The nursing home failed to protect residents from abuse and neglect by others. Cited May 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: L
Nursing home report
Colville Health and Rehabilitation of Cascadia
COLVILLE, WA · Medicare-certified · 92 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall
Colville Health and Rehabilitation of Cascadia in Colville, WA has a 1-star overall rating, with 1-star health inspections and 2-star staffing and quality ratings. It is a special focus candidate/facility, has had $68,351 in fines in the last 24 months, and reports 3.61 nurse staffing hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.6097 hrs/resident/day
Quality measures
Last inspection: May 23, 2025Penalties, last 24 months: $68,351special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6097.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.81
- Nurse aides
- 2.19
- Weekend nursing
- 2.89
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
17%Improving
Residents with a fall causing major injury
5.3%Worsening
Residents with pressure ulcers (bedsores)
2.1%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.9%Worsening
Residents whose ability to walk got worse
25.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
10.3%Worsening
Short-stay residents newly given an antipsychotic
2.4%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.7%Worsening
Residents with depressive symptoms
26.1%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
96.8%Worsening
Short-stay residents given the seasonal flu vaccine
96.7%Steady
Short-stay residents given the pneumonia vaccine
86.5%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: H
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 30 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $59,378 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,973 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $68,351 in total fines.
- $59,378
Federal fine
May 7, 2025
- $8,973
Federal fine
May 16, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 56.4 residents on an average day (61% of 92 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.