Spokane Health & Rehabilitation

Nursing home in Spokane, WA

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (509) 326-8282 Send a message Map ↗

Public-record details

Address: North 6025 Assembly, Spokane, WA 99205
Phone: (509) 326-8282
Listed under: For-profit
Medicare CCN: 505322
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 3 of 5
Quality measures rating: 4 of 5
Certified beds: 125
Average residents per day: 116
Ownership: For-profit, limited Liability company
Legal business name: Winston SNF Operations LLC
Chain: Hill Valley Healthcare (43 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Oct 19, 1988
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 505322. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 24, 2025. CMS lists 97 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 23, 2022 to Mar 5, 2026): 55 from complaint inspections, 5 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

Inspection	Citation	Severity
Mar 5, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Aug 8, 2025	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Jul 25, 2025	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services · complaint inspection	E Potential for more than minimal harm, pattern
Apr 24, 2025	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights	D Potential for more than minimal harm, isolated
Apr 24, 2025	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. Resident Rights	D Potential for more than minimal harm, isolated
Apr 24, 2025	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 24, 2025	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 24, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 24, 2025	Provide appropriate care/assistance for a resident with a prosthesis. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 24, 2025	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 24, 2025	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Apr 24, 2025	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 97. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $137,457 and 1 denial of Medicare payment for new admissions in the last three years.

Jul 25, 2025	Fine: $38,786
Jan 23, 2025	Fine: $54,581
Jan 23, 2025	Payment denial for 48 days from Apr 23, 2025
Dec 20, 2023	Fine: $44,090

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.55 hours
Registered nurse (RN) time per resident per day: 0.60 hours
Nurse aide time per resident per day: 2.21 hours
Total nurse staffing on weekends: 3.27 hours
Nursing staff turnover (yearly): 64%
RN turnover (yearly): 61%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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