Stevens County, Washington · Nursing home
Colville Health and Rehabilitation of Cascadia
1 of 5 overall from CMS
1000 East Elep Street, Colville, WA 99114
At a glance
- Overall rating 1 of 5 Below the state average of 3.3
- Nurse time per resident, per day 3.43 hours Below the state average of 4.36
- Nursing staff who left in a year 67.0% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 55 6 at the harm level or above
- Fines in 3 years $68,351 2 fines
- Certified beds in use 63.3% of 92 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Colville Health and Rehabilitation of Cascadia is a 92-bed nursing home in Colville, Washington (Stevens County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.43 nurse staffing hours per resident per day, below the Washington average of 4.36. CMS lists 2 fines totaling $68,351 in the past three years.
- Certified beds
- 92
- Residents per day (average)
- 58.2
- Certified since
- 1983 (43 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Cascadia Healthcare (47 homes)CMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Colville Health and Rehabilitation of Cascadia
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 2 fines totaling $68,351 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 32 health deficiencies in the latest inspection cycle (the standard inspection on May 23, 2025 plus complaint and infection-control inspections); the Washington average is 15.8. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Washington average 3.3
- Health inspections 1 of 5 Washington average 2.8
- Staffing 1 of 5 Washington average 3.6
- Quality measures 2 of 5 Washington average 4.0
The vertical line marks the Washington average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.43 h Washington average 4.36
- Nurse aides 1.99 h Washington average 2.66
- Licensed practical nurses 0.70 h Washington average 0.77
- Registered nurses 0.73 h Washington average 0.94
- All staff, weekends 2.68 h Washington average 3.80
How much nurse staffing is enough? All bars share one scale, 0 to 17 hours. The vertical line marks the Washington average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover67.0%
- Washington average45.1%
- Registered nurse turnover85.7%
- Washington average45.4%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Washington and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 24.7% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.6% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 21.7% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.9% | 2.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% | 96.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 28.4% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 93.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.8% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% | 22.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 17.1% | 15.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.86 | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 5.35 | 1.52 | 1.78 |
Short-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.6% | 88.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.7% | 82.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.4% | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 22.1% | 13.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 55 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 4 involved actual harm; the rest were graded as no actual harm. 37 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 23, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 23, 2025 | 32 | 7 |
| May 16, 2024 | 13 | 5 |
| Feb 3, 2023 | 10 | 5 |
Washington homes averaged 15.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (55)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jul 29, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 5, 2026)
-
LImmediate jeopardy, widespread
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 30, 2025)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)
-
HActual harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 30, 2025)
Show 25 more
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 30, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 30, 2025)
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 30, 2025)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 30, 2025)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 30, 2025)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 30, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 30, 2025)
-
FPotential for more than minimal harm, widespread
Make sure that a working call system is available in each resident's bathroom and bathing area.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jun 30, 2025)
-
FPotential for more than minimal harm, widespread
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Provide training in compliance and ethics.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 30, 2025)
Showing the 30 most recent of 55.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 7, 2025 | Fine | $59,378 |
| May 16, 2024 | Fine | $8,973 |
Washington homes averaged 1.2 fines and $52,633 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Washington
- Size111 of 193 by certified beds
- Washington average residents per day76.0
- ChainCascadia Healthcare
- Chain average overall rating3.1 of 5
- Resident or family councilResident
- Homes in Stevens County2
Common questions
What is the CMS star rating for Colville Health and Rehabilitation of Cascadia?
Colville Health and Rehabilitation of Cascadia has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 2.
How many beds does Colville Health and Rehabilitation of Cascadia have?
Colville Health and Rehabilitation of Cascadia has 92 certified beds. It averages 58.2 residents per day, about 63.3% of its certified beds.
How much nursing care do residents get at Colville Health and Rehabilitation of Cascadia?
The home reports 3.43 hours of nurse staffing per resident per day, including 0.73 hours from registered nurses. The Washington average is 4.36 hours and 0.94 hours from registered nurses.
Has Colville Health and Rehabilitation of Cascadia been fined?
Yes. CMS lists 2 fines totaling $68,351 in the past three years.
Does Colville Health and Rehabilitation of Cascadia accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Buena Vista Healthcare 40beds 88.2%in use 4.28nurse hours a day
- 3 of 5 Colville Tribal Convalescent C 44beds 74.3%in use 4.71nurse hours a day
- 2 of 5 Avalon Care Center at Northpointe 119beds 101.8%in use 3.54nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Stevens County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 505275. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.