Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

NORTH VALLEY HOSPITAL

TONASKET, WA · 42 certified beds · Last Life Safety survey February 28, 2026

CMS Certification Number 505454 · first certified January 1992

Ownership

Independently operated (no chain recorded by CMS) · Government - Hospital district

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within WA

32 citations — more than 54% of the 193 certified nursing homes in WA. Compared within WA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 14. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was February 2026. Facilities in WA are typically surveyed 12–15 months after the last one (median 13), measured over 320 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

12 of the 32 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 32 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in WA, and nationally. Surveyors differ markedly between states, so the WA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	32
Median facility in WA	31
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 15, 2023	17
November 16, 2024	11
February 28, 2026	4

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2026-02-28
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-02-28
E-0013	Develop Emergency Preparedness policies and procedures.	2	2024-11-16
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2024-11-16
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-11-16
K-0712	Have simulated fire drills held at unexpected times.	1	2024-11-16
E-0020	Establish policies and procedures including evacuation.	1	2024-11-16
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	1	2023-09-15

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 12
Smoke Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 5
Egress Deficiencies 3
Other 5

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	12
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	5
Egress Deficiencies	3
Miscellaneous Deficiencies	3
Construction Deficiencies	1
Services Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 28, 2026 — 4 citations

Citations issued on February 28, 2026
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 31, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 31, 2026)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (March 31, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 31, 2026)

November 16, 2024 — 11 citations

Citations issued on November 16, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 25, 2024)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (January 2, 2025)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (December 25, 2024)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (December 25, 2024)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (December 25, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (December 25, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (December 25, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 25, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (December 25, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 25, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (December 25, 2024)

September 15, 2023 — 17 citations

Citations issued on September 15, 2023
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (October 17, 2023)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (October 17, 2023)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (October 17, 2023)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (October 17, 2023)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (October 17, 2023)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (October 17, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 17, 2023)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (October 17, 2023)
K-0222	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.	Deficient, Provider has date of correction (October 17, 2023)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (October 17, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 17, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 17, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (October 17, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (October 17, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 17, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (October 17, 2023)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (October 17, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.