Home›Browse›Washington›Yakima›Apple Valley Health & Rehabilitation

Nursing homeFAID #12814

Apple Valley Health & Rehabilitation

4007 TIETON DRIVE, YAKIMA, WA, 98908

(509) 966-4500

75 licensed beds

CMS rates Apple Valley Health & Rehabilitation 4 out of 5 overall. Federal inspectors issued 80 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

4007 Tieton Drive

Yakima, WA 98908

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

505367

Care type

Nursing home

County

Yakima

Facility name

Apple Valley Health & Rehabilitation

Street address

4007 TIETON DRIVE

City / state / ZIP

Yakima, WA 98908

Phone

(509) 966-4500

About this facility — Apple Valley Health & Rehabilitation

Apple Valley Health & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Yakima, Washington. It is licensed for 75 beds — below the median for skilled nursing facilities in Washington (97 beds).

It is one of 43 senior care facilities in Yakima and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Apple Valley Health & Rehabilitation 80 times across 10 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Corporation

Registered owners & officers

Berk, Heidi

Managing employee — since 2012

Cleveland, Michael

Director — since 2017

Hyatt Family Facilities Llc

Direct owner — since 2006

Hyatt, Jeffrey

Direct owner — since 2006

Hyatt, Norman

Direct owner — since 2006

Repp, Rebecca

Managing employee — since 2011

Regulatory standing

Licensed / certified since

1990-06-01

CMS overall rating

4 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-07-25

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$496 per day (≈ $15,080/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

64% Medicaid · 12% Medicare · 23% private/other

Occupancy

79% (fiscal year 2023)

Vs. state median

3% above the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-26Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-07-02

2025-07-25Health inspection5 citations

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-03

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-09-03

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2025-09-03

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-03

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-09-03

6 earlier / fire-safety inspections (74 citations)

2024-09-10Health inspection7 citations

F-0569

E · No harm found

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-10-12

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-10-12

F-0645

E · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-10-12

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-10-12

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-12

F-0761

E · No harm found

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.

Corrected 2024-10-12

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-12

2024-08-14Health inspectionComplaint-triggered2 citations

F-0623

D · No harm foundFrom a complaint

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-09-06

F-0660

D · No harm foundFrom a complaint

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-09-06

2023-07-22Health inspection23 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-08-18

F-0572

E · No harm found

Give residents a notice of rights, rules, services and charges.

Corrected 2023-08-18

F-0577

E · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-08-18

F-0578

E · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-08-18

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2023-08-18

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-08-18

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-08-18

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-08-18

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-08-18

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-08-18

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-08-18

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-18

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-08-18

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-08-18

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-08-18

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-08-18

F-0685

D · No harm found

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-08-18

F-0689

J · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-18

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-08-18

F-0758

E · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-08-18

F-0761

E · No harm found

Corrected 2023-08-18

F-0804

F · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-08-18

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-08-18

2025-07-25Fire-safety inspection8 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-08-20

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-08-20

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-20

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-08-20

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-08-20

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-08-20

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-08-20

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-08-20

2024-09-10Fire-safety inspection15 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-10-10

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2024-10-10

K-0100

F · No harm found

Meet other general requirements.

Corrected 2024-10-10

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-13

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-10

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-10

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-11-13

K-0362

F · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-10-10

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-11-13

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-11-13

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-10

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-10

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-11-13

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-10-10

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-10-10

2023-07-22Fire-safety inspection19 citations

K-0100

D · No harm found

Meet other general requirements.

Corrected 2023-08-07

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-08-07

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-08-07

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-08-07

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-08-15

K-0346

F · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-08-07

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-07

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-08-07

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-08-07

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-08-15

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-07

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-08-15

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-08-07

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-07-19

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-08-07

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-08-15

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-15

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-07

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-08-15

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 505367.

Quality of care & staffing

How it compares in Washington.

Inspection citations, 3 years

More than 51% of nursing homes in the state

State median: 78

Federal fines, 3 years

No federal fines on record

State median: $13,065

Nurse staffing, hours per resident per day

3.7

Higher than 12% of nursing homes in the state

State median: 4.1

Nursing staff turnover, annual

56%

Higher than 83% of nursing homes in the state

State median: 43%

Resident outcomes

On 21 federal quality measures, this facility does better than the Washington average on 7 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.4%	13.8%	13.5%	Better than state
Lose too much weight	10.7%	5.6%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.8%	0.8%	0.7%	Worse than state
With a urinary tract infection	1.7%	1.7%	1.5%	Near state average
Have depressive symptoms	24.7%	17.9%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	0.6%	2.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.4%	96.2%	93.7%	Near state average
Ability to walk independently worsened	6.5%	15.6%	12.7%	Better than state
Received an antianxiety or hypnotic medication	14.2%	12.5%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	98.0%	94.3%	95.3%	Near state average
With pressure ulcers	0.9%	4.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	16.5%	21.6%	18.3%	Better than state
Received an antipsychotic medication	15.4%	15.0%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	0.77	1.26	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.38	1.54	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	92.9%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	2.4%	1.3%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	92.0%	84.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	18.8%	19.7%	23.4%	Near state average
Had an outpatient emergency department visit	16.0%	13.0%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0645 3 inspections. PASARR screening for Mental disorders or Intellectual Disabilities
K-0345 3 inspections. Have approved installation, maintenance and testing program for fire alarm systems.
K-0363 3 inspections. Install corridor and hallway doors that block smoke.
K-0921 3 inspections. Ensure that testing and maintenance of electrical equipment is performed.
K-0712 2 inspections. Have simulated fire drills held at unexpected times.
K-0923 2 inspections. Have proper medical gas storage and administration areas.

Verify & compare

Where to check, and what's nearby.

Who to contact in Washington

Licensing: Washington State Department of Social and Health Services (DSHS), Residential Care Services (RCS)
File a complaint: 800-562-6078 · Online
Long-Term Care Ombudsman: 800-562-6028. A free advocate for residents and families.
Adult Protective Services: 877-734-6277. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Astria Toppenish Hospital, about 21 miles.
Kittitas Valley Community Hospital, about 27 miles.
Astria Sunnyside Hospital, about 34 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Summitview Rehab and Health Center, Yakima, about 2.4 miles. CMS rating 5 of 5.
Crescent Health Care, Yakima, about 2.5 miles. CMS rating 1 of 5.
Englewood Health & Rehabilitation, Yakima, about 2.6 miles. CMS rating 1 of 5.
Good Samaritan Health Care Ctr, Yakima, about 4.0 miles. CMS rating 5 of 5.
Garden Village, Yakima, about 4.3 miles. CMS rating 2 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 80 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered