Colville Tribal Convalescent C

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 44 beds and averages 32.7 residents a day — about 74% occupied, or roughly 11 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.71 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.93 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.12 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.22 hrs/resident/day on weekends vs 4.90 on weekdays — 14% thinner on weekends. RN hours go from 0.97 to 0.83 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · G2024-02-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to provide two staff supervision required for transfers for 1 of 3 sampled residents (Resident 1), reviewed for accidents. Resident 1 experienced harm when they sustained a painful inoperatable right femur (thigh bone) fracture after a staff assisted fall. This failure placed residents at risk of potentially avoidable accidents, injuries, and diminished quality of life. Findings included . Review of the undated facility policy titled, Fall Prevention Protocol, showed the facility would minimize risk for injury from preventable falls by assessing residents for fall risk and care planning safety interventions. According to the 12/06/2023 quarterly assessment, Resident 1 had diagnoses including stroke with hemiplegia (paralysis that affects one side of the body) and hemiparesis (weakness affecting one side of the body) affecting the right dominant side, and right arm contracture (fixed tightening of muscle, tendons, ligaments, or skin that prevents normal movement). The assessment further showed Resident 1 was dependent on staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-03 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure meals were served at palatable temperatures during 1 meal service observed. This failure put residents at risk of decreased enjoyment of their meals, and possible reduced dietary intake. Findings included . According to [NAME] Administrative Code [PHONE NUMBER]0, time/temperature control for safety of food, hot and cold holding (FDA Food Code 3-501.16), food must be maintained: At 135°F (57°C) or above, or at 41°F (5°C) or less. In an observation on 04/03/2025 at 11:46 AM of the lunch meal service, the temperatures (in degrees Fahrenheit) were as follows: Pureed (when food is turned into a paste) carrots = 129.5 °F Pureed goulash = 129.3 °F Mixed berries = 48.3 °F Milk = 50.1°F These temperatures did not meet the requirements that hot food must be 140 °F or greater and cold foods must be less than 41 °F or less, when served. On 04/03/2025 at 12:04 PM, the food was placed on a cart and was ready to be served to the residents. Staff G, Dietary…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety. Specifically, expired foods were not discarded for 1 of 2 refrigerators, 1 of 1 dry storage areas, and food items in the refrigerator and freezer were not dated when opened. These failures placed residents at risk for foodborne illnesses. Findings included . During an initial tour of the kitchen on 03/31/2025 at 8:41 AM, the dry storage area revealed a can of bean sprouts that expired on 06/09/2024, eight packages of nonfat dry milk that expired on 05/01/2022, six boxes of corn starch that expired on 02/17/2024 and a box of couscous that expired on 09/05/2020. The refrigerator in the main kitchen contained a bag of salmon with a use by date of 03/27/2025, a bag of brown wilted lettuce that had no date, four containers of grape juice that expired 02/22/2025, four half sandwiches and an opened bag of whipped topping that had no dates. The freezer contained opened bags of French fries, corn dogs, broccoli, and dinner rolls that had no…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-03 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure infection control practices were followed during 1 of 1 meal services and 1 of 2 medication administration observations to include removal of gloves and performing hand hygiene (HH) when indicated and failed to sanitize a mechanical lift between resident transfers. Additionally, staff did not follow Enhanced Barrier Precautions when indicated for 2 of 3 sampled residents (Residents 13 and 21), reviewed for isolation precautions. These failures placed the residents at risk for the spread of infections, illnesses and unintended health consequences. Findings included . Review of the facility's undated policy titled, Hand Hygiene Guideline in Health Care Setting showed hand hygiene could be performed by washing hands with soap and water or using alcohol-based hand rub (ABHR) to reduce the number of microorganisms on the hands in order to prevent transmission of healthcare associated pathogens from one patient to another. The policy…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure the call light (a device used to request help as needed) was accessible for 1 of 3 sampled residents (Resident 18), reviewed for environment. This failure placed the resident at risk for unmet needs, potentailly avoidable accidents, and diminished quality of life. Findings included . The 03/12/2025 quarterly assessment documented Resident 18 had diagnoses including Parkinson's disease (a disorder of the central nervous system that affects movement), arthritis and depression. In an observation and interview on 03/31/2025 at 10:12 AM, Resident 18 was lying in bed. Resident 18 stated they spilled their water and were wet. When asked if they had put their call light on for help, Resident 18 stated no. The resident tried to find their call light and could not find it. The surveyor attempted to hand Resident 18 the call light but it was stuck behind the bed. In an observation on 04/02/2025 at 9:16 AM, Resident 18 was sitting in their wheelchair. Resident 18 stated they wanted to lay down and reached for their…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure medications were given as ordered for 1 of 6 sampled residents (Resident 13), reviewed for medication administration. This failure placed residents at risk for adverse health consequences and diminished quality of life when doses of medications were omitted. Findings included . <Resident 13> The 01/29/2025 quarterly assessment documented Resident 13 had diagnoses including