North Cascades Health and Rehabilitation
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-03-04 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2026-02-06 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2026-01-28 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2026-01-28 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-01-24 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-06-20 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-03-08 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2023-12-21 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
3.10
state median 3.78
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.68
registered nurses only
Contract (agency) staff
16%
share of all nursing hours
Nursing staff turnover
35%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
6 enforcement action(s), totaling $313,623 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-04 | Fine | $50,440 |
| 2026-01-28 | Fine | $46,040 |
| 2024-12-30 | Fine | $15,584 |
| 2024-06-20 | Fine | $50,278 |
| 2024-03-08 | Fine | $104,832 |
| 2023-09-19 | Fine | $46,449 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the EVERGREEN HEALTHCARE GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- MISSOULA HEALTH & REHABILITATION CENTER (MISSOULA, MT) —
- LIVINGSTON HEALTH & REHABILITATION CENTER (LIVINGSTON, MT) —
- POLSON HEALTH & REHABILITATION CENTER (POLSON, MT) —
- HOT SPRINGS HEALTH & REHABILITATION CENTER (HOT SPRINGS, MT) —
- LAUREL HEALTH & REHABILITATION CENTER (LAUREL, MT) —
- ASPEN MEADOWS HEALTH AND REHABILITATION CENTER (BILLINGS, MT) —
- EL JEN SKILLED CARE (LAS VEGAS, NV) —
- ORMSBY POST ACUTE REHABILITATION (CARSON CITY, NV) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-13 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-13 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2026-04-13 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-13 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-04-13 | F0628 | Resident Rights Deficiencies | F | not recorded |
| 2026-04-13 | F0645 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-04-13 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-04-13 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-13 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-13 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-13 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-13 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-13 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2026-04-13 | F0732 | Nursing and Physician Services Deficiencies | B | not recorded |
| 2026-04-13 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-13 | F0800 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-04-13 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-04-13 | F0838 | Administration Deficiencies | F | not recorded |
| 2026-04-13 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-13 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-04-13 | F0926 | Environmental Deficiencies | F | not recorded |
| 2026-03-04 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2026-03-04 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-04 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-04 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-06 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-06 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-01-28 | F0551 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-28 | F0678 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-28 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-01-28 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2026-01-28 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-17 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-17 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-17 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-17 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-17 | F0850 | Administration Deficiencies | E | not recorded |
| 2025-03-28 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-28 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-28 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-24 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-24 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-24 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-24 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-24 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-01-24 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-24 | F0730 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-01-24 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-24 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-01-24 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-24 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-24 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-12-30 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-05 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-09-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-12 | F0851 | Administration Deficiencies | D | not recorded |
| 2024-06-20 | F0582 | Resident Rights Deficiencies | E | not recorded |
| 2024-06-20 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-06-20 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-04-17 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-17 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-08 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-08 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-08 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-08 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-08 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-08 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-08 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-08 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-03-08 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-08 | F0730 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-03-08 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-08 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-03-08 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-08 | F0851 | Administration Deficiencies | F | not recorded |
| 2024-03-08 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-03-08 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2024-03-08 | F0947 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-12-21 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2023-12-21 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-12-21 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-21 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-12-21 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-12-21 | F0761 | Pharmacy Service Deficiencies | F | not recorded |
| 2023-12-21 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-12-21 | F0813 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-12-21 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-11-13 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-11-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-30 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-30 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-19 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-09-19 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |