COLVILLE TRIBAL CONVALESCENT C

1 CONVALESCENT CENTER BLVD
NESPELEM, WA, 99155
5096342878
CCN: 505412
3
Overall
4
Health
1
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Corporate Integrity Agreements (1)
One or more owners of this facility have entered into Corporate Integrity Agreements (CIAs) with the OIG. CIAs are compliance agreements typically resulting from healthcare fraud settlements.
The Confederated Tribes of The Colville Reservation
Matched via: CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Closed
2025-03-18
Ownership
NameRole%
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ERICKSON, JARRED-MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUTTON, SALLYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LEWIS, LORENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MOORE, CASEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-02-21Fine$8K
Health Deficiencies (20)
2025-04-03 · Health
D
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F761 · Pharmacy Service Deficiencies
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
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2024-09-16 · Health
D
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
2024-04-30 · Health
D
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
2024-02-21 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-06-29 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-03-03 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F620 · Resident Rights Deficiencies
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F585 · Resident Rights Deficiencies
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.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.72
3.68
RN Hrs/Resident/Day
0.76
0.54
LPN Hrs/Resident/Day
0.69
0.81
CNA Hrs/Resident/Day
3.26
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01