Nursing home
Spokane Health & Rehabilitation
North 6025 Assembly, Spokane, WA 99205 · Map
For profit - Limited Liability company · Part of Hill Valley Healthcare (40 facilities) · 125 certified beds
Spokane Health & Rehabilitation is a Medicare-certified nursing home in Spokane, Washington. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.44 hours per resident per day, below the Washington average of 4.39. Its most recent inspection on Apr 24, 2025 cited 42 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 4 fines totaling $217,475In CMS records: 5 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Spokane Health & Rehabilitation compares
This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Washington avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.44 | 4.39 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.88 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.14 | 2.69 | 2.34 | below avg |
| Nursing staff turnover | 66.7% | 46.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 42.0 | 17.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 5, 2026 inspection was corrected by March 24, 2026
Penalties in CMS records: 4 fines totaling $217,475, 5 total penalties, 1 Medicare payment denial.
What inspectors found at Spokane Health & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 5, 2026 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Jul 25, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Apr 24, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies · Apr 24, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- North 6025 Assembly
Spokane, WA 99205 - CMS certification #
- 505322
- Ownership
- For profit - Limited Liability company
- Certified beds
- 125
- Avg residents/day
- 113.4
- Provider type
- Medicare and Medicaid
- First certified
- 1988-10-19
- Chain
- Hill Valley Healthcare (40 facilities)
- Setting
- Urban
Part of Hill Valley Healthcare
Hill Valley Healthcare operates 40 nursing facilities across the United States. View all Hill Valley Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Spokane Health & Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Providence Holy Family Hospital, Spokane. 0.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Spokane Falls Care, Spokane. 0.3 miles away, straight line.
- Nearest home health agency office
- Centerwell Health Services, Spokane. 2.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 99205 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita North Spokane, Spokane, 1.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fmc Northpointe Dialysis Unit, Spokane, 2.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Downtown Spokane Renal Center, Spokane, 3.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 99205.
Horizon Hospice, office in Spokane, 2.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice Of Spokane, office in Spokane, 3.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Providence Hospice Spokane, office in Spokane Valley, 6.6 miles away, straight line - Nearest geriatric medicine practice
- Washington Pac Services PC, Soap Lake. 99.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding relatively low, tornado very low, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Spokane Health & Rehabilitation a good nursing home?
CMS gives Spokane Health & Rehabilitation an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Spokane Health & Rehabilitation staffed?
Spokane Health & Rehabilitation reports 3.44 total nurse hours per resident per day, compared with the Washington average of 4.39.
Has Spokane Health & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 42 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Spokane Health & Rehabilitation have?
Spokane Health & Rehabilitation is certified for 125 beds.