Omak, WA · Okanogan County
★★★★★CMS 5/556 bedsFor-profitMedicaid
- Nurse hours
- 4.04 /day
- Staff turnover
- 39%
- Serious cites
- 0
Regency Omak runs on better-than-average nurse coverage, 4.04 hours per resident day against a national figure of 3.86, and staff tend to stick around, with turnover at 39.1% compared to 45.8% nationally. The weekend dip is worth asking about, though: hours drop roughly 14% from weekday levels, which is when families often notice less attention.
The inspection record is where the picture gets more mixed. Nineteen deficiencies are on file, including one at the harm level and two tied to abuse, even though the last survey came back in January 2026. A corporation owns the 56-bed building, so ask how those abuse-related findings were resolved and what weekend coverage actually looks like on the floor.
Tonasket, WA · Okanogan County
★★★★★CMS 5/542 bedsGovernmentMedicaid
- Nurse hours
- 4.67 /day
- Staff turnover
- 41%
- Serious cites
- 0
North Valley Hospital runs on 4.67 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 41.2% sits below the national rate. Inspectors have cited 20 deficiencies, though none rose to harm or jeopardy and none involved abuse, and the home was last inspected in February 2026. Weekend staffing dips about 12% from weekday levels, and its quality measure rating of 2 out of 5 is the weak spot against 5s for inspection and staffing. It's a hospital-district owned home of 42 beds, small enough to know its residents, and the numbers suggest the hands-on care is there even where the clinical outcomes data isn't.
Nespelem, WA · Okanogan County
★★★☆☆CMS 3/544 bedsGovernmentMedicaid
- Nurse hours
- 4.71 /day
- Staff turnover
- 61%
- Serious cites
- 0
Colville Tribal Convalescent C runs a federal facility in Nespelem with 44 certified beds, and the raw staffing number looks strong, 4.71 nurse hours per resident day, roughly 22% above the national average of 3.86. The catch is consistency: weekends drop about 10% below the home's own weekday level, and annual turnover sits at 61% against a national 45.8%, which is a lot of churn for a small census to absorb. Inspections in April 2025 produced a 4-star health rating, but the record holds 19 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a single fine of $8,173.
Brewster, WA · Okanogan County
★★★★★CMS 5/554 bedsFor-profitMedicaid
- Nurse hours
- 3.70 /day
- Staff turnover
- 28%
- Serious cites
- 0
Regency Harmony House runs a tight ship on inspections, a five-star health inspection rating and a recent survey date of November 2025, with 15 deficiencies on record and none at the harm or jeopardy level. Staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 22% below the home's own weekday coverage, so families should ask how that gap gets filled. Turnover is the bright spot: 27.5% against a national average of 45.8%, meaning the people caring for residents tend to stay. The weaker piece is the two-star quality measure rating, and three abuse-related deficiencies appear on the current record, worth asking about directly.