Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Regency Omak during CMS and state inspections, most recent first.
The facility failed to implement care plan interventions for two residents with influenza, as their MARs lacked orders for vital sign and respiratory assessments. Vital signs were recorded sporadically, and there was no standardized process for documenting these assessments. Staff interviews revealed inconsistencies in monitoring and documentation practices.
The facility failed to obtain informed consent for psychotropic medications for three residents, placing them at risk of not being fully informed about the potential risks and benefits. A resident received Fluoxetine without documented consent, another received Olanzapine with consent obtained after administration, and a third was given sertraline without any consent documentation.
A facility failed to document and convey necessary information during the transfer of a resident to the hospital on multiple occasions. Despite having procedures in place, such as a discharge packet and a Transfer to Hospital evaluation, the medical record lacked documentation of the required information, including the basis for transfer and comprehensive care plan goals. This deficiency was confirmed by the DON and Corporate Nurse.
A facility failed to provide a bed hold notice to a resident during hospital transfers on two occasions. The resident was transferred for emergency care due to a change in condition, but the facility did not document offering the notice to the resident or their representative. This was confirmed by the DON and Corporate Nurse during a review.
A facility failed to complete a PASARR for a resident with anxiety, depression, and OCD. The PASARR Level 1 form was incomplete, lacking Section IV, and there was no documentation of a fully completed assessment. The Social Service Director confirmed the PASARR was not fully completed before admission.
A resident with dementia and multiple sclerosis was prescribed sertraline without a clear indication, as records showed inconsistencies in its use for insomnia and unspecified dementia. Facility staff acknowledged the incorrect diagnosis and the need for correction, highlighting a risk of unnecessary medication and adverse effects.
The facility failed to destroy a deceased resident's controlled medication timely and did not secure controlled medications in a permanently affixed container in the medication refrigerator. A metal box containing Lorazepam was found unsecured, and the medication for a resident who passed away 20 days earlier was not destroyed. Staff acknowledged the repeat deficiency from the previous year.
The facility failed to maintain complete and accurate medical records for several residents, including unsigned POLST forms, incorrect medication reviews, and incomplete COVID-19 declination forms. These deficiencies were confirmed by facility staff during interviews.
A facility failed to evaluate agency staff competencies, leading to unprofessional conduct by an LPN who made inappropriate comments to a resident, causing discomfort. The resident, with a history of anxiety and depression, was not treated according to their care plan. Interviews revealed a lack of comprehensive onboarding for agency staff, contributing to the deficiency.
A resident with a fractured pelvis and arthritis was coerced into taking a shower by two NAs, despite initially refusing. The incident involved derogatory remarks about the resident's odor, leading to compliance. Staff interviews indicated a general understanding of refusal protocols, but these were not followed in this case, resulting in a violation of the resident's rights.
Failure to Implement Care Plan Interventions for Residents with Influenza
Penalty
Summary
The facility failed to implement care planned interventions for two residents who tested positive for influenza. Both residents had care plans that included interventions such as assessing lung sounds, monitoring sputum or other respiratory discharge, and checking vital signs for abnormalities. However, the medication administration records (MAR) for both residents did not include orders or a place to record these assessments, nor did they specify the frequency of vital sign monitoring. The vital signs recorded in the residents' charts were sporadic, and there were no nurse notes documenting further assessments of lung sounds or sputum during the specified period. Interviews with staff revealed a lack of a standardized process for documenting and monitoring vital signs and respiratory assessments for residents with viral infections. Nursing assistants were responsible for collecting vital signs, but the information was not consistently entered into the residents' medical records. The Resident Care Manager acknowledged that there should be orders on the MAR for vital signs and respiratory assessments, but there was no clear protocol for how long to monitor residents or where to document these assessments. The Administrator confirmed that the facility did not retain the paper sheets where vital signs were initially recorded, leading to gaps in documentation.
