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Colfax Health and Rehabilitation of Cascadia

Nursing Home Facility

1150 West Fairview Road, Colfax, WA 99111

Nursing Home Care Senior Living
Colfax Health and Rehabilitation of Cascadia

Colfax Health and Rehabilitation of Cascadia is a senior care community located in Colfax, WA. It provides nursing home care and senior living for older adults in the Colfax area. To learn more or schedule a tour, call (509) 397-4603.

Operated by Cascadia Healthcare, which runs 24 communities in our directory.

Employer rating 3.5 out of 5 72 reviews from their own employees on Indeed. See what they say.

Colfax Health and Rehabilitation of Cascadia is licensed for 55 beds, about typical for the area, where senior care communities in Colfax average about 53 beds.

Federal reporting puts occupancy at about 79% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in June 2025 and recorded 27 deficiencies.

Residents receive about 3.7 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Nursing staff turnover over the past year was about 71%, which is high and can affect continuity of care.

The community is located in Whitman County, WA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 64 problems at Colfax Health and Rehabilitation of Cascadia. 4 findings involved harm to a resident, including 1 that put residents in immediate danger. 42 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $54,247.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected April 2026, after a complaint. Corrected by April 23, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected April 2026, after a complaint. Corrected by April 30, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected January 2026, after a complaint. Corrected by March 10, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected January 2026, after a complaint. Corrected by March 10, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected September 2025, after a complaint. Corrected by October 16, 2025.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, widespread Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

Show 19 more
  • Could cause more than minimal harm, a pattern Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide 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.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Observe each nurse aide's job performance and give regular training.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure 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.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected June 2025, after a complaint. Corrected by July 21, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Colfax Health and Rehabilitation of Cascadia offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 55
  • Occupancy 79%
  • Nursing hours per resident/day 3.7
  • Annual staff turnover 71%
  • Last health inspection June 2025

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