diabetes, high blood pressure and end stage kidney disease, and had severe cognitive impairments. A review of active orders documented Resident 13 was to receive the following medications: -10/03/2024 Velphoro 500 milligrams (mg) with meals to help maintain calcium levels in the blood. -10/03/2024 Lispro insulin 5 units with meals, hold if blood sugar was less than 100 for diabetes. -01/29/2025 Semglee insulin 100 units daily when Lantus was used up for diabetes. -04/02/2024 Norvasc 5 mg daily for high blood pressure. A review of the March 2025 medication administration record (MAR) revealed omitted entries (blank spaces) for Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure expired medications were removed from inventory in 1 of 2 medication carts in use, and failed to ensure the temperature of the medication room was monitored in the facility medication room. These failures placed residents at risk of receiving medications that were expired or not properly stored. Findings included . <Expired Medications> During an observation of the medication cart on the 300 Unit on 04/03/2025 at 7:43 AM with Staff E, Licensed Practical Nurse, the following medications were found to be expired: -1 blisterpack sleeve of rosuvastatin calcium, expiration date 03/31/2025 for Resident 25, and -2 boxes of Debrox 6.5% ear wax removal solution, expiration 03/20/2025 for Residents 4 and 12. Staff E replaced the rosuvastatin with a new sleeve available in the overflow drawer and the Debrox drops were discarded. Staff E stated nurses were to check medication expiration dates prior to giving the medications. They stated the Debrox drops and rosuvastatin were given on the night shift at bedtime so Staff E had not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure resident personal refrigerators were maintained in a clean manner, without expired foods and at the appropriate temperatures for 1 of 3 sampled residents (Resident 18), reviewed for a homelike environment. In addition, the facility failed to maintain a freezer in the dining room in a clean manner. This failure placed the residents at risk of eating spoiled foods and having an unclean environment. Findings included . During an observation and interview on 03/31/2025 at 10:42 AM, Resident 18 was lying in bed. They had a personal refrigerator that had a container in the freezer. The container had a frozen hamburger with ice crystals inside. The resident stated it had been in there a month or more. The freezer was filled with ice crystals. Subsequent observations of the freezer with ice crystals and the frozen hamburger were made on 04/01/2025 at 11:33 AM, 04/02/2025 at 8:58 AM and 04/03/2025 at 9:13 AM. In an interview on 04/03/2025 at 8:48 AM, Staff E, Licensed Practical Nurse, stated the nurses and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-16 · tag F0851 — isolated
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review failed to ensure submission of the Payroll Based Journal (PBJ) per the Centers of Medicare and Medicaid (CMS) requirement for 1 of 1 Fiscal Year (FY) Quarter (Q4 2023 [July 1 through September 30, 2023]), reviewed for PBJ submission. This failure constituted Past Non-Compliance (the facility was not in compliance at the time the situation occurred; however, there was sufficient evidence that the facility corrected the non-compliance after it was identified). The facility implemented and completed a plan of correction which was verified by surveyors. The plan of correction included installation of a computer program that provided secure authenticated access for remote and mobile users, request and granted access to the CMS reporting system, staff education regarding CMS PBJ data submissions, and review of PBJ submission quarterly reports to ensure solutions were sustained. Findings included . Review of the CMS Electronic Staffing Data Submission Payroll-Based…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Past Non-Compliance
• Potential for harm · D2024-04-30 · tag F0661 — isolated
  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to complete a discharge summary that included a physician recapitulation/summary of the resident's stay, as required, for 2 of 3 sampled residents (31, 82) reviewed for discharge. This failure placed the resident at risk for having an incomplete medical record. Findings included . <Resident 31> According to an admission assessment, dated 03/11/2024, Resident 31 was cognitively intact and had diagnoses which included anxiety and a psychotic disorder (mental disorder that caused abnormal thinking and perceptions) with hallucinations (hearing and seeing things that were not there). Per the medical record, Resident 31 was discharged from the facility on 03/20/2024. A Transition of Care/Discharge summary form, signed by the resident on the date of discharge, included instructions for them to follow up with the behavioral health clinic. The area for the Recapitulation of Stay (summary of the care and treatment the resident received at the facility) was blank. A physician summary of care was not found elsewhere in the medical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-30 · tag F0801 — isolated
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to ensure the Food Service Manager had the required credentials. This failure placed all residents at risk for receiving dietary services from staff without the required competencies. Findings included . During an interview on 04/30/2024 at 10:17 AM, Staff C, Food Services Manager, stated that they did not have a kitchen manager certification. During an interview on 04/30/2024 at 12:41 PM, Staff A, Administrator, stated that the facility had a Registered Dietician employed that worked closely with Staff C, and came into the facility at least every three months. They further stated that Staff C had not done the education to become certified as a food manager. During an interview on 04/30/2024 at 1:39 PM, Staff A acknowledged that Staff C did not have the required certification to meet the regulation. Reference (WAC) 388-97-1160 (1)

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$8,173 in federal fines across 1 penalty.

• $8,173 — penalty dated 2024-02-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in WA