North Valley Hospital

Nursing Home · Tonasket, WA

CMS overall rating 5/5 Government - Hospital district

CMS certification number505454

Contact & location

22 W 1ST Street
Tonasket, WA 98855
Okanogan County
Phone
(509) 486-2151
ZIP code
98855 – all care providers

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Facility details

Certified beds
42
Residents per day
38.2 (91% occupied)
Ownership
Government - Hospital district
Legal name
Long Term Care Division of Ocphd 4
Medicare certified since
January 1, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 3.2
Health inspections★★★★★ 5/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.6
Quality measures★★★★★ 2/5
State avg 4.0
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.67 (state 4.37 · U.S. 3.86)
Registered nurses (RN)
1.24 (state 0.94 · U.S. 0.69)
Licensed practical nurses
0.41 (state 0.77 · U.S. 0.86)
Nurse aides
3.03 (state 2.66 · U.S. 2.32)
Weekend total
4.10 (state 3.81 · U.S. 3.42)
Nursing staff turnover
41.2 (state 45.1 · U.S. 45.8)%
RN turnover
25.0 (state 45.4 · U.S. 42.9)%

Inspections

Last standard inspection
February 28, 2026
Health deficiencies (last cycle)
3.0 (state 16.1 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
20 health · 32 fire safety
DateCitationSeverityStatus
2026-03-05 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-18
2026-02-28 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
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-18
2026-02-28 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 2026-04-18
2024-11-16 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
F
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-11-16 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-11-16 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-11-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-11-16 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-11-16 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-11-16 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 2025-01-03
2024-11-16 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 2025-01-03
2024-11-16 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-11-16 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-11-16 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2023-09-15 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
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-15 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-15 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-15 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-15 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-20

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Jex, James (individual)Administrator · NOT APPLICABLE
Long Term Care Division of Ocphd 4 (organization)Administrator · NOT APPLICABLE
McReynolds, John (individual)Administrator · NOT APPLICABLE
McReynolds, John (individual)Corporate Director · NOT APPLICABLE
McReynolds, John (individual)Corporate Officer · NOT APPLICABLE
Long Term Care Division of Ocphd 4 (organization)Direct Ownership Interest · NOT APPLICABLE
Long Term Care Division of Ocphd 4 (organization)Operational/managerial Control · NOT APPLICABLE
Hailey, Bernice (individual)W-2 Managing Employee · NOT APPLICABLE
Jex, James (individual)W-2 Managing Employee · NOT APPLICABLE
McReynolds, John (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of North Valley Hospital?

North Valley Hospital has a 5-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 North Valley Hospital have?

It has 42 certified beds and cares for about 38 residents per day.

Has North Valley Hospital been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of North Valley Hospital?

(509) 486-2151. The facility is located at 22 W 1ST Street, Tonasket, WA 98855.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.