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.
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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)
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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
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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
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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
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Actual harm · G May 23, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 30, 2025 · Pharmacy Service
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.