Spokane Health & Rehabilitation
North 6025 Assembly, Spokane, WA 99205 · (509) 326-8282
For profit - Limited Liability company · 125 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Spokane Health & Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2025, found 37 citations, 1 for actual harm or immediate jeopardy (the Washington average is 15.8). It was fined 3 times in the last three years, $137,457 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. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below 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. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 24, 2025 found 37 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 24, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.April 24, 2025 · F0620 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.April 24, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 24, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.April 24, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.April 24, 2025 · F0843 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.April 24, 2025 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that residents are fully informed and understand their health status, care and treatments.April 24, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give residents a notice of rights, rules, services and charges.April 24, 2025 · F0572 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.April 24, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide information about how to apply for and use Medicare and Medicaid benefits.April 24, 2025 · F0579 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.April 24, 2025 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.April 24, 2025 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.April 24, 2025 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedApril 24, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 24, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.April 24, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Observe each nurse aide's job performance and give regular training.April 24, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Post nurse staffing information every day.April 24, 2025 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.April 24, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.April 24, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.April 24, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 24, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.April 24, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Implement a program that monitors antibiotic use.April 24, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that a working call system is available in each resident's bathroom and bathing area.April 24, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.April 24, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.April 24, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesApril 24, 2025 · F0645 · 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.April 24, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.April 24, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care/assistance for a resident with a prosthesis.April 24, 2025 · F0696 · 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.April 24, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.April 24, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.April 24, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep all essential equipment working safely.April 24, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 24, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 54 citations.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 5, 2026 · F0684 · 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 8, 2025 · F0686 · Level of harm: 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.July 25, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give residents a notice of rights, rules, services and charges.April 24, 2025 · F0572 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.April 24, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 24, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 24, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide for the safe, appropriate administration of IV fluids for a resident when needed.April 3, 2025 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.April 3, 2025 · F0761 · 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.March 25, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Ensure that residents are fully informed and understand their health status, care and treatments.February 10, 2025 · F0552 · 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.February 10, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.February 10, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.February 10, 2025 · F0610 · 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.February 10, 2025 · F0842 · 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.January 23, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 23, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.January 23, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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 18, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.November 18, 2024 · F0880 · 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.October 8, 2024 · F0600 · 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 8, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe, appropriate dialysis care/services for a resident who requires such services.October 8, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.August 29, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.August 29, 2024 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident’s drug regimen must be free from unnecessary drugs.August 29, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.July 25, 2024 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 25, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 25, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 25, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Implement a program that monitors antibiotic use.July 25, 2024 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.May 29, 2024 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 29, 2024 · F0677 · 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.May 29, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 29, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 29, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 29, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.January 19, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.January 19, 2024 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 19, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.January 19, 2024 · F0610 · 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.January 19, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 19, 2024 · F0686 · 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.January 19, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.January 19, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.January 19, 2024 · F0692 · Level of harm: Actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.January 19, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident’s drug regimen must be free from unnecessary drugs.January 19, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.January 19, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.January 19, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.January 19, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 19, 2024 · F0880 · 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.December 20, 2023 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.December 20, 2023 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $38,786July 25, 2025
- Fine of $54,581January 23, 2025
- Fine of $44,090December 20, 2023
- Medicare payment denial for 48 daysStarting April 23, 2025
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 | 3.55 | 4.36 | 3.86 |
| Registered nurses (RN) | 0.60 | 0.94 | 0.69 |
| Licensed practical nurses (LPN) | 0.74 | 0.77 | 0.86 |
| Nurse aides | 2.21 | 2.66 | 2.32 |
| Total nursing staff turnover | 64.4% | 45.1% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 125 |
| Average residents per day | 115.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Regency at Northpointe Spokane · ★★★★★ 5 out of 5 stars
- South Hill Rehabilitation and Care Center Spokane · ★★★★★ 5 out of 5 stars
- Spokane Veterans Home Spokane · ★★★★★ 5 out of 5 stars
- Emerson Health & Rehabilitation Spokane · ★★★★★ 4 out of 5 stars
- Sunshine Health & Rehab Spokane · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Spokane Health & Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.