Washington › Okanogan County › Tonasket
North Valley Hospital
22 W 1st Street, Tonasket, WA 98855
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
North Valley Hospital is a Government, hospital district nursing home in Tonasket, Washington, certified for 42 beds and caring for about 38 residents a day.
CMS gives it 5 of 5 stars overall, above the Washington median of 3; the health inspection rating is 5, staffing 5 and quality measures 2.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (3, 11, 6 by cycle, most recent first), none at the actual-harm level. That is 47.6 per 100 beds, about the same as the state median of 50.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.7 hours per resident per day (1.2 RN), close to the Washington median of 4.1; nursing staff turnover is 41.2%.
Compared with county, state and nation
| Measure | This facility | Okanogan Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 19 | 46 | 28.7 |
| Citations per 100 beds | 47.6 | 43.2 | 50.0 | 26.8 |
| Total nurse hours per resident day | 4.7 | 4.7 | 4.1 | 3.9 |
| RN hours per resident day | 1.2 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 41.2% | 41.2% | 43.2% | 45.8% |
| Fines listed | $0 | $0 | $17,388 | — |
County and state figures are medians across facilities (4 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Feb 2026, 16 Nov 2024.
Severity mix: D ×14 E ×4 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 18 Apr 2026 |
| 28 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Apr 2026 |
| 28 Feb 2026 | 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 | 18 Apr 2026 |
| 16 Nov 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 | 3 Jan 2025 |
| 16 Nov 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 3 Jan 2025 |
| 16 Nov 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 3 Jan 2025 |
| 16 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Jan 2025 |
| 16 Nov 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 3 Jan 2025 |
| 16 Nov 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 3 Jan 2025 |
| 16 Nov 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 | 3 Jan 2025 |
| 16 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Jan 2025 |
| 16 Nov 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 3 Jan 2025 |
| 16 Nov 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 3 Jan 2025 |
| 16 Nov 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 3 Jan 2025 |
| 15 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 20 Oct 2023 |
| 15 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Oct 2023 |
| 15 Sep 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 20 Oct 2023 |
| 15 Sep 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 20 Oct 2023 |
| 15 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Oct 2023 |
| 15 Sep 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 20 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 41.2%, RNs 25.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.4% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.5% | 2.1% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.6% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.4% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Long Term Care Division Of Ocphd 4.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Long Term Care Division of Ocphd 4 | Direct ownership interest | NOT APPLICABLE | 09/01/1985 |
| Long Term Care Division of Ocphd 4 | Operational/managerial control | NOT APPLICABLE | 12/12/2024 |
| Long Term Care Division of Ocphd 4 | Adp of the snf | NOT APPLICABLE | 01/17/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Okanogan County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Regency Harmony House Rehab & Nursing | Brewster | 54 | 5 | 5 | 4 | 15 | 27.8 | — | 23 Nov 2025 |
| Regency Omak | Omak | 56 | 5 | 5 | 5 | 19 | 33.9 | — | 24 Jan 2026 |
| Colville Tribal Convalescent C | Nespelem | 44 | 3 | 4 | 1 | 19 | 43.2 | $8K | 3 Apr 2025 |
All 4 facilities in Okanogan County
Questions and answers
How many deficiencies has North Valley Hospital been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has North Valley Hospital been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at North Valley Hospital compare?
Reported total nurse staffing is 4.7 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates North Valley Hospital?
Ownership type is government, hospital district. Organisations in the CMS ownership record include Long Term Care Division of Ocphd 4 and Long Term Care Division of Ocphd 4. Individual owners and managers are not listed on this site.
When was North Valley Hospital last inspected?
The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 28 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.