North Valley Hospital

22 W 1st Street, Tonasket, WA 98855 (opens Google Maps) · Okanogan County · (509) 486-2151· 42 certified beds · avg 38 residents/day · certified since Jan 1, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

5/5

Health inspection rating (on-site)

inspected Feb 28, 2026

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.

Mar 5, 2026D · Potential for more than minimal harm, isolated
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 F-0757
Feb 28, 2026E · Potential for more than minimal harm, pattern
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. F-0812
Feb 28, 2026D · Potential for more than minimal harm, isolated
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. F-0756

View all 20 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Mar 5, 2026	D · Potential for more than minimal harm, isolated	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 · F-0757
Feb 28, 2026	E · Potential for more than minimal harm, pattern	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. · F-0812
Feb 28, 2026	D · Potential for more than minimal harm, isolated	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. · F-0756
Nov 16, 2024	F · Potential for more than minimal harm, widespread	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. · F-0812
Nov 16, 2024	F · Potential for more than minimal harm, widespread	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Nov 16, 2024	E · Potential for more than minimal harm, pattern	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. · F-0645
Nov 16, 2024	E · Potential for more than minimal harm, pattern	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. · F-0880
Nov 16, 2024	D · Potential for more than minimal harm, isolated	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. · F-0636
Nov 16, 2024	D · Potential for more than minimal harm, isolated	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. · F-0637
Nov 16, 2024	D · Potential for more than minimal harm, isolated	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. · F-0656
Nov 16, 2024	D · Potential for more than minimal harm, isolated	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. · F-0677
Nov 16, 2024	D · Potential for more than minimal harm, isolated	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. · F-0757
Nov 16, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791
Nov 16, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Sep 15, 2023	E · Potential for more than minimal harm, pattern	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. · F-0656
Sep 15, 2023	D · Potential for more than minimal harm, isolated	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. · F-0550
Sep 15, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Sep 15, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Sep 15, 2023	D · Potential for more than minimal harm, isolated	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. · F-0880
Sep 15, 2023	D · Potential for more than minimal harm, isolated	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. · F-0947

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityWashington averageU.S. average

Total nurse staffing (hours per resident per day)

5.44

4.24

3.95

Registered Nurse hours

1.44

0.91

0.69

Weekend total nurse staffing

4.77

3.69

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.67 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for North Valley Hospital. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 10 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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 →

Other facilities in the same county

CMS records place this facility in Okanogan, WA — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Regency Harmony House Rehab & Nursing — Brewster, WA · overall 5/5
Colville Tribal Convalescent C — Nespelem, WA · overall 3/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Tonasket →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — North Valley Hospital

22 W 1st Street, Tonasket, WA 98855 · (509) 486-2151

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)