North Valley Hospital

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 42 beds and averages 38.2 residents a day — about 91% occupied, or roughly 4 beds typically open. It runs fairly full. 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 4.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.24 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.03 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 4.10 hrs/resident/day on weekends vs 4.91 on weekdays — 16% thinner on weekends. RN hours go from 1.35 to 0.95 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as 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 fewer than at the previous inspection — improving. 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.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · Dcited before2026-03-05 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 interview and record review, the facility failed to ensure an anti-inflammatory medication (medication that reduces inflammation and pain), taken in conjunction with an anticoagulant (blood thinning) medication, was administered according to medical provider orders for 1 of 3 Residents (Resident 1). This failure resulted in the medication being administered in excess which may have contributed to bruising and placed the resident at risk for additional bleeding and worsening of their overall condition. Findings included:According to Medscape Drug Reference Database, https://reference.medscape.com/drug-interactionchecker, copyright 1994-2026, Eliquis (an anticoagulant medication) and Naproxen (an anti-inflammatory medication) have a serious interaction, as both medications decrease the ability of the body to form clots in the blood and can lead to excess bleeding. The database stated concurrent use of the two medications should be avoided or include dosage modifications. Record review showed Resident 1…

  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 · Ecited before2026-02-28 · 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 and interview, the facility failed to follow food code regulations to prevent the potential of foodborne illness by not correctly performing hand hygiene when indicated during the lunch meal service for 2 of 2 dietary staff (Staff D and E). This failure placed residents at risk for food-borne illnesses.Findings included.On 02/26/2026 from 11:28 AM to 12:12 PM, dietary staff were observed preparing plates of food for the resident's lunch. Staff D, Dietary Aide, plated the main dish with utensils, while wearing gloves. Staff D was observed unlatching and opening the door of the heated food cart twice and opened the cooler door to remove needed items. Staff D did not change gloves, wash their hands or use hand sanitizer after touching the handles and resumed plating the food with the same gloves. Staff E, Cook, was observed placing slices of cheesecake on a plate, adding caramel drizzle and apple topping. Staff E touched the handle of the cooler, removed items from the cooler, then touched the cheesecake (to nudge it to the center of the plate) and squeezed the…

  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 · D2026-02-28 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 interview and record review, the facility failed to ensure pharmacy recommendations were followed up on for 1 of 5 sampled residents (Resident 3), reviewed for unnecessary medication. This failure placed the resident at risk for experiencing adverse side effects from receiving medication at a higher dose, and for being on a medication for a longer duration than medically necessary. Findings included. <Resident 3> Review of the annual assessment dated [DATE], documented Resident 3 had diagnoses which included Parkinson's disease, a progressive brain disorder that caused problems with movement, balance, and coordination. Review of the Order Summary Report, dated 05/16/2023, showed that Resident 3 was prescribed Carbidopa-Levodopa, a medication used to treat the symptoms of Parkinson's disease. Review of the Pharmacy consultation Report, completed on 09/29/2025, documented Resident 3 received Carbidopa-Levodopa during flexible medication times, a window of time when medications were administered. The…

  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 · Fcited before2024-11-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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

  Basedonobservation interview andrecordreview thefacilityfailedtostorefoodinaccordancewithprofessionalstandardsforfoodservicesafety Failuretoensureexpiredfoodswerediscardedfor3 of3 refrigerators 1 of1 drystorageareas openeddateswereplacedonfooditemsintherefrigeratorandfreezerandperformedhandhygienewhenindicated Thefacilityfurtherfailedtoconsistentlymonitorrefrigeratoranddishwashertemperatures Thesefailuresplacedresidentsatriskforfoodborneillnesses Findingsincluded <Expiredundatedfood Duringaninitialtourofthekitchenon11/12/2024 at11:17 AM thedrystoragearearevealedanutmixthatwasmadeon05/25/2024 withnoexpirationdate acanoftrailmixwithnoexpirationoropendate twoboxesofbrownricethatexpiredon08/22/2024, fivebagsofinstantmashedpotatoesthatexpiredon09/28/2024, andabagofopenedtoastedseedsthathadnoopenorexpirationdate Therefrigeratorinthemainkitchencontainedthreepackagesofcheeseandalargecontainerofwiltedgrapeswithnoopenorexpirationdate apanofbacon fivecrescentrolls onions celeryandcabbagethathadnoexpirationdate Thefreezercontainedahomemadecheesecake acakeandadessertinabowlwithnoexpirationdate…

