Colfax Health And Rehabilitation Of Cascadia
Colfax Health and Rehabilitation of Cascadia in COLFAX, WA — inspection on September 11, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
that the goal was for there to be five nursing assistants for the 12-hour period of 6:00 AM to 6:00 PM,
assistants, then the residents had to wait longer for assistance, they sometimes did not get out of
09/04/2025 at 12:10 PM, Staff D, Registered Nurse, stated that she had been working at the facility for three weeks and there had been a shortage of nursing assistants on some of the days they worked.
They stated that they had been supposed to have training on 09/02/2025 but that they had to work on the floor because the medication technician was pulled to work as a nursing assistant.
They stated that that day it had just been them and another nurse and that they had to pass medications, do assessments, dressing changes and give intravenous antibiotics for 28 residents and that it was a big challenge, even though the Director of Nursing had helped them.In an interview on 09/10/2025 at 12:05 PM, Staff E, Nursing Assistant, stated that they worked for an agency and in the last month had worked about eight shifts.
They stated that they thought staffing was okay, but that the 100 hallway was very busy and sometimes the residents complained they had to wait for assistance and that the residents were on their call lights all the time.In an interview on 09/10/2025 at 10:10 AM, Staffing Coordinator, stated that the facility had recently opened a wing that had been closed for several years. At that time, they had tried to staff five nursing assistants, instead of four but there had been a lot of challenges.
They stated that they had at least three agency staff per day and on that day, there were six of the ten nursing assistant positions filled by agency staff.
They further stated that agency staff would sometimes call off an hour prior to the start of a shift and then the spot was very difficult to fill.
Staff B further stated that two agency staff had also recently had to be sent home because one was found sleeping and another was found in an empty resident room not answering resident call lights.In an interview on 09/10/2025 at 12:18 PM, Staff A, Director of Nursing, stated that the facility had recently opened a wing that had been closed for several years and there had been some challenges scheduling enough staff and then the agency staff who were scheduled, to follow the facility expectations.
They stated that the expectation was that a resident call light be answered in 20 minutes or less.
They further stated that the facility was trying to hire more permanent staff.
Reference WAC 388-97-1080 (1), 1090 (1)
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.