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Nursing home report

SPOKANE HEALTH & REHABILITATION

SPOKANE, WA · Medicare-certified · 125 beds

Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

Spokane Health & Rehabilitation has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It is listed as a Special Focus Facility candidate, had $93,367 in fines over the last 24 months, and reported nurse staffing of 3.55 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.5547 hrs/resident/day

Quality measures

Last inspection: March 5, 2026Penalties, last 24 months: $93,367special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5547.

Staffing detail

Registered nurses
0.60
Licensed practical nurses
0.74
Nurse aides
2.21
Weekend nursing
3.27

Hours per resident per day.

Total staff turnover: 64%
Registered nurse turnover: 61%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

7.7%11.6%Worsening

Residents with a fall causing major injury

2.8%2.3%Improving

Residents with pressure ulcers (bedsores)

2.3%2.8%Worsening

Residents with a urinary tract infection

1.4%0%Improving

Residents who lost too much weight

7.4%10.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

24.6%17.3%Improving

Residents whose ability to walk got worse

36.6%17.1%Improving

Long-stay residents on antianxiety or sleep medication

24.6%15.3%Improving

Short-stay residents newly given an antipsychotic

0%2.4%Worsening

Residents with a long-term catheter

0%1%Worsening

Residents with new or worsening incontinence

36.6%29.5%Improving

Residents with depressive symptoms

10%7.3%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.1%

Long-stay residents given the pneumonia vaccine

88.7%86.4%Worsening

Short-stay residents given the seasonal flu vaccine

57.3%

Short-stay residents given the pneumonia vaccine

70.4%72.7%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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $38,786 was recorded.

  5. PENALTY

    A federal fine of $59,670 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. PENALTY

    A federal payment denial was recorded.

  8. PENALTY

    A federal fine of $54,581 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $137,457 in total fines · 1 payment denial.

  • Federal fine

    Jul 25, 2025

    $38,786
  • Medicare/Medicaid payment denial

    Jan 23, 2025

    48 days
  • Federal fine

    Jan 23, 2025

    $54,581
  • Federal fine

    Dec 20, 2023

    $44,090

Operator & ownership

Recent ownership change · Apr 1, 2023

Now operated by Spokane Health & Rehabilitation, previously Promedica Skilled Nursing and Rehabilitation (spokane).

Ownership
For profit - Limited Liability company
Chain
Part of HILL VALLEY HEALTHCARE · 43 homes · 1.7 stars avg
Occupancy
115.8 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.