  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 · F2024-11-16 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview the facility failed to ensure damaged paint and drywall was repaired timely after a water leak in 1 of 3 halls, reviewed for environment. In addition, the facility failed to ensure hazardous chemicals were secured in 1 shower room. This failure placed residents at risk of potentially avoidable accidents, lack of dignity and diminished quality of life. Findings included . <Shower Rooms> During an observation on 11/12/2024 at 1:42 PM, the shower room on the east hall was unlocked. The shower room had an unlocked cabinet that was at eye level. The cabinet contained two bottles of disinfectant cleansers that said to keep out of reach of children. A similar observation was made at 3:37 PM, the same day. There were no residents wandering or near the area. In an interview on 11/12/2024 at 4:04 PM, Staff K, Nursing Assistant, stated the cabinets were supposed to be locked. Staff K was shown the unlocked cabinets in the shower room and acknowledged the cleaning solutions should have…

  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 · E2024-11-16 · tag F0645 — pattern
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 interview and record review the facility failed to ensure Level I Preadmission Screening and Resident Review (PASRR, an assessment to ensure individuals with serious mental illness or intellectual/developmental disabilities were not inappropriately placed in nursing homes for long term care) was accurately completed for 1 of 6 sampled residents (Resident 6), reviewed for PASRR. In addition, the facility failed to routinely ensure residents with a positive Level I PASRR were referred for Level II PASRR evaluations, as required for 2 of 6 sampled residents (Resident 6 and 31). This failure placed the residents at risk for not receiving the care and services appropriate for their needs. Findings included . <Resident 6> According to the admission assessment, dated 04/14/2024, Resident 6 admitted to the facility on [DATE] with diagnoses including chronic pain. The assessment further showed Resident 6 did not demonstrate any behaviors or signs and/or symptoms of depression. Review of the 05/15/2023 PASRR…

  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 · Ecited before2024-11-16 · 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

  Based on observation and interview the facility failed to ensure standard precautions were maintained and hand hygiene was performed when indicated during 2 of 2 medication pass observations. This failure placed residents at risk of contracting communicable diseases and diminished quality of life. Findings included . Review of the facility policy titled, Hand Hygiene-Infection Prevention revised August 2024, showed hand hygiene was performed by using alcohol-based hand rub (ABHR) or washing hands with soap and water when visibly soiled or when contact with suspected infectious stools. The policy further showed staff should perform hand hygiene before and after contact with a resident, after contact with blood, body fluids, visibly contaminated surfaces, after contact with objects in the residents rooms, after removing personal protective equipment (PPE, gloves, gown, face mask), and before meals. The Centers for Disease Control and Prevention website, CDC.gov - with regard to standard precautions showed, standard precautions are based on the principle that all blood, body fluids,…

  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 · D2024-11-16 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  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 the Minimum Data Set (MDS, assessment tool) accurately reflected the status of 1 of 11 sampled residents (Resident 31), reviewed for resident assessment. This failure placed residents at risk of inaccurate monitoring of resident status over time, unmet care needs, and diminished quality of life. Findings included . Review of the facility policy titled, Extended Care Resident Assessment revised August 2024, showed the facility would accurately conduct a comprehensive assessment for each resident upon admission and periodically thereafter. The assessment would include a dental status assessment by a Registered Nurse (RN) to the condition of the teeth, gums, and other structures of the oral cavity that may affect a resident's nutritional status, communication abilities, or quality of life. The assessment was to include the need for, and use of, dentures or other dental appliances. The policy showed the assessment would be completed…

  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 · D2024-11-16 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  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 determine a resident had a significant change in their physical condition for 1 of 11 sampled residents (Resident 27) reviewed for comprehensive assessments. This failure placed the resident at risk for unidentified care needs and a lack of revisions to their plan of care. Findings included . A review of the 06/16/2024 quarterly assessment documented Resident 27 had diagnoses including Alzheimer's disease (a progressive disease that destroys memory and other important mental functions), and dementia with anxiety. Resident 27 had severe cognitive impairment, required partial/moderate assistance to eat, and substantial/maximum assistance for toileting, dressing, personal hygiene, and mobility in and out of bed. A review of the active 07/14/2022 comprehensive care plan documented Resident 27 had an ADL (activities of daily living) self-care deficit. The resident required set-up assistance for eating, supervision to extensive assistance for personal hygiene and dressing, extensive assistance for toileting and bed…

  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 · Dcited before2024-11-16 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 develop and implement a comprehensive person-centered care plan that included dentation status and needs for 1 of 11 sampled residents (Resident 31), reviewed for care planning. This failure placed residents at risk of unmet care needs and diminished quality of life. Findings included . According to the admission assessment, dated 04/02/2024, Resident 31 admitted to the facility on [DATE] with diagnoses including cancer and muscle wasting. The assessment further showed Resident 31 was dependent on staff for oral hygiene and no oral or dental status concerns were identified. Resident 31 had severe cognitive impairment. Review of the 03/27/2024 nursing admission assessment showed Resident 31 had a partial denture, no mouth pain or chewing problems. The assessment showed no documentation regarding Resident 31's own teeth or their status. Review of the 03/28/2024 personal hygiene care plan showed Resident 31 was dependent on staff assist for…

  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

“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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 10 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WA