Federal inspection record · CMS data as of October 1, 2026
Spokane Health & Rehabilitation
North 6025 Assembly, Spokane, WA · (509) 326-8282
- Special Focus Facility
- Certified beds
- 125
- Residents per day
- 106
- Ownership
- For-Profit
- Chain
- Hill Valley Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 19, 1988
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Spokane Health & Rehabilitation carries 439.25 inspection points. That is fewer than 2% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
96 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care23E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care/assistance for a resident with a prosthesis.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
Resident Rights16F
- F
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.
- F
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Give residents a notice of rights, rules, services and charges.
- E
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.
- E
Provide information about how to apply for and use Medicare and Medicaid benefits.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
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.
- E
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning10E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- E
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Infection Control10E
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service9E
- E
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.
- D
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.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure that residents are free from significant medication errors.
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation8E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nursing and Physician Services5F
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
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.
- E
Observe each nurse aide's job performance and give regular training.
- E
Post nurse staffing information every day.
Nutrition and Dietary5E
- E
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental3E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Keep all essential equipment working safely.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Administration2F
- F
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.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2025-04-24
38 health deficiencies · 17 fire-safety deficiencies
Top issue: Resident Rights (11 deficiencies)
2024-01-19
33 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (15 deficiencies)
2022-09-23
25 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 50 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$137,457 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-25 | Fine | $38,786 |
| 2025-01-23 | Fine | $54,581 |
| 2025-01-23 | Payment Denial · 48 day denial | $0 |
| 2023-12-20 | Fine | $44,090 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 1.8 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.6 pts worse | 4.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts worse | 87.4% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.3 pts worse | 84.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 1.5% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.2 pts better | 9.7% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 7.1% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.4 pts worse | 16.9% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.7 pts better | 8.3% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.7 pts worse | 18.3% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts worse | 15.6% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.3% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.9% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts worse | 31.4% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 4.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.4 pts worse | 77.3% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse | 15.6% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.8% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.6 pts worse | 71.8% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 20.8% | 19.7% | 23.4% |
·
Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Wash 6 SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Idels, Shimon | Corporate Officer · Individual | 0% | 49 facilities |
| Idels, Shimon | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Schwartz, Steven | Corporate Officer · Individual | 0% | 15 facilities |
| Schwartz, Steven | Operational/Managerial Control · Individual | 0% | 15 facilities |
·
Fire safety
35 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness12F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
Create arrangements with other facilities to receive patients.
- F
List the names and contact information of those in the facility.
- F
Establish emergency prep training and testing.
- F
Address patient/client population and determine types of services needed.
- F
Provide primary/alternate means for communication.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Smoke12F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Construction2F
- F
Meet other general requirements.
- F
Meet other general requirements.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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