Compiled from official CMS federal data
SPOKANE HEALTH & REHABILITATION, SPOKANE, WA — Violations & Inspection Reports
Does SPOKANE HEALTH & REHABILITATION have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), SPOKANE HEALTH & REHABILITATION (CCN 505322), in SPOKANE, WA, has federal inspection findings. CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list.
In its current inspection cycle, CMS cited the facility for 40 deficiencies; the most severe is rated L, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. The latest standard health inspection on file is dated 2025-04-24. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $158,341 in civil money penalties on file against the facility. The record also includes 8 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Feb 2025). This page restates the federal record and draws no conclusion of its own.
Abuse-, fall-, and care-related findings on the federal record
- 8 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Feb 2025.
- 4 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Apr 2025.
- 2 pressure-ulcer care citations (F686) — the consumer term is "bedsores"; most recent Aug 2025.
- 2 nutrition and hydration citations (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Jan 2025.
- 58 findings on file from complaint-triggered inspections.
Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.
FOR FAMILIES
What brings you to this record?
The Federal Record
At its most recent federal inspection, CMS cited this facility at the Immediate Jeopardy level — the most serious category CMS uses, for situations it found likely to cause serious harm or death.
Below is this facility's federal inspection record as on file with CMS.
A candidate for the federal Special Focus Facility watch list
CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.
Scope & Severity — current cycle
CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.
Civil money penalties on file
$158,341
CMS also records 48 days of payment denial.
Have a lawyer review this record →
About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
Deficiency timeline
Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
57 more citations on file — Abuse & neglect 4 · Nutrition & hydration 1 · Medication & pharmacy 3 · Resident rights 9 · Other citations 36 (expand)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Observe each nurse aide's job performance and give regular training.
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.
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.
Implement a program that monitors antibiotic use.
Provide information about how to apply for and use Medicare and Medicaid benefits.
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.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Give residents a notice of rights, rules, services and charges.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Post nurse staffing information every day.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide and implement an infection prevention and control program.
Allow residents to self-administer drugs if determined clinically appropriate.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Provide appropriate care/assistance for a resident with a prosthesis.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Keep all essential equipment working safely.
PASARR screening for Mental disorders or Intellectual Disabilities
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that residents are fully informed and understand their health status, care and treatments.
Respond appropriately to all alleged violations.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide enough food/fluids to maintain a resident's health.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide and implement an infection prevention and control program.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Overall CMS star rating
This facility: 1 · CMS state average: 3.3
Both figures as published by CMS.
You may be reading this record for the first time.
If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.
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Federal record
SPOKANE HEALTH & REHABILITATION — Federal Record
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SECTION 7 — CASE CONTEXT
Add what you saw at SPOKANE HEALTH & REHABILITATION to this record
No call centers, no auctions. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. The federal record is a point-in-time inspection record and may understate what actually occurred. CareSentinel is operated by Nodal Logics LLC.
Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.
If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.
How to read this record
Making sense of a CMS inspection record
CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.
Three questions to ask on a tour
- How is the home staffed on nights, weekends, and holidays?
- What happens when a resident’s condition changes suddenly?
- How, and how quickly, are families told about an incident?