Spokane Valley Health and Rehabilitation of Cascad
East 17121 Eighth Avenue, Greenacres, WA 99016 · (509) 924-6161
For profit - Limited Liability company · 97 certified beds
Spokane Valley Health and Rehabilitation of Cascad has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2025, found 9 citations (the Washington average is 15.8). It was fined 2 times in the last three years, $21,762 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on November 24, 2025 found 9 citations. What an inspection citation means
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.November 24, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.November 24, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.November 24, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 24, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 24, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.November 24, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.November 24, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 24, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.November 24, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 19 citations.
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.May 22, 2026 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide care and assistance to perform activities of daily living for any resident who is unable.November 24, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 24, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.November 24, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.November 12, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.November 12, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.November 12, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 18, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 18, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.March 18, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 6, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.November 6, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 13, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.July 29, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 29, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 29, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.June 28, 2024 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.May 3, 2024 · F0678 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 18, 2023 · F0684 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $3,529November 6, 2023
- Fine of $18,233October 18, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Washington average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.51 | 4.36 | 3.86 |
| Registered nurses (RN) | 0.73 | 0.94 | 0.69 |
| Licensed practical nurses (LPN) | 0.74 | 0.77 | 0.86 |
| Nurse aides | 2.03 | 2.66 | 2.32 |
| Total nursing staff turnover | Not available | 45.1% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 97 |
| Average residents per day | 94.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Cheney Care Center Cheney · ★★★★★ 3 out of 5 stars
- Lakeland Village Nursing Facility Medical Lake · ★★★★★ 3 out of 5 stars
- Regency at Northpointe Spokane · ★★★★★ 5 out of 5 stars
- South Hill Rehabilitation and Care Center Spokane · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Spokane Valley Health and Rehabilitation of Cascad on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.