North Valley Hospital
22 W 1ST STREET, Tonasket, WA 98855
Tonasket, Washington · CMS verdict
On the federal five-star scale, North Valley Hospital carries a 5 of 5 CMS overall rating, above-average quality that runs above Washington's state average of 3.2.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
North Valley Hospital in Tonasket, Washington holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 71 of 100 (grade C). The 42-bed facility operates where a semi-private nursing-home room in Washington runs a median of $13,155 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
At 42 certified beds, this facility sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 71 is built
Each segment is a dimension's weighted points toward the score, summing to 71.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
North Valley Hospital's thinner certified-bed book
Quality ratings
North Valley Hospital holds a CMS overall quality rating of 5 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (4/5), staffing (5/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Tonasket, Washington, this facility operates 42 certified beds with an average daily census of roughly 40 residents - an occupancy rate of about 95%. The facility is classified under government - hospital district ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 95% occupancy, this facility is running near full capacity, worth confirming current bed availability directly before visiting.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (21 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How North Valley Hospital's upper-tercile stars compare to Washington
CMS five-star sub-ratings (0–5) for this facility against the Washington facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Washington state average. Higher is better on all four CMS measures.
Where North Valley Hospital ranks in Washington
Among the 192 CMS-rated nursing homes in Washington, North Valley Hospital’s 5-star overall rating is higher than 76% of them. The bars show how all Washington homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
46 Washington homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 42 |
| Residents | 40 |
| Ownership | Government - Hospital district |
| County | Okanogan |
| Penalties | 1 |
| Deficiencies | 21 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for North Valley Hospital? ▾
North Valley Hospital has an overall CMS quality rating of 5 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 5/5, and quality measures rating of 3/5.
How much does a nursing home cost per month in Washington? ▾
The median cost for a semi-private nursing home room in Washington is $13,155 per month ($157,859 annually). A private room averages $15,969 per month. Costs are from the CareScout 2025 survey.
What services does North Valley Hospital offer? ▾
With 42 beds with approximately 40 current residents, North Valley Hospital is a skilled nursing facility. It operates under government - hospital district ownership, and CMS's inspection record shows 21 deficiencies and 1 penalties.
Does North Valley Hospital have any deficiencies or penalties? ▾
North Valley Hospital has multiple deficiencies (21 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Washington? ▾
In Washington, alternatives include assisted living ($7,600/mo), home health aides ($8,580/mo), and adult day care ($5,395/mo).
Keep reading
Also see the Washington elder-care overview and highest-rated states. Provider ID: 505454.
Read our methodology - how this data is sourced, computed, and verified.