Spokane Health & Rehabilitation, Spokane, Washington
- 97
- Citations from health inspectionsWashington average: 50 a home
- 5
- Residents harmed or put in dangerWashington average: 2.0 a home
- $137,457
- Fines from the federal governmentWashington average: $52,633 a home
- 1 out of 5
- Overall rating in starsWashington average: 3.3
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
17 inspection visits produced 97 citations. Residents were in immediate danger in one finding. Residents were found hurt in four cases. Federal fines came to $137,457 (three fines). Once, Medicare stopped paying for new admissions.
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
Are you worried about the way someone was treated at this home?
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 3 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 3.55 hours each dayThe Washington average is 4.36 hours
- Time from registered nurses
- 0.60 hours each dayThe Washington average is 0.94 hours
- Nursing staff who left during one year
- 64.4%against the Washington average of 45.1%
- Beds that are certified
- 125
- Ownership
- Limited Liability company (for profit)
- Chain
- Hill Valley Healthcare, with 43 homes
- Street address
- North 6025 Assembly, Spokane, Washington 99205
- County
- Spokane
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated March 5, 2026
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Aug. 8, 2025
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated July 25, 2025
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
37 citations dated April 24, 2025
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents.
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
- F843 Hospital Transfer Agreement: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, a pattern, several residents.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, a pattern, several residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F696 Care for Artificial Limbs and Devices: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, widespread, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, widespread.
- F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents.
- F620 Fair Admission Without Giving Up Benefits: risk of harm, no one found hurt, widespread.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, a pattern, several residents.
- F579 Information on Medicare and Medicaid Benefits: risk of harm, no one found hurt, a pattern, several residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
- F572 Notice of Rights, Rules, Services, and Charges: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, a pattern, several residents.
Two citations dated April 3, 2025
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F694 Safe Fluids Given Through a Vein: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated March 25, 2025
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
Five citations dated Feb. 10, 2025
- F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Jan. 23, 2025
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated Nov. 18, 2024
Three citations dated Oct. 8, 2024
- F698 Dialysis Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Aug. 29, 2024
- F757 Unnecessary Drugs: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F661 Share Information at Planned Discharge: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated July 25, 2024
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F661 Share Information at Planned Discharge: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Six citations dated May 29, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
15 citations dated Jan. 19, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F698 Dialysis Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F692 Enough Food and Fluids: residents were harmed, one or a few residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 20, 2023
One citation dated Sept. 11, 2023
- F660 Discharge Planning That Meets Resident Goals: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Nine citations dated Sept. 23, 2022
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| July 25, 2025 | Fine | $38,786 |
| Jan. 23, 2025 | Fine | $54,581 |
| Jan. 23, 2025 | Payment denial for new admissions | 48 days |
| Dec. 20, 2023 | Fine | $44,090 |
Ownership and Management of the Home
- The direct 100% owner is Wash 6 SNF Operations Holdings LLC.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 505322. Other homes in Washington.
