Spokane Health & Rehabilitation
North 6025 Assembly · Spokane, WA · 99205 · 5093268282
125 certified beds For profit - Limited Liability company Chain: Hill Valley Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $114,251 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$114,251 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 3 · $158,341 |
Inspection citations (100 in the current record)
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Potential for harm · D March 5, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 24, 2026 · Quality of Life and Care
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Actual harm · G August 8, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · E July 25, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 1, 2025 · Nursing and Physician Services
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Immediate jeopardy · L April 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E April 24, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
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 June 10, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
Provide information about how to apply for and use Medicare and Medicaid benefits.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
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 June 10, 2025 · Resident Rights
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Potential for harm · F April 24, 2025
Not 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.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · F April 24, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
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 June 10, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 24, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide appropriate care/assistance for a resident with a prosthesis.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · F April 24, 2025
Have 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.
Corrected June 10, 2025 · Nursing and Physician Services
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Potential for harm · E April 24, 2025
Observe each nurse aide's job performance and give regular training.
Corrected June 10, 2025 · Nursing and Physician Services
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Potential for harm · E April 24, 2025
Post nurse staffing information every day.
Corrected June 10, 2025 · Nursing and Physician Services
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Potential for harm · E April 24, 2025
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 June 10, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 25, 2025 | Fine | $59,670 |
| January 23, 2025 | Fine | $54,581 |
| January 23, 2025 | Payment Denial | 48 days |
| December 20, 2023 | Fine | $44,090 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505322 · certified since October 19, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.