Failure to Obtain Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that three residents were fully informed of the potential risks associated with the use of psychotropic medications. Resident 2, diagnosed with anxiety and depression, was prescribed Fluoxetine, a psychotropic medication, without any documentation of informed consent being obtained prior to administration. Similarly, Resident 26, who had anxiety, depression, and obsessive-compulsive disorder, was prescribed Olanzapine. Although an informed consent form was completed, it was done four days after the medication was first administered, contrary to the facility's expectations that consents be obtained before the first dose. Resident 14 was prescribed sertraline for depression, which was administered daily without any documented informed consent. Interviews with facility staff revealed that the responsibility for obtaining these consents lay with the Resident Care Managers, yet no consent was found in Resident 14's medical record. This lack of informed consent documentation for psychotropic medications placed the residents at risk of not being fully informed about the potential risks and benefits of their treatments.
Failure to Document and Convey Required Information During Resident Transfer
Penalty
Summary
The facility failed to document and convey the necessary information during the transfer of a resident, identified as Resident 34, to the hospital on multiple occasions. On March 17, 2024, Resident 34 experienced a change in condition, prompting staff to contact the on-call provider who recommended an emergency room evaluation. However, the medical record lacked documentation of the minimum required information communicated to the hospital, such as the basis for the transfer, specific resident needs, facility attempts to meet those needs, and comprehensive care plan goals. This deficiency was repeated during subsequent transfers on May 20, 2024, and July 6, 2024, where again, the necessary information was not documented or conveyed. During an interview, the Director of Nursing and Corporate Nurse confirmed the absence of documentation showing the information sent to the hospital. They explained that a discharge packet with a checklist is typically sent with the resident, and a Transfer to Hospital evaluation is completed in the electronic medical record. This evaluation includes vital signs, allergies, reason for transfer, and other care information. Despite these procedures, the staff acknowledged that the medical record did not reflect the minimum required information conveyed during Resident 34's transfers.
Failure to Provide Bed Hold Notice During Hospital Transfers
Penalty
Summary
The facility failed to provide a notice of bed hold to Resident 34 and/or their representative during hospital transfers on two occasions. On 03/17/2024 and 05/20/2024, Resident 34 experienced a change in condition that necessitated emergency care at a local hospital. However, the facility did not document offering a notice of bed hold to the resident or their representative at the time of these transfers. This oversight was confirmed during an interview with the Director of Nursing and the Corporate Nurse, who acknowledged the absence of the required documentation.
Incomplete PASARR for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure the accurate completion of a Pre-Admission Screening and Resident Review (PASARR) for a resident diagnosed with anxiety, depression, and obsessive-compulsive disorder. The annual assessment indicated these mental health conditions, necessitating a thorough PASARR to determine if specialized mental health services were required. However, the PASARR Level 1 form initiated for the resident was incomplete, with Section IV left blank, and there was no documentation of a fully completed PASARR. During an interview, the Social Service Director confirmed that the PASARR had not been fully completed prior to the resident's admission.
Inadequate Indication for Antidepressant Use
Penalty
Summary
The facility failed to ensure an adequate indication for the use of an antidepressant for Resident 14, who was reviewed for unnecessary medications. Resident 14 was admitted with a diagnosis of dementia without behavioral, psychotic, or mood disturbances, and multiple sclerosis. Despite having no signs or symptoms of depression, the resident was prescribed Trazadone for sleep, which was later discontinued and replaced with sertraline for depression. However, the medical records and psychotropic medication reviews showed inconsistencies in the indication for sertraline, with records indicating it was used for insomnia and unspecified dementia without behavioral disturbances. Interviews with facility staff revealed discrepancies in the diagnosis and indication for the use of sertraline. Staff D, the Social Services Director, acknowledged the contradiction between the diagnosis in the Medication Administration Records (MAR) and the indication in the psychotropic medication reviews. Staff B, the Director of Nursing, admitted that the current diagnosis was incorrect for the use of sertraline and acknowledged that Resident 14 did have behavioral disturbances, indicating a need to change the diagnosis. This lack of clarity and consistency in medication indication placed Resident 14 at risk of receiving unnecessary medications and experiencing adverse side effects.
