Skilled nursing facility · CMS certification number 505454
NORTH VALLEY HOSPITAL
TONASKET, Washington · Medicare and Medicaid
Certified beds, as filed in Care Compare: 42
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 24, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,901,212 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $716,968 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,184,244 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,823,670 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,639,426 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $818,676 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,820,750 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,820,750 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 15,330 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 32 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,512 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,305 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 13,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 19 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,358.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 728.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421042, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,477,156 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $662,395 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,814,761 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,831,252 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,016,491 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $711,125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,305,366 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,305,366 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,951 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 16 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 977.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 809.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389919, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 29, 2023.
None of these figures is carried on this report.
CMS report record 1365870, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,280,199 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,040,606 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,239,593 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,139,176 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,899,583 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,051,095 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $151,512 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $151,512 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,897 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 10 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 1,394.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,189.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334258, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,633,794 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $680,743 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,953,051 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,046,569 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,093,518 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,079,864 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$13,654 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$13,660 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,363 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 359.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283624, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 26, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,315,346 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $942,416 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,372,930 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,602,615 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,229,685 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $853,995 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$375,690 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$375,690 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,575 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 20 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,070.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 728.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1259019, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 26, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,820,043 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $714,279 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,105,764 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,242,502 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,136,738 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $732,422 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$404,316 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$404,613 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,466 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 837.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 498.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1246452, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 14, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,743,136 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,014,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,728,994 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,901,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,172,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $472,254 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$700,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$700,188 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,617 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 28 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 211.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 628.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 450.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1193300, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,575,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $451,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,124,203 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,727,680 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$603,477 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440,142 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$163,335 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$163,335 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,668 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 492.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 351.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157282, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,753,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $706,318 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,047,620 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,686,991 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$639,371 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $458,167 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$181,204 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$181,204 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,142 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 134 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 564.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 441.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137918, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,884,176 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,184,668 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,699,508 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,995,764 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,296,256 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $458,353 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$837,903 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$838,487 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,391 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 22 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 203 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 751.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 699.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143641, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,696,803 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,741,432 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,955,371 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,181,499 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,226,128 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $613,383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$612,745 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$612,745 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,686 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 483.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 249.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088177, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,315,795 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,078,508 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,237,287 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,250,953 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,013,666 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $571,527 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$442,139 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$442,139 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,776 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 511.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 212.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058690, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 12, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,010,986 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,732,292 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,278,694 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,033,167 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$754,473 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $472,868 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$281,605 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$281,605 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,653 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 475.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1019291, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,329,504 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,937,469 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$607,965 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $564,059 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$43,906 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,819 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 573.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 206.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413434, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,637,204 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,056,895 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$419,691 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $511,054 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $91,363 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,764 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 383.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 401344, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 27, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,256,601 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,974,544 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$717,943 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $502,394 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$215,549 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,583 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 410.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355584, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,898,628 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,701,615 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$802,987 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $466,651 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$336,336 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,266 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 555.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322226, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 18, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,670,022 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,357,921 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$687,899 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $657,152 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$30,747 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,572 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 538.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 195.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 315413, read from the public cost report file SNFFY2006.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| JEX, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/17/2025 |
| LONG TERM CARE DIVISION OF OCPHD 4 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/17/2025 |
| MCREYNOLDS, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/17/2025 |
| MCREYNOLDS, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2020 |
| MCREYNOLDS, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2020 |
| LONG TERM CARE DIVISION OF OCPHD 4 | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/1985 |
| LONG TERM CARE DIVISION OF OCPHD 4 | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/12/2024 |
| HAILEY, BERNICE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2006 |
| JEX, JAMES | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2022 |
| MCREYNOLDS, JOHN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/01/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LONG TERM CARE DIVISION OF OCPHD 4 (enrollment ID O20060103000298).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LONG TERM CARE DIVISION OF OCPHD 4 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/1/1985 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES JEX | Individual | ADP OF THE SNF | Not stated in the filing | 1/17/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN MCREYNOLDS | Individual | ADP OF THE SNF | Not stated in the filing | 1/17/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LONG TERM CARE DIVISION OF OCPHD 4 | Organization | ADP OF THE SNF | Not stated in the filing | 1/17/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN MCREYNOLDS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN MCREYNOLDS | Individual | CORPORATE OFFICER | Not stated in the filing | 8/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LONG TERM CARE DIVISION OF OCPHD 4 | Organization | DIRECT OWNERSHIP INTEREST | 4.99 | 9/1/1985 | Private equity company: No Real estate investment trust: No Holding company: No |
| LONG TERM CARE DIVISION OF OCPHD 4 | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/12/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BERNICE HAILEY | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 1/1/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES JEX | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN MCREYNOLDS | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 8/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2025: OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4 no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ALAN C ULRICH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ALAN C ULRICH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LONG TERM CARE DIVISION OF OCPHD 4 (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since September 1, 1985. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LONG TERM CARE DIVISION OF OCPHD 4 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LONG TERM CARE DIVISION OF OCPHD 4 (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since December 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LONG TERM CARE DIVISION OF OCPHD 4 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since September 1, 1985. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JAMES JEX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JAMES JEX (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JOHN MCREYNOLDS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JOHN MCREYNOLDS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since August 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
Recent changes on this record
- April 24, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 1, 2025: OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4 no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4 no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ALAN C ULRICH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ALAN C ULRICH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LONG TERM CARE DIVISION OF OCPHD 4 (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since September 1, 1985. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LONG TERM CARE DIVISION OF OCPHD 4 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LONG TERM CARE DIVISION OF OCPHD 4 (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since December 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LONG TERM CARE DIVISION OF OCPHD 4 (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since September 1, 1985. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JAMES JEX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JAMES JEX (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JOHN MCREYNOLDS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JOHN MCREYNOLDS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since August 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- July 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 29, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 27, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 10, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 26, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- November 26, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 14, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 16, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- September 30, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- April 16, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 20, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 12, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- July 27, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 27, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 27, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- July 30, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- June 18, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 28, 2026 | February 28, 2026 | 3 | 4 |
| 2 | November 16, 2024 | November 16, 2024 | 11 | 11 |
| 3 | September 15, 2023 | September 15, 2023 | 6 | 17 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 5, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | April 18, 2026 |
| February 28, 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | April 18, 2026 |
| February 28, 2026 | Health | F 0812 | 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 | No | Deficient, Provider has date of correction | April 18, 2026 |
| November 16, 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 16, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | No | Deficient, Provider has date of correction | January 3, 2025 |
| September 15, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 15, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 15, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 15, 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 15, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 15, 2023 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | LONG TERM CARE DIVISION OF OCPHD 4 |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-01-01 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Okanogan |
| Telephone Number | 5094862151 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 42 |
| Average Number of Residents per Day | 38.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On April 24, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for NORTH VALLEY HOSPITAL
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Washington at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 505454.