Colville Health and Rehabilitation of CascadiaCMS ratings, inspections and fines
- Address
- 1000 East Elep Street, Colville, WA 99114
- CCN
- 505275
- Ownership type
- For-profit, corporation
- Certified beds
- 92
- Chain
- Cascadia Healthcare
- Residents per day
- 58
- CMS flags
- Special Focus Facility candidate
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
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 Colville Health and Rehabilitation of Cascadia an overall rating of 1 of 5 stars. The last standard survey was on 23 May 2025. The latest survey cycle has 32 health citations. The median for nursing homes in Washington is 14. CMS lists 2 fines with a total of $68,351 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 | Stevens County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 2 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) | 23 May 2025 | 32 | 14 |
| Cycle 2 | 16 May 2024 | 13 | 17 |
| Cycle 3 | No date | 10 | 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 | ||
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 32 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 29 Jul 2026 |
| 7 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 May 2026 |
| 23 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 30 Jun 2025 |
| 23 May 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0584 | 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. | D | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Jun 2025 |
| 23 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | H | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0726 | 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. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0727 | 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. | F | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard survey | 30 Jun 2025 |
| 23 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | 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. | D | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0837 | 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. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0887 | 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. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Complaint investigation | 30 Jun 2025 |
| 23 May 2025 | F0946 | Provide training in compliance and ethics. | E | Complaint investigation | 30 Jun 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 May 2025 |
| 27 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Dec 2024 |
| 16 May 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 20 Jun 2024 |
| 16 May 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 | 20 Jun 2024 |
| 16 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Jun 2024 |
| 16 May 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 20 Jun 2024 |
| 16 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Jun 2024 |
| 16 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jun 2024 |
| 16 May 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 20 Jun 2024 |
| 16 May 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 20 Jun 2024 |
| 16 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Jun 2024 |
| 16 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Jun 2024 |
| 16 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Jun 2024 |
Survey cycle 3: 10 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 |
|---|---|---|---|---|---|
| 17 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 31 Jul 2024 |
| 25 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Jun 2024 |
| 15 Apr 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Complaint investigation | 25 Apr 2024 |
| 9 Apr 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 17 Apr 2024 |
| 10 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 4 Dec 2023 |
| 3 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Mar 2023 |
| 3 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Mar 2023 |
| 3 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 7 Mar 2023 |
| 3 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Mar 2023 |
| 3 Feb 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 7 Mar 2023 |
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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 May 2025 | Fine | $59,378 | |
| 16 May 2024 | Fine | $8,973 |
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 | 3.43 | 4.10 | 4.37 |
| Registered nurses (RN) | 0.73 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.70 | 0.77 | |
| Nurse aides | 1.99 | 2.66 | |
| All nurse staff, weekends | 2.68 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 67.0%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 85.7%
- Administrators who left in a year
- 2
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 | 24.7% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.4% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.1% | 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
- Colville of Cascadia LLC
- Chain
- Cascadia Healthcare (46 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascadia Washington Operations LLC | Direct ownership interest | 1 Aug 2022 | |
| Cascadia HC Group LLC | Indirect ownership interest | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | 1 Aug 2022 | |
| Cascadia Holdco LLC | Indirect ownership interest | 5 Jun 2025 | |
| Colville 1000 Realty, LLC | 5% or greater security interest | 5 Jun 2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | 1 Aug 2022 | |
| Cascadia HC Group LLC | Operational/managerial control | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Operational/managerial control | 1 Aug 2022 | |
| Cascadia Holdco LLC | Operational/managerial control | 5 Jun 2025 | |
| Cascadia Services LLC | Operational/managerial control | 1 Aug 2022 | |
| Cascadia Washington Operations LLC | Operational/managerial control | 1 Aug 2022 | |
| Cascadia Services LLC | Adp of the snf | 3 Jul 2025 | |
| Colville 1000 Realty, LLC | Adp of the snf | 5 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Stevens County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Buena Vista Healthcare | Colville | 4 of 5 | 6 | $13,104 | 14 Feb 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 Colville Health and Rehabilitation of Cascadia (CCN 505275). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/colville-health-and-rehabilitation-of-cascadia-colville-wa-505275/
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 Colville Health and Rehabilitation of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 1 Jul 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 16 May 2024.
- Who operates Colville Health and Rehabilitation of Cascadia?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Cascadia Healthcare. The CMS ownership file names 5 organisations for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Colville Health and Rehabilitation of Cascadia?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. 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.