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Spokane Health & RehabilitationCMS ratings, inspections and fines

Address
North 6025 Assembly, Spokane, WA 99205
CCN
505322
Ownership type
For-profit, limited liability company
Certified beds
125
Residents per day
116
CMS flags
  • Special Focus Facility candidate
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating3 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Spokane Health & Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 24 Apr 2025. The latest survey cycle has 39 health citations. The median for nursing homes in Washington is 14. CMS lists 3 fines with a total of $137,457 for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Spokane Health & Rehabilitation, with medians
Rating (1 to 5 stars)This homeSpokane County medianWashington medianUS average (CMS)
Overall rating13.03.03.0
Health inspection rating12.03.02.8
Staffing rating34.04.02.9
Quality measure rating45.04.03.6

A median is the middle value of the homes in the group: 16 homes in the county, 193 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Spokane Health & Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsWashington median
Cycle 1 (latest)24 Apr 20253914
Cycle 219 Jan 20243517
Cycle 3No date2313

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 97 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 39 citations

Standard survey of this cycle: .

Health citations of Spokane Health & Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
5 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation24 Mar 2026
8 Aug 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation3 Sep 2025
24 Apr 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey10 Jun 2025
24 Apr 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey10 Jun 2025
24 Apr 2025F0572Give residents a notice of rights, rules, services and charges.EComplaint investigation10 Jun 2025
24 Apr 2025F0578Honor 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.EStandard survey10 Jun 2025
24 Apr 2025F0579Provide information about how to apply for and use Medicare and Medicaid benefits.EStandard survey10 Jun 2025
24 Apr 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard survey10 Jun 2025
24 Apr 2025F0584Honor 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.DStandard survey10 Jun 2025
24 Apr 2025F0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.FStandard survey10 Jun 2025
24 Apr 2025F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard survey10 Jun 2025
24 Apr 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FStandard survey10 Jun 2025
24 Apr 2025F0625Notify 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.EStandard survey10 Jun 2025
24 Apr 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey10 Jun 2025
24 Apr 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey10 Jun 2025
24 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey10 Jun 2025
24 Apr 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Jun 2025
24 Apr 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation10 Jun 2025
24 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LComplaint investigation10 Jun 2025
24 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Jun 2025
24 Apr 2025F0696Provide appropriate care/assistance for a resident with a prosthesis.DStandard survey10 Jun 2025
24 Apr 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey10 Jun 2025
24 Apr 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation10 Jun 2025
24 Apr 2025F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey10 Jun 2025
24 Apr 2025F0730Observe each nurse aide's job performance and give regular training.EStandard survey10 Jun 2025
24 Apr 2025F0732Post nurse staffing information every day.EStandard survey10 Jun 2025
24 Apr 2025F0761Ensure 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.EStandard survey10 Jun 2025
24 Apr 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard survey10 Jun 2025
24 Apr 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey10 Jun 2025
24 Apr 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey10 Jun 2025
24 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey10 Jun 2025
24 Apr 2025F0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.FStandard survey10 Jun 2025
24 Apr 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey10 Jun 2025
24 Apr 2025F0880Provide and implement an infection prevention and control program.EStandard survey10 Jun 2025
24 Apr 2025F0881Implement a program that monitors antibiotic use.EStandard survey10 Jun 2025
24 Apr 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey10 Jun 2025
24 Apr 2025F0908Keep all essential equipment working safely.DStandard survey10 Jun 2025
24 Apr 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey10 Jun 2025
24 Apr 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey10 Jun 2025

Survey cycle 2: 35 citations

Standard survey of this cycle: .

Health citations of Spokane Health & Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
25 Jul 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation1 Aug 2025
3 Apr 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EComplaint investigation17 Apr 2025
3 Apr 2025F0761Ensure 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.DComplaint investigation10 Jun 2025
25 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation10 Jun 2025
10 Feb 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation10 Jun 2025
10 Feb 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation10 Jun 2025
10 Feb 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation14 Mar 2025
10 Feb 2025F0610Respond appropriately to all alleged violations.DComplaint investigation14 Mar 2025
10 Feb 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation10 Jun 2025
23 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation10 Jun 2025
23 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Jun 2025
23 Jan 2025F0692Provide enough food/fluids to maintain a resident's health.EComplaint investigation10 Jun 2025
18 Nov 2024F0688Provide 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.DComplaint investigation12 Dec 2024
18 Nov 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation12 Dec 2024
8 Oct 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation25 Oct 2024
8 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation25 Oct 2024
8 Oct 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint investigation25 Oct 2024
29 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation20 Sep 2024
29 Aug 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EComplaint investigation20 Sep 2024
29 Aug 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EComplaint investigation20 Sep 2024
19 Jan 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation15 Feb 2024
19 Jan 2024F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EComplaint investigation15 Feb 2024
19 Jan 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation15 Feb 2024
19 Jan 2024F0610Respond appropriately to all alleged violations.DComplaint investigation15 Feb 2024
19 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 Feb 2024
19 Jan 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation15 Feb 2024
19 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation15 Feb 2024
19 Jan 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation15 Feb 2024
19 Jan 2024F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation15 Feb 2024
19 Jan 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint investigation15 Feb 2024
19 Jan 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation15 Feb 2024
19 Jan 2024F0758Implement 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.DComplaint investigation15 Feb 2024
19 Jan 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation15 Feb 2024
19 Jan 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation15 Feb 2024
19 Jan 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation15 Feb 2024

