North Valley Hospital: Staffing, Turnover, and Inspection Record
North Valley Hospital is a 42-bed government-run nursing home in Tonasket, Washington. In the CMS August 2026 release it reported 3.03 nurse aide hours per resident per day, 14% above the Washington average of 2.66, and 41.2% nursing staff turnover (Washington average 45.1%).
North Valley Hospital
22 W 1st StreetTonasket, WA 98855
Okanogan County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At North Valley Hospital, nurse aides logged 3.03 hours per resident per day, 14% above the Washington average. With about 38 residents a day, that works out to roughly 116 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Washington avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.03 | 2.66 | 2.32 |
| Licensed practical nurses | 0.41 | 0.77 | 0.86 |
| Registered nurses | 1.24 | 0.94 | 0.69 |
| All nursing staff | 4.67 | 4.37 | 3.86 |
| All nursing staff, weekends | 4.10 | 3.81 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
41.2% of nursing staff at North Valley Hospital left over the year CMS measured, against a Washington average of 45.1% and a US average of 45.8%. Registered nurse turnover was 25.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 28, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Washington average 16.1). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. North Valley Hospital holds 5 of 5 overall; the Washington average is 3.2.
About North Valley Hospital
- Ownership: Government - Hospital district
- Legal name: Long Term Care Division of Ocphd 4
- Medicare and Medicaid certified since: Jan 1, 1992
- Located inside a hospital
- Councils: resident council
- Area: rural
Nursing homes near North Valley Hospital
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Regency Omak Omak | 19.8 | 56 | 2.70 | 4.04 | 39.1% | 5 | None |
| Regency Harmony House Rehab & Nursing Brewster | 44.2 | 54 | 2.53 | 3.70 | 27.5% | 5 | None |
| Colville Tribal Convalescent C Nespelem · many days without an RN | 45.4 | 44 | 3.12 | 4.71 | 61.0% | 3 | $8,173 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.