GoodStanding

Nursing home report

North Valley Extended Care

Registered name: NORTH VALLEY HOSPITAL

TONASKET, WA · Medicare-certified · 42 beds

In good standing
Government-run
Data as of July 1, 2026
5 of 5 overall

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.

Facility ratings

Health inspections

Staffing

4.6739 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found

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.