Survey cycle 3: 23 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Spokane Health & Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
25 Jul 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EComplaint investigation14 Aug 2024
25 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation14 Aug 2024
25 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation14 Aug 2024
25 Jul 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation14 Aug 2024
25 Jul 2024F0881Implement a program that monitors antibiotic use.EComplaint investigation14 Aug 2024
29 May 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation28 Jun 2024
29 May 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation28 Jun 2024
29 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation28 Jun 2024
29 May 2024F0760Ensure that residents are free from significant medication errors.EComplaint investigation28 Jun 2024
29 May 2024F0761Ensure 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.DComplaint investigation5 Apr 2024
29 May 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation28 Jun 2024
20 Dec 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation15 Feb 2024
20 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation15 Feb 2024
11 Sep 2023F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation14 Sep 2023
23 Sep 2022F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey4 Nov 2022
23 Sep 2022F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey4 Nov 2022
23 Sep 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey4 Nov 2022
23 Sep 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey4 Nov 2022
23 Sep 2022F0688Provide 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.DStandard survey4 Nov 2022
23 Sep 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey4 Nov 2022
23 Sep 2022F0880Provide and implement an infection prevention and control program.EStandard survey4 Nov 2022
23 Sep 2022F0881Implement a program that monitors antibiotic use.EStandard survey4 Nov 2022
23 Sep 2022F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey4 Nov 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Spokane Health & Rehabilitation in the CMS penalties file
DateTypeFineDays without payment
25 Jul 2025Fine$38,786
23 Jan 2025Fine$54,581
23 Jan 2025Payment denial48
20 Dec 2023Fine$44,090

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Spokane Health & Rehabilitation
StaffThis homeWashington medianWashington average (CMS)
All nurse staff3.554.104.37
Registered nurses (RN)0.600.900.94
Licensed practical nurses (LPN)0.740.77
Nurse aides2.212.66
All nurse staff, weekends3.273.603.81
Nurse staff turnover in a year
64.4%
Nurse staff turnover, Washington median
43.2%
RN turnover in a year
61.1%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Spokane Health & Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay17.4%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.9%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.9%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.0%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.0%14.1%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Winston SNF Operations LLC
Chain
Hill Valley Healthcare (43 homes in the CMS chain file)
Organisations in the CMS ownership record of Spokane Health & Rehabilitation
OrganisationRole in the CMS recordInterestSince
Wash 6 SNF Operations Holdings LLC5% or greater direct ownership interest100%8 Feb 2023

The site shows organisations only. It does not show the names of persons.

Other homes in Spokane County

The 12 nearest other nursing homes in Spokane County, Washington
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Spokane Falls CareSpokane1 of 523$125,73613 Apr 2026
Royal Park Health and RehabilitationSpokane3 of 58$111,8305 May 2026
Rockwood South HillSpokane2 of 513$023 Mar 2026
Emerson Health & RehabilitationSpokane4 of 514$028 Jul 2025
Regency at NorthpointeSpokane5 of 511$8,27827 Aug 2024
Avalon Care Center at NorthpointeSpokane2 of 514$84,61428 May 2026
Spokane Veterans HomeSpokane5 of 513$025 Mar 2025
South Hill Rehabilitation and Care CenterSpokane5 of 512$018 Jun 2025
Alderwood ManorSpokane3 of 513$013 Feb 2026
Sunshine Health & RehabSpokane4 of 59$030 Jan 2026
Aurora Valley CareSpokane2 of 534$93,45715 Sep 2025
Sullivan Park Care CenterSpokane1 of 533$126,1886 Mar 2025

All 16 nursing homes in Spokane County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Spokane Health & Rehabilitation (CCN 505322). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/spokane-health-rehabilitation-spokane-wa-505322/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Spokane Health & Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 5 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 19 Jan 2024.
Who operates Spokane Health & Rehabilitation?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Hill Valley Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
What does the Special Focus status mean for Spokane Health & Rehabilitation?
CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.