Nursing home
Colville Health and Rehabilitation of Cascadia
1000 East Elep Street, Colville, WA 99114 · Map
For profit - Corporation · Part of Cascadia Healthcare (44 facilities) · 92 certified beds
Colville Health and Rehabilitation of Cascadia is a Medicare-certified nursing home in Colville, Washington. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.78 hours per resident per day, below the Washington average of 4.39. Its most recent inspection on May 23, 2025 cited 31 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $100,323In 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.
How Colville 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.
| Metric | This facility | Washington avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.78 | 4.39 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.66 | 0.88 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.37 | 2.69 | 2.34 | below avg |
| Nursing staff turnover | 73.3% | 46.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 31.0 | 17.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $100,323, 2 total penalties.
What inspectors found at Colville 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.
- Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 23, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Actual 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 · May 23, 2025 · Full report (PDF) - Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · May 23, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · May 23, 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
- 1000 East Elep Street
Colville, WA 99114 - CMS certification #
- 505275
- Ownership
- For profit - Corporation
- Certified beds
- 92
- Avg residents/day
- 56.1
- Provider type
- Medicare and Medicaid
- First certified
- 1983-09-01
- Chain
- Cascadia Healthcare (44 facilities)
- Setting
- Urban
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 →
Location and nearby
Explore the area around Colville Health and Rehabilitation of Cascadia using Google Maps.
Other public records
- Workplace safety 2 OSHA workplace safety inspections since 2024, 3 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.
- May 15, 2024: follow-up inspection, partial (health). Case closed Aug 7, 2024. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as Wa317980194 - Colville of Cascadia LLC.
Details
- Other than serious: Cited rule 296-900-15005(1). Penalty $0 proposed, $0 now. To be fixed by May 15, 2024.
- Jan 25, 2024: complaint inspection, complete (health). Case closed May 20, 2024. 2 violations cited (2 serious). Penalties: $3,600 proposed, $3,600 now. OSHA record. OSHA recorded the employer as Wa317978166 - Colville of Cascadia LLC.
Details
- Serious: Cited rule 296-800-15030. Penalty $1,800 proposed, $1,800 now. To be fixed by Jan 25, 2024.
- Serious: Cited rule 296-800-16050(1). Penalty $1,800 proposed, $1,800 now. To be fixed by Mar 27, 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
- Providence Mount Carmel Hospital, Colville. 0.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Buena Vista Healthcare, Colville. 2.0 miles away, straight line.
- Nearest home health agency office
- Centerwell Health Services, Spokane. 60.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Republic Drug Store. 39.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 99114 as small town (small town high commuting).
- Dialysis within 15 miles
- Fmc Colville, Colville, 0.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 99114.
- Nearest geriatric medicine practice
- Washington Pac Services PC, Soap Lake. 108.8 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 (effective June 5, 1985), 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: very low. By hazard: inland flooding relatively low, wildfire relatively low, tornado very low, heat wave relatively low, earthquake very 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.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Colville Health and Rehabilitation of Cascadia a good nursing home?
CMS gives Colville Health and Rehabilitation of Cascadia an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Colville Health and Rehabilitation of Cascadia staffed?
Colville Health and Rehabilitation of Cascadia reports 3.78 total nurse hours per resident per day, compared with the Washington average of 4.39.
Has Colville Health and Rehabilitation of Cascadia had inspection problems?
Its most recent CMS inspection cited 31 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Colville Health and Rehabilitation of Cascadia have?
Colville Health and Rehabilitation of Cascadia is certified for 92 beds.