North Valley Hospital

Name: North Valley Hospital
Address: 22 W 1ST STREET, Tonasket, WA, 98855, US
Telephone: 5094862151

22 W 1st Street, Tonasket, WA 98855 · Okanogan County · 42 certified beds · avg 38 residents/day · certified since Jan 1, 1992

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.44

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 5, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Feb 28, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 28, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Nov 16, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 16, 2024	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Nov 16, 2024	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Nov 16, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 16, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Nov 16, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Nov 16, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 16, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 16, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 16, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Nov 16, 2024	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Sep 15, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 2).

Year	Citations	Worst severity that year
2023	6	E
2024	11	F
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Washington avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.44	4.24	3.95	top 6% in Washington; top 8% in the U.S.
Registered Nurse hours	1.44	0.91	0.69	top 6% in Washington; top 5% in the U.S.
Weekend total nurse staffing	4.77	3.69	3.50	top 6% in Washington; top 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.95	0.67	0.48	top 13% in Washington; top 7% in the U.S.
Total nursing staff turnover (%)	41.2	45.1	45.8	top 41% in Washington; top 40% in the U.S.
RN turnover (%)	25.0	45.4	42.9	top 13% in Washington; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.67, RN 1.24, weekend 4.10. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Long Term Care Division of Ocphd 4	Organization	Direct Ownership Interest	NOT APPLICABLE	09/01/1985
Hailey, Bernice	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2006
Jex, James	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2022
Jex, James	Individual	ADP of the SNF	NOT APPLICABLE	01/17/2025
Long Term Care Division of Ocphd 4	Organization	Operational/Managerial Control	NOT APPLICABLE	12/12/2024
Long Term Care Division of Ocphd 4	Organization	ADP of the SNF	NOT APPLICABLE	01/17/2025
McReynolds, John	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2020
McReynolds, John	Individual	Corporate Director	NOT APPLICABLE	08/01/2020
McReynolds, John	Individual	Corporate Officer	NOT APPLICABLE	08/01/2020
McReynolds, John	Individual	ADP of the SNF	NOT APPLICABLE	01/17/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Regency Omak	19.8 mi	Omak, WA	★★★★★	5/5

Compare this facility with the 1 closest →

All facilities in Tonasket →

Facility data as of CMS processing date 2026-08-01. CCN 505454.

The Care File

Visit checklist — North Valley Hospital

22 W 1st Street, Tonasket, WA 98855 · 5094862151

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 505454 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)