All states › Washington › Tonasket › North Valley Hospital
22 W 1st Street Tonasket, WA 98855 · Okanogan County
CMS certification number 505454 · See this home on Medicare Care Compare
Is North Valley Hospital 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 North Valley Hospital 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 4.92 hours per resident per day at North Valley Hospital, above the Washington median of 4.15 (US median: 3.72). About 1.24 of those hours are from registered nurses. On weekends it falls to 4.34 hours, 12% below its all-week average. 36.5% of nursing staff left within a year (Washington median 43%).
About this nursing home
Paying for care at North Valley Hospital: Medicare and Medicaid
North Valley Hospital 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.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on February 28, 2026 and found 2 deficiencies, plus 1 from complaint inspections in the same period. 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 North Valley Hospital across 4 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 20 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (5) and quality of life and care (4). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, November 16, 2024).
March 5, 2026 · 1 citation · includes complaint inspection
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
February 28, 2026 · 2 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
November 16, 2024 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EPASARR screening for Mental disorders or Intellectual Disabilities
EProvide and implement an infection prevention and control program.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DAssess the resident when there is a significant change in condition
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide or obtain dental services for each resident.
DKeep all essential equipment working safely.
September 15, 2023 · 6 citations
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide and implement an infection prevention and control program.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Questions to ask on a tour of North Valley Hospital
- What do families most often ask you about before moving in?
- 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 | 5/5 | 5/5 | 1/5 |
| August 2026 | 5/5 | 5/5 | 5/5 | 2/5 |
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Location
Hospitals near North Valley Hospital
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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0.1 mi
North Valley Hospital TonasketEmergency roomMedian ER visit 2h 7m for patients treated and sent home
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21.9 mi
Mid Valley Hospital & Clinic OmakEmergency roomMedian ER visit 3h 22m 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
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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.