SPOKANE HEALTH & REHABILITATION

NORTH 6025 ASSEMBLY, SPOKANE, WA 99205 · CCN 505322 · 125 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

Serious inspection findings

2025-08-08 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-04-24 IMMEDIATE JEOPARDY (tag F0689, severity L)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-03-25 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-01-19 ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2024-01-19 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-07-20 ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.

Staffing, from payroll records

Nursing hours / resident / day

3.20

state median 3.78

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −9%

RN hours / resident / day

0.43

registered nurses only

Contract (agency) staff

27%

share of all nursing hours

Nursing staff turnover

64%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $137,457 in fines.

DateTypeAmount
2025-07-25Fine$38,786
2025-01-23Fine$54,581
2025-01-23Payment Denialpayment denial
2023-12-20Fine$44,090

Ownership

Ownership type: For profit - Limited Liability company. Part of the HILL VALLEY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 5 · Potential for more than minimal harm: 92 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-03-05F0684Quality of Life and Care DeficienciesDnot recorded
2025-08-08F0686Quality of Life and Care DeficienciesGnot recorded
2025-07-25F0725Nursing and Physician Services DeficienciesEnot recorded
2025-04-24F0552Resident Rights DeficienciesEnot recorded
2025-04-24F0554Resident Rights DeficienciesDnot recorded
2025-04-24F0572Resident Rights DeficienciesEnot recorded
2025-04-24F0578Resident Rights DeficienciesEnot recorded
2025-04-24F0579Resident Rights DeficienciesEnot recorded
2025-04-24F0582Resident Rights DeficienciesEnot recorded
2025-04-24F0584Resident Rights DeficienciesDnot recorded
2025-04-24F0620Resident Rights DeficienciesFnot recorded
2025-04-24F0622Resident Rights DeficienciesEnot recorded
2025-04-24F0623Resident Rights DeficienciesFnot recorded
2025-04-24F0625Resident Rights DeficienciesEnot recorded
2025-04-24F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-24F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2025-04-24F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-04-24F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-24F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2025-04-24F0689Quality of Life and Care DeficienciesLnot recorded
2025-04-24F0695Quality of Life and Care DeficienciesDnot recorded
2025-04-24F0696Quality of Life and Care DeficienciesDnot recorded
2025-04-24F0698Quality of Life and Care DeficienciesDnot recorded
2025-04-24F0725Nursing and Physician Services DeficienciesFnot recorded
2025-04-24F0727Nursing and Physician Services DeficienciesFnot recorded
2025-04-24F0730Nursing and Physician Services DeficienciesEnot recorded
2025-04-24F0732Nursing and Physician Services DeficienciesEnot recorded
2025-04-24F0761Pharmacy Service DeficienciesEnot recorded
2025-04-24F0801Nutrition and Dietary DeficienciesEnot recorded
2025-04-24F0804Nutrition and Dietary DeficienciesEnot recorded
2025-04-24F0806Nutrition and Dietary DeficienciesDnot recorded
2025-04-24F0812Nutrition and Dietary DeficienciesEnot recorded
2025-04-24F0843Administration DeficienciesFnot recorded
2025-04-24F0867Administration DeficienciesFnot recorded
2025-04-24F0880Infection Control DeficienciesEnot recorded
2025-04-24F0881Infection Control DeficienciesEnot recorded
2025-04-24F0883Infection Control DeficienciesDnot recorded
2025-04-24F0908Environmental DeficienciesDnot recorded
2025-04-24F0919Environmental DeficienciesEnot recorded
2025-04-24F0921Environmental DeficienciesDnot recorded
2025-04-03F0694Quality of Life and Care DeficienciesEnot recorded
2025-04-03F0761Pharmacy Service DeficienciesDnot recorded
2025-03-25F0684Quality of Life and Care DeficienciesGnot recorded
2025-02-10F0552Resident Rights DeficienciesDnot recorded
2025-02-10F0580Resident Rights DeficienciesDnot recorded
2025-02-10F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2025-02-10F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-10F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2025-01-23F0677Quality of Life and Care DeficienciesEnot recorded
2025-01-23F0684Quality of Life and Care DeficienciesDnot recorded
2025-01-23F0692Quality of Life and Care DeficienciesEnot recorded
2024-11-18F0688Quality of Life and Care DeficienciesDnot recorded
2024-11-18F0880Infection Control DeficienciesEnot recorded
2024-10-08F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-10-08F0684Quality of Life and Care DeficienciesEnot recorded
2024-10-08F0698Quality of Life and Care DeficienciesEnot recorded
2024-08-29F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-08-29F0661Resident Assessment and Care Planning DeficienciesEnot recorded
2024-08-29F0757Pharmacy Service DeficienciesEnot recorded
2024-07-25F0661Resident Assessment and Care Planning DeficienciesEnot recorded
2024-07-25F0684Quality of Life and Care DeficienciesEnot recorded
2024-07-25F0689Quality of Life and Care DeficienciesEnot recorded
2024-07-25F0690Quality of Life and Care DeficienciesEnot recorded
2024-07-25F0881Infection Control DeficienciesEnot recorded
2024-05-29F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-05-29F0677Quality of Life and Care DeficienciesDnot recorded
2024-05-29F0689Quality of Life and Care DeficienciesDnot recorded
2024-05-29F0760Pharmacy Service DeficienciesEnot recorded
2024-05-29F0761Pharmacy Service DeficienciesDnot recorded
2024-05-29F0880Infection Control DeficienciesDnot recorded
2024-01-19F0550Resident Rights DeficienciesDnot recorded
2024-01-19F0568Resident Rights DeficienciesEnot recorded
2024-01-19F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-01-19F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-01-19F0684Quality of Life and Care DeficienciesDnot recorded
2024-01-19F0686Quality of Life and Care DeficienciesDnot recorded
2024-01-19F0689Quality of Life and Care DeficienciesGnot recorded
2024-01-19F0690Quality of Life and Care DeficienciesDnot recorded
2024-01-19F0692Quality of Life and Care DeficienciesGnot recorded
2024-01-19F0698Quality of Life and Care DeficienciesEnot recorded
2024-01-19F0757Pharmacy Service DeficienciesDnot recorded
2024-01-19F0758Pharmacy Service DeficienciesDnot recorded
2024-01-19F0759Pharmacy Service DeficienciesDnot recorded
2024-01-19F0760Pharmacy Service DeficienciesDnot recorded
2024-01-19F0880Infection Control DeficienciesEnot recorded
2023-12-20F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-12-20F0690Quality of Life and Care DeficienciesDnot recorded
2023-09-11F0660Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-20F0697Quality of Life and Care DeficienciesGnot recorded
2022-09-23F0552Resident Rights DeficienciesDnot recorded
2022-09-23F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2022-09-23F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2022-09-23F0677Quality of Life and Care DeficienciesDnot recorded
2022-09-23F0688Quality of Life and Care DeficienciesDnot recorded
2022-09-23F0812Nutrition and Dietary DeficienciesEnot recorded
2022-09-23F0880Infection Control DeficienciesEnot recorded
2022-09-23F0881Infection Control DeficienciesEnot recorded
2022-09-23F0883Infection Control DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “SPOKANE HEALTH & REHABILITATION, SPOKANE” at medicare.gov/care-compare.