Colfax Health and Rehabilitation: Staffing Failures - WA
The staffing coordinator described both dismissals to inspectors during a September 2025 complaint investigation. On the day of that interview, six of the ten nursing assistant positions on the schedule were filled by agency workers. At least three agency staff were required every day.
The facility had recently reopened a wing that had been closed for years, and the staffing coordinator said that expansion brought serious scheduling problems. Agency workers sometimes called off an hour before a shift started. Those spots were very difficult to fill.
The goal was five nursing assistants for the 12-hour day shift. Frequently there were four. When that happened, a registered nurse told inspectors, residents waited longer for help, sometimes did not get out of bed when they wanted to, and nursing assistants missed their breaks.
That same nurse, three weeks into the job, described a day when the medication technician was pulled to work as a nursing assistant instead. That left her and one other nurse to pass medications, complete assessments, do dressing changes, and administer intravenous antibiotics for 28 residents. Training she had been scheduled for that day did not happen. The Director of Nursing stepped in to help.
An agency nursing assistant who had worked about eight shifts at the facility in the past month told inspectors the 100 hallway was very busy. Residents complained they had to wait. They were on their call lights constantly.
The Director of Nursing told inspectors the expectation was that a call light be answered within 20 minutes. The facility was working to hire permanent staff.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Colfax Health and Rehabilitation of Cascadia from 2025-09-11 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
Colfax Health and Rehabilitation of Cascadia in COLFAX, WA was cited for violations during a health inspection on September 11, 2025.
The staffing coordinator described both dismissals to inspectors during a September 2025 complaint investigation.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.