Spokane Valley Health and Rehabilitation of CascadCMS ratings, inspections and fines
- Address
- East 17121 Eighth Avenue, Spokane Valley, WA 99016
- CCN
- 505099
- Ownership type
- For-profit, limited liability company
- Certified beds
- 97
- Chain
- Cascadia Healthcare
- Residents per day
- 94
- CMS flags
- None in the CMS record
Open the watch listCare 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 Valley Health and Rehabilitation of Cascad an overall rating of 1 of 5 stars. The last standard survey was on 24 Nov 2025. The latest survey cycle has 13 health citations. The median for nursing homes in Washington is 14. CMS lists 2 fines with a total of $21,762 for this home in its penalties file.
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.
Changes in the CMS recordFeed of changes in Washington (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Spokane County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 1 | 5.0 | 4.0 | 3.6 |
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.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 24 Nov 2025 | 13 | 14 |
| Cycle 2 | 13 Aug 2024 | 25 | 17 |
| Cycle 3 | No date | 14 | 13 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 May 2026 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint investigation | 12 Jun 2026 |
| 24 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Dec 2025 |
| 24 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Dec 2025 |
| 24 Nov 2025 | F0688 | 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. | E | Standard survey | 30 Dec 2025 |
| 24 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Dec 2025 |
| 24 Nov 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Dec 2025 |
| 24 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 30 Dec 2025 |
| 24 Nov 2025 | F0761 | 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. | D | Standard survey | 30 Dec 2025 |
| 24 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Dec 2025 |
| 24 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Dec 2025 |
| 12 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Dec 2025 |
| 12 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 12 Dec 2025 |
| 12 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 12 Dec 2025 |
Survey cycle 2: 25 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Apr 2025 |
| 18 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Apr 2025 |
| 18 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 10 Apr 2025 |
| 6 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 2 Dec 2024 |
| 6 Nov 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Complaint investigation | 2 Dec 2024 |
| 13 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 24 Sep 2024 |
| 13 Aug 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0761 | 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. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 24 Sep 2024 |
| 13 Aug 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 24 Sep 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Aug 2024 |
| 29 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 22 Aug 2024 |
| 29 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Aug 2024 |
| 28 Jun 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 24 Jul 2024 |
| 3 May 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 17 May 2024 |
| 18 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 8 Nov 2023 |
| 10 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 May 2023 |
| 10 Apr 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 16 May 2023 |
| 10 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 May 2023 |
| 10 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 16 May 2023 |
| 10 Apr 2023 | F0758 | 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. | D | Standard survey | 16 May 2023 |
| 10 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 16 May 2023 |
| 10 Apr 2023 | F0761 | 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. | E | Standard survey | 16 May 2023 |
| 10 Apr 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 16 May 2023 |
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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 6 Nov 2023 | Fine | $3,529 | |
| 18 Oct 2023 | Fine | $18,233 |
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.
| Staff | This home | Washington median | Washington average (CMS) |
|---|---|---|---|
| All nurse staff | No data | 4.10 | 4.37 |
| Registered nurses (RN) | No data | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | No data | 0.77 | |
| Nurse aides | No data | 2.66 | |
| All nurse staff, weekends | No data | 3.60 | 3.81 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- No data
- 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.
| Measure (CMS text) | Residents | This home | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.5% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.1% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.6% | 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
- Spokane of Cascadia LLC
- Chain
- Cascadia Healthcare (46 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascadia Washington Operations LLC | Direct ownership interest | 1 Jul 2023 | |
| Cascadia HC Group LLC | Indirect ownership interest | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | 1 Jul 2023 | |
| Cascadia Holdco LLC | Indirect ownership interest | 5 Jun 2025 | |
| Spokane Valley 17121 Realty, LLC | 5% or greater security interest | 5 Jun 2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | 11 Aug 2022 | |
| Cascadia Services LLC | Operational/managerial control | 30 Nov 2022 | |
| Cascadia Services LLC | Adp of the snf | 12 Feb 2025 | |
| Spokane Valley 17121 Realty, LLC | Adp of the snf | 5 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Spokane County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Sullivan Park Care Center | Spokane | 1 of 5 | 33 | $126,188 | 6 Mar 2025 | |
| Aurora Valley Care | Spokane | 2 of 5 | 34 | $93,457 | 15 Sep 2025 | |
| Sunshine Health & Rehab | Spokane | 4 of 5 | 9 | $0 | 30 Jan 2026 | |
| Alderwood Manor | Spokane | 3 of 5 | 13 | $0 | 13 Feb 2026 | |
| South Hill Rehabilitation and Care Center | Spokane | 5 of 5 | 12 | $0 | 18 Jun 2025 | |
| Spokane Veterans Home | Spokane | 5 of 5 | 13 | $0 | 25 Mar 2025 | |
| Rockwood South Hill | Spokane | 2 of 5 | 13 | $0 | 23 Mar 2026 | |
| Spokane Health & RehabilitationSpecial Focus candidate | Spokane | 1 of 5 | 39 | $137,457 | 24 Apr 2025 | |
| Royal Park Health and Rehabilitation | Spokane | 3 of 5 | 8 | $111,830 | 5 May 2026 | |
| Spokane Falls Care | Spokane | 1 of 5 | 23 | $125,736 | 13 Apr 2026 | |
| Regency at Northpointe | Spokane | 5 of 5 | 11 | $8,278 | 27 Aug 2024 | |
| Avalon Care Center at Northpointe | Spokane | 2 of 5 | 14 | $84,614 | 28 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Spokane Valley Health and Rehabilitation of Cascad (CCN 505099). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/spokane-valley-health-and-rehabilitation-of-cascad-spokane-valley-wa-505099/
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 Valley Health and Rehabilitation of Cascad last inspected?
- The latest inspection with a citation in the CMS record was on 22 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 13 Aug 2024.
- Who operates Spokane Valley Health and Rehabilitation of Cascad?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Cascadia Healthcare. The CMS ownership file names Cascadia Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Spokane Valley Health and Rehabilitation of Cascad a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. 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.