North Valley Extended Care in Tonasket, WA has a 5-star overall rating, with 5 stars for health inspections and staffing, but only 2 stars for quality measures. It reported 4.67 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included food handling, facility safety/cleanliness, and PASARR screening.
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6739.
Staffing detail
Registered nurses
1.24
Licensed practical nurses
0.41
Nurse aides
3.03
Weekend nursing
4.10
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
30.3%31.4%Worsening
Residents with a fall causing major injury
10.5%2.6%Improving
Residents with pressure ulcers (bedsores)
2.9%2.9%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.4%13.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.3%36.4%Worsening
Residents whose ability to walk got worse
17.1%49%Worsening
Long-stay residents on antianxiety or sleep medication
13.2%7.9%Improving
Residents with a long-term catheter
2.1%1.9%No change
Residents with new or worsening incontinence
21.3%20.6%Improving
Residents with depressive symptoms
5.6%8.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.4%97.4%No change
Short-stay residents given the pneumonia vaccine
—41.7%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited November 2024 — widespread issue, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 645 — 42 CFR §483.20 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 11 health deficiencies.
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INSPECTION
Health inspection found 6 health deficiencies.
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Operator & ownership
Ownership
Government - Hospital district
Occupancy
38.2 residents on an average day (91% of 42 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.