ElderGrade
B

84.9/100

Above average

North Valley Hospital

22 W 1St Street, Tonasket, WA 98855

CMS 5/5 stars #2 of 4 in Okanogan County (509) 486-2151
Certified beds
42
Occupancy
91%
Ownership
Government
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

28.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -1.1 for 20 total citations against a national median of 17

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.44 total nurse hours per resident per day (national median 3.77)
  • 1.24 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 41% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.67 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.24 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.10 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 41.20%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: February 28, 2026 (5 months ago).

D Mar 5, 2026 F0757 From a complaint

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

E Feb 28, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 28, 2026 F0756

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

No actual harm, potential for more than minimal harm

F Nov 16, 2024 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

F Nov 16, 2024 F0921

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

No actual harm, potential for more than minimal harm

E Nov 16, 2024 F0645

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

No actual harm, potential for more than minimal harm

E Nov 16, 2024 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Nov 16, 2024 F0636

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
LONG TERM CARE DIVISION OF OCPHD 4 Organization DIRECT OWNERSHIP INTEREST
HAILEY, BERNICE Individual W-2 MANAGING EMPLOYEE
JEX, JAMES Individual W-2 MANAGING EMPLOYEE
MCREYNOLDS, JOHN Individual W-2 MANAGING EMPLOYEE
MCREYNOLDS, JOHN Individual CORPORATE DIRECTOR
MCREYNOLDS, JOHN Individual CORPORATE OFFICER
LONG TERM CARE DIVISION OF OCPHD 4 Organization OPERATIONAL/MANAGERIAL CONTROL
LONG TERM CARE DIVISION OF OCPHD 4 Organization ADP OF THE SNF
JEX, JAMES Individual ADP OF THE SNF
MCREYNOLDS, JOHN Individual ADP OF THE SNF

What families say

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Common questions about North Valley Hospital

What is the ElderGrade for North Valley Hospital? +

North Valley Hospital holds an ElderGrade of B (84.9 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at North Valley Hospital? +

Residents receive an average of 4.67 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has North Valley Hospital been cited for harming residents? +

No. None of the 20 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does North Valley Hospital accept Medicaid? +

Yes, North Valley Hospital 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.