Failure to Timely Destroy and Secure Controlled Medications
Penalty
Summary
The facility failed to destroy a deceased resident's controlled medication in a timely manner, as required by professional standards. During an inspection of the medication room refrigerator, it was found that a metal box containing four bottles of liquid Lorazepam, a controlled medication, was not permanently affixed to the refrigerator. One of these bottles was labeled for a resident who had passed away 20 days prior, and the medication should have been destroyed at that time. Staff F, a Registered Nurse/Resident Care Manager, acknowledged that the medication was not destroyed and that the practice was a repeat deficiency from the previous year. Additionally, the facility did not ensure that controlled medications were stored in a permanently affixed, locked storage compartment within the medication refrigerator. Staff F mentioned that although the medications were in a locked box within a locked room, the box itself was not secured to the refrigerator. This oversight was acknowledged by Staff A, the Administrator, who was informed of the observations and the failed practice related to the storage and destruction of controlled medications.
Incomplete and Inaccurate Medical Records
Penalty
Summary
The facility failed to ensure the completeness and accuracy of medical records for several residents, which placed them at risk of not having their needs met. For Resident 2, a POLST form indicating the resident's wishes for end-of-life treatment was completed but lacked the necessary signature from a medical provider. This oversight was confirmed by the facility's staff during an interview. Resident 14's medication reviews inaccurately documented the use of Trazadone for depression and sleepless legs, despite it being discontinued months earlier. Instead, the resident was receiving Sertraline for insomnia, which was not accurately reflected in the records. Resident 26's psychotropic medication reviews were incomplete and inaccurate, failing to list all prescribed medications and reflecting discontinued medications. The reviews did not accurately document the resident's current medication regimen, which included Fluoxetine, Bupropion, and Clonazepam. Additionally, Resident 20's COVID-19 Declination Form was incomplete, lacking necessary information such as the individual's status as staff or resident, date of birth, gender, and acknowledgment of the statements on the form. These deficiencies were acknowledged by the facility staff during interviews.
Inadequate Evaluation of Agency Staff Competencies
Penalty
Summary
The facility failed to develop and implement a system to evaluate the competencies of agency or contracted staff, which resulted in ineffective communication and discomfort for a resident. Specifically, a Licensed Practical Nurse (LPN), referred to as Staff I, made inappropriate comments about a resident's body during the application of a cold pain patch, which made the resident feel uncomfortable. This incident was substantiated by the facility's investigation, which confirmed the unprofessional conduct of Staff I. The resident involved had a history of anxiety, depression, and chronic pain, and was cognitively intact, able to understand others, and verbalize their needs. The resident's care plan highlighted the need for staff to provide active listening, acknowledge non-verbal communication, and inform the resident prior to touching or providing care. Despite these instructions, Staff I engaged in unprofessional communication, which was not aligned with the resident's care plan or the facility's policies on resident rights and professional conduct. Interviews with various staff members, including the Director of Nursing and the Administrator, revealed that the facility used agency nursing staff but lacked a comprehensive onboarding process to ensure these staff members had the necessary skills and competencies. The facility's policies required staff to act professionally and maintain boundaries, but there was no documentation of Staff I's evaluation for skills or competencies. The incident highlighted a gap in the facility's training and supervision of agency staff, which contributed to the deficiency.
Violation of Resident's Right to Refuse Care
Penalty
Summary
The facility failed to honor a resident's right to refuse care, as evidenced by an incident involving a resident with a fractured pelvis and arthritis. The resident, who was capable of understanding and being understood, initially refused a shower but was coerced by two nursing assistants. The aides insisted on the shower, with one making a derogatory comment about the resident's odor, which led the resident to comply reluctantly. This incident was documented in the resident's medical record, confirming the shower took place despite the initial refusal. Interviews with staff revealed a lack of adherence to proper protocol when a resident refuses care. Staff members generally stated that they would re-approach later or offer alternative care, such as a bed bath, but would not force the resident. However, in this case, the involved staff did not follow these procedures, resulting in a violation of the resident's rights. The Director of Nursing acknowledged the failure in practice, confirming that the actions of the staff members involved were inappropriate.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Omak
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Valley Hospital | 19.8 mi | — | 7 | 0 |
| Regency Harmony House Rehab & Nursing | 25.1 mi | — | 6 | 0 |
| Colville Tribal Convalescent C | 32.1 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.