Spokane Valley Health and Rehabilitation of Cascad
East 17121 Eighth Avenue · Spokane Valley, WA · 99016 · 5099246161
97 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $27,034 |
Inspection citations (51 in the current record)
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Potential for harm · E November 24, 2025
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.
Corrected December 30, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 30, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 30, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025
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.
Corrected December 30, 2025 · Pharmacy Service
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Potential for harm · D November 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 24, 2025
Provide and implement an infection prevention and control program.
Corrected December 30, 2025 · Infection Control
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Potential for harm · D November 24, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 30, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 30, 2025 · Quality of Life and Care
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Potential for harm · E November 24, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 30, 2025 · Nursing and Physician Services
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Potential for harm · D November 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 12, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 12, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 12, 2025 · Nursing and Physician Services
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Potential for harm · D March 18, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D March 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · E March 18, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 10, 2025 · Pharmacy Service
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Potential for harm · D November 6, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 6, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected December 2, 2024 · Administration
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Potential for harm · D August 13, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 24, 2024 · Resident Rights
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Potential for harm · D August 13, 2024
Respond appropriately to all alleged violations.
Corrected September 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 13, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected September 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 13, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 24, 2024 · Quality of Life and Care
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Potential for harm · D August 13, 2024
Provide activities to meet all resident's needs.
Corrected September 24, 2024 · Quality of Life and Care
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Potential for harm · D August 13, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 24, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 6, 2023 | Fine | $3,529 |
| October 18, 2023 | Fine | $18,233 |
| August 14, 2023 | Fine | $2,098 |
| July 17, 2023 | Fine | $3,174 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505099 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.