All states › Washington › Longview › Americana Health and Rehabilitation
917 7th Avenue Longview, WA 98632 · Cowlitz County
All 3 nursing homes in Longview, WA (3 take Medicaid)
CMS certification number 505361 · See this home on Medicare Care Compare
Is Americana Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Americana Health and Rehabilitation as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Washington average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.88 hours per resident per day at Americana Health and Rehabilitation, below the Washington median of 4.15 (US median: 3.72). About 0.83 of those hours are from registered nurses. On weekends it falls to 3.29 hours, 15% below its all-week average. Ask how weekends are staffed. 33.3% of nursing staff left within a year (Washington median 43%).
About this nursing home
Paying for care at Americana Health and Rehabilitation: Medicare and Medicaid
Americana Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Washington's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 21, 2025 and found 9 deficiencies. In total, inspectors issued 20 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 20 citations at Americana Health and Rehabilitation across 4 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 28, 2024. The most common areas cited were quality of life and care (5) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level G, May 28, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
November 21, 2025 · 9 citations
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide 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.
December 17, 2024 · 7 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure 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.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
May 28, 2024 · 1 citation, includes actual harm · includes complaint inspection
GImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
January 11, 2024 · 3 citations
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DObserve each nurse aide's job performance and give regular training.
CPost nurse staffing information every day.
Questions to ask on a tour of Americana Health and Rehabilitation
- Inspectors cited the home at the actual-harm level on May 28, 2024 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 21, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 4/5 | 2/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 2/5 |
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Location
Hospitals near Americana Health and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.6 mi
Peachealth St John Medical Center LongviewEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 34m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Americana Health and Rehabilitation › All nursing homes in Longview ›
Compare Americana Health and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Beacon Hill Rehabilitation · Longview · 5 stars · 3.1 mi
Other Evergreen Healthcare Group nursing homes in Washington
- Buena Vista Healthcare · Colville · 5 stars
- Transitional Care of Seattle · Seattle · 4 stars
- Royal Park Health and Rehabilitation · Spokane · 3 stars
- Seattle Medical Post Acute Care · Seattle · 2 stars
- Frontier Rehabilitation and Extended Care · Longview · 2 stars
- North Cascades Health and Rehabilitation · Bellingham · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Evergreen Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.