Nursing Care Index

Americana Health And Rehabilitation

Longview, Cowlitz County, Washington · CCN 505361 · For-profit (Corporation) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)

CMS rates Americana Health And Rehabilitation 4 of 5 overall as of August 2026. 74 certified beds, 49 residents a day on average. 20 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay1 / 3 of 5

Staffing

Total nurse staffing3.92856 hours per resident per day
Registered nurses0.847 hours per resident per day
Weekend total3.33303 hours per resident per day
Nursing staff turnover33.3% (registered nurses 28.6%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-11-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-17
2025-11-21 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · tag F0694
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-17
2025-11-21 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · tag F0569
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-17
2025-11-21 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-17
2025-11-21 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-17
2025-11-21 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-17
2025-11-21 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-17
2025-11-21 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-17
2025-11-21 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-17
2024-12-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-15
2024-12-17 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-15
2024-12-17 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-15
2024-12-17 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-15
2024-12-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-15
2024-12-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-15
2024-12-17 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-15
2024-05-28
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-07-01
2024-01-11 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-19
2024-01-11 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-19
2024-01-11 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-02-19

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Americana Snf Operations, LLC
Organization
adp of the snf2025-06-17
Ch Pacific Northwest Holdings LLC
Organization
adp of the snf2023-08-31
Couve Financial Services LLC
Organization
adp of the snf2025-05-21
Couve Healthcare Consulting LLC
Organization
adp of the snf2025-05-21
Pacific Northwest Opco Management LLC
Organization
adp of the snf2025-05-21
Washington Snf Consulting LLC
Organization
adp of the snf2025-05-21
Witzcorp Global LLC
Organization
adp of the snf2023-08-31
Americana Snf Operations, LLC
Organization
direct ownership interest2023-08-31
Pacific Northwest Snf Operations Holdings (Wa) LLC
Organization
direct ownership interest2023-08-31
Ch Pacific Northwest Holdings LLC
Organization
indirect ownership interest2023-08-31
Pacific Northwest Snf Operations Holdings LLC
Organization
indirect ownership interest2023-08-31
Witzcorp Global LLC
Organization
indirect ownership interest2023-08-31
Americana Snf Operations, LLC
Organization
operational/managerial control2023-08-31
Couve Financial Services LLC
Organization
operational/managerial control2023-08-31
Couve Healthcare Consulting LLC
Organization
operational/managerial control2023-08-31
Pacific Northwest Opco Management LLC
Organization
operational/managerial control2023-08-31
Washington Snf Consulting LLC
Organization
operational/managerial control2023-08-31
Bayhon, Marissa
Individual
adp of the snf2023-08-31
Chheda, Neel
Individual
adp of the snf2023-08-31
Herzka, Yisroel
Individual
adp of the snf2023-08-31
Jeffries, Brandi
Individual
adp of the snf2023-08-31
Mccoy, Michael
Individual
adp of the snf2023-08-31
Odenthal, Jason
Individual
adp of the snf2023-08-31
Spielman, Shimon
Individual
adp of the snf2023-08-31
Wilson, Tamara
Individual
adp of the snf2023-08-31
Yenowitz, Yitzchok
Individual
adp of the snf2023-08-31
Jeffries, Brandi
Individual
corporate officer2023-08-31
Odenthal, Jason
Individual
corporate officer2023-08-31
Spielman, Shimon
Individual
corporate officer2023-08-31
Herzka, Yisroel
Individual
indirect ownership interest2023-08-31
Yenowitz, Yitzchok
Individual
indirect ownership interest2023-08-31
Bayhon, Marissa
Individual
managing control - governing body2023-08-31
Jeffries, Brandi
Individual
managing control - governing body2023-08-31
Odenthal, Jason
Individual
managing control - governing body2023-08-31
Chheda, Neel
Individual
operational/managerial control2023-08-31
Jeffries, Brandi
Individual
operational/managerial control2023-08-31
Mccoy, Michael
Individual
operational/managerial control2023-08-31
Odenthal, Jason
Individual
operational/managerial control2023-08-31
Spielman, Shimon
Individual
operational/managerial control2023-08-31
Wilson, Tamara
Individual
operational/managerial control2023-08-31
Yenowitz, Yitzchok
Individual
operational/managerial control2023-08-31

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cowlitz County.