Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.73 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Colville Health & Rehabilition of Cascadia
COLVILLE, WA
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.73 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 23, 2025 cited 3 deficiencies.
View inspection evidenceCMS-published records list 47 ownership or control parties.
CMS records show an ownership change effective August 2022.
View ownership evidenceCMS groups this facility with a chain covering 45 facilities across 5 states or territories.
View chain evidenceCMS records show a $59,378 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
44 currently connected nursing homes share this CMS organization identity with CASCADIA HEALTHCARE LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 4, 2025
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across WA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 8, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 43 across CA, ID, MT, OR, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 2025
Other facilities connected through this exact CMS organization identity: 42 across ID, MT, OR, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 4, 2025
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 9 across WA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 5, 2025
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 41 across ID, MT, OR, WA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 43 across ID, MT, OR, WA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 41 across ID, MT, OR, WA.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.34%
Association date reported to CMS: Aug 1, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Jun 5, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Jun 5, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 41 across ID, MT, OR, WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 43 across ID, MT, OR, WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 41 across ID, MT, OR, WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 42 across ID, MT, OR, WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2022
Other facilities connected through this exact CMS organization identity: 9 across WA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 8, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across WA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 118 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 45 | 3.1 | 2.7 |
| Mon Jun | 44 | 3.2 | 2.8 |
| Fri May | 44 | 3.2 | 2.8 |
| Wed Apr | 44 | 3.2 | 2.8 |
| Sun Mar | 44 | 3.2 | 2.9 |
| Sun Feb | 44 | 3.3 | 2.9 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 5, 2026)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 30, 2025)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 30, 2025)
Provide medically-related social services to help each resident achieve the highest possible quality of life.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 30, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 30, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 20, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 31, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 25, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Provide activities to meet all resident's needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2024)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 25, 2024)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 17, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Dec 4, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 7, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 7, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 7, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 7, 2023)
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 7, 2023)
Penalties & enforcement
Published fine amount: $59,378.00
Published fine amount: $8,973.00
Questions to ask
Facility history
18 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.62 to 0.73 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.62 → 0.73
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 4.05 to 3.78 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
4.05 → 3.78
CMS · Reported in a source release · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $59,378 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
CMS recorded a $8,973 civil monetary penalty.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.732 | 2.685 |
| RN categories | 0.858 | 0.423 |
Contract staff accounted for 16.7% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.118 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.045 | 0.634 | 0.987 | 2.282 | 26% | 91 |
| 2025Q3 | 3.776 | 0.664 | 0.742 | 2.31 | 18.9% | 92 |
| 2025Q4 | 3.61 | 0.616 | 0.806 | 2.188 | 13.6% | 92 |
| 2026Q1 | 3.432 | 0.733 | 0.704 | 1.995 | 16.7% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.