North Valley Hospital

22 W 1st Street · Tonasket, WA · 98855 · 5094862151

42 certified beds Government - Hospital district Hospital-based

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 66
Serious harm & abuse 20% 100
Staffing 20% 91
Federal penalties 15% 100
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 5 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.613.48 min · 4.1 strong
RN hours / resident-day1.320.55–0.75
Weekend hours / resident-day3.94≈ weekday level
Nursing turnover / year35%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · D March 5, 2026 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 18, 2026 · Pharmacy Service

  • Potential for harm · D February 28, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 18, 2026 · Pharmacy Service

  • Potential for harm · E February 28, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 18, 2026 · Nutrition and Dietary

  • Potential for harm · D November 16, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected January 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2024

    Assess the resident when there is a significant change in condition

    Corrected January 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E November 16, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 3, 2025 · Quality of Life and Care

  • Potential for harm · D November 16, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected January 3, 2025 · Pharmacy Service

  • Potential for harm · D November 16, 2024

    Provide or obtain dental services for each resident.

    Corrected January 3, 2025 · Quality of Life and Care

  • Potential for harm · F November 16, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 3, 2025 · Nutrition and Dietary

  • Potential for harm · E November 16, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 3, 2025 · Infection Control

  • Potential for harm · D November 16, 2024

    Keep all essential equipment working safely.

    Corrected January 3, 2025 · Environmental

  • Potential for harm · F November 16, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected January 3, 2025 · Environmental

  • Potential for harm · D September 15, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 20, 2023 · Resident Rights

  • Potential for harm · E September 15, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 15, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected October 20, 2023 · Quality of Life and Care

  • Potential for harm · D September 15, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected October 20, 2023 · Quality of Life and Care

  • Potential for harm · D September 15, 2023

    Provide and implement an infection prevention and control program.

    Corrected October 20, 2023 · Infection Control

  • Potential for harm · D September 15, 2023

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected October 20, 2023 · Nursing and Physician Services

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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 505454 · certified since January 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.