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Nursing homesWashington › Colville Health and Rehabilitation of Cascadia

Colville Health and Rehabilitation of Cascadia

1000 East Elep Street, Colville, WA 99114 · 5096842573 · 92 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership group

Per CMS filings, this facility is affiliated with Cascadia Healthcare, a group operating 45 facilities in 5 states. Group record: average rating 3.1/5, 2 abuse citation icons, 5 facilities on the Special Focus list, $1,029,637 in federal fines. This facility rates below its group average (3.1/5).

See all 45 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.43 (Washington median: 4.15). RN hours: 0.73. Weekend total: 2.68. Nursing staff turnover: 67%.

Inspection deficiencies

All-time on record: 54 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-07Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2026-05-05
2025-05-23Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Lcomplaintcorrected 2025-06-30
2025-05-23Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Kcomplaintcorrected 2025-06-30
2025-05-23Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Hcomplaintcorrected 2025-06-30
2025-05-23Ensure that residents are free from significant medication errors. Gcomplaintcorrected 2025-06-30
2025-05-23Have 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. Fcomplaintcorrected 2025-06-30
2025-05-23Administer the facility in a manner that enables it to use its resources effectively and efficiently. Fcomplaintcorrected 2025-06-30
2025-05-23Have a plan that describes the process for conducting QAPI and QAA activities. Fcomplaintcorrected 2025-06-30
2025-05-23Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Fcomplaintcorrected 2025-06-30
2025-05-23Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Fcomplaintcorrected 2025-06-30
2025-05-23Provide and implement an infection prevention and control program. Fcomplaintcorrected 2025-06-30
2025-05-23Make sure that a working call system is available in each resident's bathroom and bathing area. Fcomplaintcorrected 2025-06-30
2025-05-23Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Fcomplaintcorrected 2025-06-30
2025-05-23Ensure that residents are fully informed and understand their health status, care and treatments. EHealthcorrected 2025-06-30
2025-05-23Develop and implement policies and procedures to prevent abuse, neglect, and theft. Ecomplaintcorrected 2025-06-30
2025-05-23Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Ecomplaintcorrected 2025-06-30
2025-05-23Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2025-06-30
2025-05-23Provide appropriate treatment and care according to orders, resident’s preferences and goals. Ecomplaintcorrected 2025-06-30
2025-05-23Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Ecomplaintcorrected 2025-06-30
2025-05-23Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Ecomplaintcorrected 2025-06-30
2025-05-23Provide medically-related social services to help each resident achieve the highest possible quality of life. EHealthcorrected 2025-06-30
2025-05-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Ecomplaintcorrected 2025-06-30
2025-05-23Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Ecomplaintcorrected 2025-06-30
2025-05-23Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Ecomplaintcorrected 2025-06-30
2025-05-23Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Ecomplaintcorrected 2025-06-30
2025-05-23Provide training in compliance and ethics. Ecomplaintcorrected 2025-06-30
2025-05-23Keep residents' personal and medical records private and confidential. Dcomplaintcorrected 2025-06-30
2025-05-23Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Dcomplaintcorrected 2025-06-30
2025-05-23Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Dcomplaintcorrected 2025-06-30
2025-05-23Provide care or services that was trauma informed and/or culturally competent. Dcomplaintcorrected 2025-06-30
2025-05-23Ensure 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. Dcomplaintcorrected 2025-06-30
2025-05-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-05-30
2024-11-27Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-12-20
2024-07-17Provide care and assistance to perform activities of daily living for any resident who is unable. Ecomplaintcorrected 2024-07-31
2024-06-25Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2024-06-25
2024-05-16PASARR screening for Mental disorders or Intellectual Disabilities DHealthcorrected 2024-06-20
2024-05-16Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2024-06-20
2024-05-16Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2024-06-20
2024-05-16Provide activities to meet all resident's needs. DHealthcorrected 2024-06-20
2024-05-16Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2024-06-20

Federal penalties

DateTypeAmount
2025-05-07Fine$59,378
2024-05-16Fine$8,973

Ownership & control records (CMS filings)

NameRoleType%Since
CASCADIA WASHINGTON OPERATIONS LLCDirect Ownership InterestOrganizationNOT APPLICABLEsince 08/01/2022
CASCADIA HC GROUP LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/05/2025
CASCADIA HEALTHCARE LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 08/01/2022
CASCADIA HOLDCO LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/05/2025
HAMMOND, OWENIndirect Ownership InterestIndividualNOT APPLICABLEsince 08/01/2022
LAFORTE, STEPHENIndirect Ownership InterestIndividualNOT APPLICABLEsince 06/05/2025
NELSON, TIMOTHYIndirect Ownership InterestIndividualNOT APPLICABLEsince 06/05/2025
CASCADIA HC GROUP LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 06/05/2025
CASCADIA HEALTHCARE LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/01/2022
CASCADIA HOLDCO LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 06/05/2025
CASCADIA SERVICES LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/01/2022
CASCADIA WASHINGTON OPERATIONS LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/01/2022
FLEMMING, STANLEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/08/2025
HAMMOND, OWENOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/01/2022
LAFORTE, STEPHENOperational/Managerial ControlIndividualNOT APPLICABLEsince 06/05/2025
NELSON, TIMOTHYOperational/Managerial ControlIndividualNOT APPLICABLEsince 06/05/2025
WEICHERS, ROGEROperational/Managerial ControlIndividualNOT APPLICABLEsince 09/01/2025

Compare nearby (Stevens County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505275. Corrections: data@carerecords.org.