Spokane Health & Rehabilitation has a 1-star overall rating, with 1-star health inspections, 2-star staffing, and 4-star quality measures. It is a Special Focus Facility candidate with $114,251 in fines over the last 24 months, and reported nurse staffing is 3.46 hours per resident per day versus the 4.1 federal benchmark.
Last inspection: March 5, 2026Penalties, last 24 months: $114,251special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4558.
Staffing detail
Registered nurses
0.56
Licensed practical nurses
0.77
Nurse aides
2.13
Weekend nursing
3.18
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.7%Improving
Residents with a fall causing major injury
2%Improving
Residents with pressure ulcers (bedsores)
4.4%Worsening
Residents with a urinary tract infection
2.1%Improving
Residents who lost too much weight
4.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.7%Improving
Residents whose ability to walk got worse
27.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
21.7%Improving
Short-stay residents newly given an antipsychotic
1.3%Worsening
Residents with a long-term catheter
0.3%Improving
Residents with new or worsening incontinence
31.7%Worsening
Residents with depressive symptoms
9.2%Improving
Long-stay residents given the seasonal flu vaccine
95.1%Steady
Long-stay residents given the pneumonia vaccine
87.9%Worsening
Short-stay residents given the seasonal flu vaccine
57.3%Steady
Short-stay residents given the pneumonia vaccine
70.4%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: L
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, actual harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited January 2024 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $59,670 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $54,581 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $223,978 in total fines · 1 payment denial.
Federal fine
Jul 25, 2025
$59,670
Medicare/Medicaid payment denial
Jan 23, 2025
48 days
Federal fine
Jan 23, 2025
$54,581
Federal fine
Dec 20, 2023
$44,090
Federal fine
Jun 14, 2023
$65,637
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of HILL VALLEY HEALTHCARE · 44 homes · 2 stars avg
Occupancy
116.2 residents on an average day (93% of 125 beds)
Resident voice
Resident council
Medicare history
Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.