23.5/100
Poor
1000 East Elep Street, Colville, WA 99114
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
6 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$68,351 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 67%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: May 23, 2025 (1 year ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Actual harm to a resident
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Actual harm to a resident
Nursing and Physician Services Deficiencies
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.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
Part of CASCADIA HEALTHCARE, which operates 45 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| CASCADIA WASHINGTON OPERATIONS LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| CASCADIA HC GROUP LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| CASCADIA HEALTHCARE LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| CASCADIA HOLDCO LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| HAMMOND, OWEN | Individual | INDIRECT OWNERSHIP INTEREST | — |
| LAFORTE, STEPHEN | Individual | INDIRECT OWNERSHIP INTEREST | — |
| NELSON, TIMOTHY | Individual | INDIRECT OWNERSHIP INTEREST | — |
| COLVILLE 1000 REALTY, LLC | Organization | 5% OR GREATER SECURITY INTEREST | — |
| WHITE OAK HEALTHCARE FINANCE LLC | Organization | 5% OR GREATER SECURITY INTEREST | — |
| CASCADIA HC GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASCADIA HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASCADIA HOLDCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
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Colville Health And Rehabilitation Of Cascadia holds an ElderGrade of F (23.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.43 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 6 of the 54 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Colville Health And Rehabilitation Of Cascadia is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.