nursing home in Tonasket, WA
North Valley Hospital
22 W 1st Street, Tonasket, WA 98855 · (509) 486-2151
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★5
- Quality measures★★★★★2
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
North Valley Hospital at a glance
North Valley Hospital is a 42-bed government nursing home in Tonasket, Washington (Okanogan County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Washington average of 3.3.
Residents receive about 4.7 hours of nursing care per day (1.2 of them from registered nurses), better than the state average of 4.4 hours.
Its most recent standard health inspection (February 28, 2026) found 3 health citations. The Washington average is 15.8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 41.2% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 42
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1992
- Resident/family council
- Resident
- County
- Okanogan County
- CMS Certification Number
- 505454
Ratings
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 4 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4.1 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.67 hrs | 4.36 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.24 hrs | 0.94 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.03 hrs | 2.66 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.10 hrs | 3.80 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 41.2% | 45.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 45.4% | 42.9% | Better |
Inspections
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 16 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 31 | 116.6 | 80.6 | Better |
Penalties
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $52,633 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 42 | 97 | 107 | |
| Average residents per day | 38 | 76 | 86 | |
| Occupancy | 91% | 79.4% | 80.9% |
Long-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.5% | 2.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.6% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 30.4% | 15.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2% | 1.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.2% | 1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 29.4% | 14.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 27.6% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.2% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.8% | 17.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 10.5% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.2% | 22.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 93.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.7% | 96% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 41.7% | 88.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 32 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 5, 2026 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected April 18, 2026 |
| February 28, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 31, 2026 |
| February 28, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected March 31, 2026 |
| February 28, 2026 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected March 31, 2026 |
| February 28, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 31, 2026 |
| February 28, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 18, 2026 |
| February 28, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected April 18, 2026 |
| November 16, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected January 2, 2025 |
| November 16, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | E Potential harm, pattern | Corrected December 25, 2024 |
| November 16, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected December 25, 2024 |
| November 16, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 3, 2025 |
| November 16, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected January 3, 2025 |
| November 16, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected January 3, 2025 |
| November 16, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 3, 2025 |
| November 16, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected January 3, 2025 |
| November 16, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected January 3, 2025 |
| November 16, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 3, 2025 |
| November 16, 2024 Standard | Develop 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 3, 2025 |
| November 16, 2024 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected January 3, 2025 |
| November 16, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected January 3, 2025 |
| November 16, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected January 3, 2025 |
| September 15, 2023 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected October 17, 2023 |
| September 15, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected October 17, 2023 |
| September 15, 2023 Standard | Develop 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 Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected October 20, 2023 |
| September 15, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected October 20, 2023 |
| September 15, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected October 20, 2023 |
| September 15, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 20, 2023 |
| September 15, 2023 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected October 20, 2023 |
| September 15, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| JEX, JAMES Individual | adp of the snf | NOT APPLICABLE | 01/17/2025 |
| LONG TERM CARE DIVISION OF OCPHD 4 Organization | adp of the snf | NOT APPLICABLE | 01/17/2025 |
| MCREYNOLDS, JOHN Individual | adp of the snf | NOT APPLICABLE | 01/17/2025 |
| MCREYNOLDS, JOHN Individual | corporate director | NOT APPLICABLE | 08/01/2020 |
| MCREYNOLDS, JOHN Individual | corporate officer | NOT APPLICABLE | 08/01/2020 |
| LONG TERM CARE DIVISION OF OCPHD 4 Organization | direct ownership interest | NOT APPLICABLE | 09/01/1985 |
| LONG TERM CARE DIVISION OF OCPHD 4 Organization | operational/managerial control | NOT APPLICABLE | 12/12/2024 |
| HAILEY, BERNICE Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2006 |
| JEX, JAMES Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2022 |
| MCREYNOLDS, JOHN Individual | w-2 managing employee | NOT APPLICABLE | 08/01/2020 |
Other nursing homes near North Valley Hospital
Regency Omak
901 Shumway Rd, Omak, WA 98841 · 19.8 mi
For-profit · 56 beds · Part of Regency Pacific Management
★★★★★5Much above average
Frequently asked questions
What is North Valley Hospital's rating?
North Valley Hospital has 5 out of 5 stars on the CMS overall star rating. The average for Washington nursing homes is 3.3 stars.
How many inspection citations did North Valley Hospital receive?
Its most recent standard health inspection found 3 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.
Does North Valley Hospital accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns North Valley Hospital?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is North Valley Hospital and how do I contact it?
North Valley Hospital is at 22 W 1st Street, Tonasket, WA 98855. Phone: (509) 486-2151.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.