Lilisity

Nursing home

Colfax Health and Rehabilitation of Cascadia

1150 West Fairview Road, Colfax, WA 99111 · Map
For profit - Limited Liability company · Part of Cascadia Healthcare (44 facilities) · 55 certified beds

Medicare and Medicaid certified
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Colfax Health and Rehabilitation of Cascadia is a Medicare-certified nursing home in Colfax, Washington. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.85 hours per resident per day, below the Washington average of 4.39. Its most recent inspection on Jun 14, 2025 cited 26 deficiencies.

1 out of 5Overall CMS rating
1 out of 5Health inspections
3 out of 5Staffing
55 bedsCertified beds
  • 2 fines totaling $67,484In CMS records: 2 total penalties.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing3/5
Quality measures3/5
Long-stay quality3/5
Short-stay quality4/5

How Colfax Health and Rehabilitation of Cascadia compares

This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityWashington avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.854.393.89below avg
RN staffing (hrs/resident/day)0.770.880.68below avg
Aide staffing (hrs/resident/day)2.482.692.34below avg
Nursing staff turnover77.2%46.7%46.4%above avg
Deficiencies cited, last inspection26.017.19.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.85Total nurse hrs/resident/day
0.77RN hrs/resident/day
0.60LPN hrs/resident/day
2.48Aide hrs/resident/day
3.49Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff77.2%
Registered nurses83.3%
Administrator changes2 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jun 14, 2025Most recent inspection
26Deficiencies found
200Health inspection score
2Fines

Penalties in CMS records: 2 fines totaling $67,484, 2 total penalties.

What inspectors found at Colfax Health and Rehabilitation of Cascadia

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care Deficiencies · Jan 28, 2026 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · Jan 28, 2026 · Full report (PDF)
  • Potential for harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Nursing and Physician Services Deficiencies · Sep 11, 2025 · Full report (PDF)
  • Potential for harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Environmental Deficiencies · Jun 14, 2025 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Jun 14, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Nursing and Physician Services Deficiencies · Jun 14, 2025 · Full report (PDF)
  • Potential for harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Nursing and Physician Services Deficiencies · Jun 14, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jun 14, 2025 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Jun 14, 2025 · Full report (PDF)
  • Potential for harm

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Nutrition and Dietary Deficiencies · Jun 14, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Jun 14, 2025 · Full report (PDF)
  • Potential for harm

    Observe each nurse aide's job performance and give regular training.

    Nursing and Physician Services Deficiencies · Jun 14, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
1150 West Fairview Road
Colfax, WA 99111
CMS certification #
505251
Ownership
For profit - Limited Liability company
Certified beds
55
Avg residents/day
43.8
Provider type
Medicare and Medicaid
First certified
1977-12-15
Chain
Cascadia Healthcare (44 facilities)
Setting
Rural

Part of Cascadia Healthcare

Cascadia Healthcare operates 44 nursing facilities across the United States. View all Cascadia Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Colfax Health and Rehabilitation of Cascadia using Google Maps.

Other public records

  • Workplace safety 1 OSHA workplace safety inspection since 2024, 4 violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Dec 30, 2024: complaint inspection, partial (safety). Case closed Mar 31, 2025. 4 violations cited (1 serious, 3 other). Penalties: $1,800 proposed, $1,800 now. OSHA record. OSHA recorded the employer as Wa317983844 - Colfax of Cascadia LLC.
    Details
    • Serious: Cited rule 296-880-20005(7). Penalty $1,800 proposed, $1,800 now. To be fixed by Dec 30, 2024.
    • Other than serious: Cited rule 296-876-15005(1). Penalty $0 proposed, $0 now. To be fixed by Dec 30, 2024.
    • Other than serious: Cited rule 296-800-13020(1)(A). Penalty $0 proposed, $0 now. To be fixed by Dec 30, 2024.
    • Other than serious: Cited rule 296-820-820(2). Penalty $0 proposed, $0 now. To be fixed by Dec 30, 2024.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Whitman Hospital And Medical Center, Colfax. 0.2 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
Nearest Medicare nursing home
Three Creeks Post Acute, Pullman. 11.2 miles away, straight line.
Nearest home health agency office
Elite Home Health, Clarkston. 34.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Pharmacy. 13.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 99111 as rural (rural area).
Hospice
1 Medicare hospice tells CMS it serves ZIP code 99111.
Nearest geriatric medicine practice
Kadlec Regional Medical Center, Kennewick. 95.1 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
FEMA has a flood map for this community (takes effect December 23, 2026), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively low, tornado very low, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Colfax Health and Rehabilitation of Cascadia a good nursing home?

CMS gives Colfax Health and Rehabilitation of Cascadia an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Colfax Health and Rehabilitation of Cascadia staffed?

Colfax Health and Rehabilitation of Cascadia reports 3.85 total nurse hours per resident per day, compared with the Washington average of 4.39.

Has Colfax Health and Rehabilitation of Cascadia had inspection problems?

Its most recent CMS inspection cited 26 deficiencies.

How many beds does Colfax Health and Rehabilitation of Cascadia have?

Colfax Health and Rehabilitation of Cascadia is certified for 55 beds.

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