Nursing HomeInspections

North Valley Hospital

Nursing home in Tonasket, WA

Medicare & Medicaid certified5★ overall (CMS)

Call (509) 486-2151Send a messageMap ↗

Public-record details

Address
22 W 1st Street, Tonasket, WA 98855
Phone
(509) 486-2151
Listed under
Government-owned, 4–5 star overall rating, No fines in 3 years
Medicare CCN
505454
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
5 of 5
Quality measures rating
2 of 5
Certified beds
42
Average residents per day
38
Ownership
Government, hospital district
Legal business name
Long Term Care Division of Ocphd 4
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 505454. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 28, 2026. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 15, 2023 to Mar 5, 2026): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 5, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 28, 2026Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 28, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Nov 16, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 16, 2024Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 16, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 16, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 16, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 16, 2024Provide or obtain dental services for each resident.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 16, 2024Keep all essential equipment working safely.
Environmental		D
Potential for more than minimal harm, isolated
Nov 16, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Nov 16, 2024Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.67 hours
Registered nurse (RN) time per resident per day
1.24 hours
Nurse aide time per resident per day
3.03 hours
Total nurse staffing on weekends
4.10 hours
Nursing staff turnover (yearly)
41%
RN turnover (yearly)
25%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.