Colville Health and Rehabilitation of Cascadia
Nursing Home · Colville, WA
CMS certification number505275
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1000 East Elep StreetColville, WA 99114
Stevens County
- Phone
- (509) 684-2573
- ZIP code
- 99114 – all care providers
Facility details
- Certified beds
- 92
- Residents per day
- 58.2 (63% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Colville of Cascadia LLC
- Chain
- Cascadia Healthcare (46 facilities, avg 3.0★)
- Medicare certified since
- September 1, 1983
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.43 (state 4.37 · U.S. 3.86)
- Registered nurses (RN)
- 0.73 (state 0.94 · U.S. 0.69)
- Licensed practical nurses
- 0.70 (state 0.77 · U.S. 0.86)
- Nurse aides
- 1.99 (state 2.66 · U.S. 2.32)
- Weekend total
- 2.68 (state 3.81 · U.S. 3.42)
- Nursing staff turnover
- 67.0 (state 45.1 · U.S. 45.8)%
- RN turnover
- 85.7 (state 45.4 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- May 23, 2025
- Health deficiencies (last cycle)
- 32.0 (state 16.1 · U.S. 9.3)
- From complaints
- 29
- Citations on record (3 years)
- 55 health · 17 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-29 |
| 2026-04-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-05 |
| 2025-05-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
L Immediate jeopardy to resident health or safety |
Corrected 2025-06-30 |
| 2025-05-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2025-06-30 |
| 2025-05-23 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
H Actual harm |
Corrected 2025-06-30 |
| 2025-05-23 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-06-30 |
| 2025-05-23 | 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | 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. F0837 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | 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. F0887 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Provide training in compliance and ethics. F0946 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-23 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-05-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2024-11-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-07-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-31 |
| 2024-06-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-06-25 |
| 2024-05-16 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-16 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-04-15 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-25 |
| 2024-04-09 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-17 |
| 2024-01-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-12-04 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $68,351 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-05-07 | Fine | $59,378 |
| 2024-05-16 | Fine | $8,973 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Colville 1000 Realty, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| White Oak Healthcare Finance LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Cascadia Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Colville 1000 Realty, LLC (organization) | Administrator · NOT APPLICABLE | |
| Flemming, Stanley (individual) | Administrator · NOT APPLICABLE | |
| Weichers, Roger (individual) | Administrator · NOT APPLICABLE | |
| Cascadia Washington Operations LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Cascadia HC Group LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Cascadia Healthcare LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Cascadia Holdco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Hammond, Owen (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Laforte, Stephen (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Nelson, Timothy (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Cascadia HC Group LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Cascadia Healthcare LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Cascadia Holdco LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Cascadia Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Cascadia Washington Operations LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Flemming, Stanley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hammond, Owen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Laforte, Stephen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nelson, Timothy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Weichers, Roger (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Colville Health and Rehabilitation of Cascadia?
Colville Health and Rehabilitation of Cascadia has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.
How many beds does Colville Health and Rehabilitation of Cascadia have?
It has 92 certified beds and cares for about 58 residents per day.
Has Colville Health and Rehabilitation of Cascadia been fined?
Yes. CMS lists 2 penalties totaling $68,351 in the last three years.
Who owns Colville Health and Rehabilitation of Cascadia?
It is part of Cascadia Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Colville Health and Rehabilitation of Cascadia?
(509) 684-2573. The facility is located at 1000 East Elep Street, Colville, WA 99114.
Other nursing homes in Colville
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Buena Vista Healthcare
Nursing Home · Colville, WA · 40 beds
★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.