The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2023 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD
SPOKANE VALLEY, WA · Medicare-certified · 97 beds
In good standing
For-profitChain member
3 of 5 overall
3 of 5 stars overall. Health inspection and staffing are also 3 stars, quality measures are 2 stars, reported nurse staffing is below the federal benchmark (3.59 vs 4.1 hours per resident per day), and there were no fines in the last 24 months; recent citations included treatment/care, abuse prevention, and staffing coverage.
Facility ratings
Health inspections
Staffing
3.591 hrs/resident/day
Quality measures
Last inspection: November 24, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.591.
Staffing detail
- Registered nurses
- 0.82
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.00
- Weekend nursing
- 3.19
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 74%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.5%Worsening
Residents with a fall causing major injury
3.2%Improving
Residents with pressure ulcers (bedsores)
0.6%Improving
Residents with a urinary tract infection
2.2%Improving
Residents who lost too much weight
11.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28.9%Worsening
Residents whose ability to walk got worse
30.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
9.7%Worsening
Short-stay residents newly given an antipsychotic
1.9%Worsening
Residents with a long-term catheter
1%Worsening
Residents with new or worsening incontinence
26.5%Worsening
Residents with depressive symptoms
15.6%Improving
Long-stay residents given the seasonal flu vaccine
93%Steady
Long-stay residents given the pneumonia vaccine
79.8%Improving
Short-stay residents given the seasonal flu vaccine
52.6%Steady
Short-stay residents given the pneumonia vaccine
45.3%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2023 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: E
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $27,034 in total fines.
- $3,529
Federal fine
Nov 6, 2023
- $18,233
Federal fine
Oct 18, 2023
- $2,098
Federal fine
Aug 14, 2023
- $3,174
Federal fine
Jul 17, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 92.2 residents on an average day (95% of 97 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.