Colfax Health and Rehabilitation of Cascadia
Colfax Health and Rehabilitation of Cascadia is a 55-bed nursing home in COLFAX, Washington. CMS has certified it for Medicare and Medicaid since 1977-12-15. It averages 43.7 residents a day.
What harm was found in the violations cited at Colfax Health and Rehabilitation of Cascadia?
CMS lists 64 health-inspection deficiencies for Colfax Health and Rehabilitation of Cascadia since 2023-03-08, 61 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-04-07.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-07 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-04-07 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2026-01-28 | F0684, F0686 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2025-09-11 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-06-14 | F0725, F0812, F0919 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. | F |
| 2025-06-14 | F0628, F0644, F0688, F0726, F0730, F0761, F0809, F0842, F0880, F0947 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Observe each nurse aide's job performance and give regular training. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2025-06-14 | F0561, F0578, F0677, F0684, F0740, F0756, F0760, F0887, F0921 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-03-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-10-25 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D |
| 2024-10-17 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-07-22 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L |
| 2024-07-22 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-07-22 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2024-07-22 | F0584, F0645, F0677, F0728, F0741 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E |
| 2024-07-22 | F0550, F0558, F0578, F0609, F0610, F0656, F0658, F0684, F0692, F0695, F0697, F0745, F0761 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
| 2024-06-28 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-05-03 | F0684, F0712 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D |
| 2024-04-08 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E |
| 2024-04-08 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-01-22 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-10-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-10-12 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-10-12 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2023-03-08 | F0623, F0625 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E |
| 2023-03-08 | F0880 | Provide and implement an infection prevention and control program. | D |
Why was Colfax Health and Rehabilitation of Cascadia fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2026-04-07 | Fine | $14,380 |
| 2024-06-28 | Fine | $39,867 |
| 2023-10-12 | Fine | $27,617 |
How is Colfax Health and Rehabilitation of Cascadia staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.67244 | 4.36934 |
| Total nursing staff turnover (%) | 71.4 | 45.1 |
| Average number of residents per day | 43.7 | 76.0 |
Who owns Colfax Health and Rehabilitation of Cascadia, and what chain is it in?
Colfax Health and Rehabilitation of Cascadia is registered with CMS as For profit - Limited Liability company, operates under the legal business name COLFAX OF CASCADIA LLC and belongs to the CASCADIA HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | CASCADIA WASHINGTON OPERATIONS LLC | since 05/01/2022 |
| INDIRECT OWNERSHIP INTEREST | CASCADIA HC GROUP LLC, CASCADIA HEALTHCARE LLC, CASCADIA HOLDCO LLC, HAMMOND, OWEN, LAFORTE, STEPHEN, NELSON, TIMOTHY | since 05/01/2022 |
| 5% OR GREATER SECURITY INTEREST | TIMBERLINE OHI TENANT LLC, WHITE OAK HEALTHCARE FINANCE LLC | since 05/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | CASCADIA HC GROUP LLC, CASCADIA HEALTHCARE LLC, CASCADIA HOLDCO LLC, CASCADIA SERVICES LLC, CASCADIA WASHINGTON OPERATIONS LLC, GUNKEL, BOBBIE, HAMMOND, OWEN, LAFORTE, STEPHEN, NELSON, TIMOTHY, STROBEL, THOMAS | since 04/01/2023 |
| ADP OF THE SNF | CASCADIA SERVICES LLC, TIMBERLINE OHI TENANT LLC, GUNKEL, BOBBIE, STROBEL, THOMAS | since 06/05/2025 |
Were you or a family member harmed at Colfax Health and Rehabilitation of Cascadia?