025 |
| 21 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Dec 2025 |
| 21 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Dec 2025 |
| 21 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 17 Dec 2025 |
| 21 Nov 2025 | F0688 | 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. | D | Standard survey | 17 Dec 2025 |
| 21 Nov 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Standard survey | 17 Dec 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Dec 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 15 Jan 2025 |
| 17 Dec 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 15 Jan 2025 |
| 17 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Jan 2025 |
| 17 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Jan 2025 |
| 17 Dec 2024 | F0761 | 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. | E | Standard survey | 15 Jan 2025 |
| 17 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Jan 2025 |
| 17 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Jan 2025 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 1 Jul 2024 |
| 11 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 Feb 2024 |
| 11 Jan 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 19 Feb 2024 |
| 11 Jan 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 19 Feb 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Washington median | Washington average (CMS) |
|---|---|---|---|
| All nurse staff | 3.93 | 4.10 | 4.37 |
| Registered nurses (RN) | 0.85 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.77 | 0.77 | |
| Nurse aides | 2.31 | 2.66 | |
| All nurse staff, weekends | 3.33 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 33.3%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 28.6%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.4% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.3% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 43.1% | 14.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Americana SNF Operations, LLC
- Chain
- Evergreen Healthcare Group (44 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Americana SNF Operations, LLC | Direct ownership interest | 31 Aug 2023 | |
| Pacific Northwest SNF Operations Holdings (WA) LLC | Direct ownership interest | 31 Aug 2023 | |
| CH Pacific Northwest Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Pacific Northwest SNF Operations Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Witzcorp Global LLC | Indirect ownership interest | 31 Aug 2023 | |
| Americana SNF Operations, LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Financial Services LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Pacific Northwest Opco Management LLC | Operational/managerial control | 31 Aug 2023 | |
| Washington SNF Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Americana SNF Operations, LLC | Adp of the snf | 17 Jun 2025 | |
| CH Pacific Northwest Holdings LLC | Adp of the snf | 31 Aug 2023 | |
| Couve Financial Services LLC | Adp of the snf | 21 May 2025 | |
| Couve Healthcare Consulting LLC | Adp of the snf | 21 May 2025 | |
| Pacific Northwest Opco Management LLC | Adp of the snf | 21 May 2025 | |
| Washington SNF Consulting LLC | Adp of the snf | 21 May 2025 | |
| Witzcorp Global LLC | Adp of the snf | 31 Aug 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Cowlitz County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Frontier Rehabilitation and Extended Care | Longview | 4 of 5 | 8 | $0 | 23 Apr 2026 | |
| Beacon Hill Rehabilitation | Longview | 5 of 5 | 4 | $25,350 | 21 May 2026 | |
| Woodland Convalescent Center | Woodland | 2 of 5 | 9 | $31,793 | 20 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Americana Health and Rehabilitation (CCN 505361). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/americana-health-and-rehabilitation-longview-wa-505361/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Americana Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 21 Nov 2025. It was a standard survey. It gave 9 citations. The standard survey before the last one was on 17 Dec 2024.
- Who operates Americana Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Evergreen Healthcare Group. The CMS ownership file names 5 organisations for operational or managerial control. This site does not show the names of persons.
- Is Americana Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.