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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Spokane Health & Rehabilitation

North 6025 Assembly · Spokane, WA 99205 · 125 certified beds

5093268282

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1306544325. Look this up in the CMS NPPES registry (opens in a new tab)

Are you the operator? Claim this profile. Corrections are free, always.

About Spokane Health & Rehabilitation

In Spokane, Washington, Spokane Health & Rehabilitation is listed as a nursing home. Public records list 125 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Hill Valley Healthcare. We hold 100 inspection citations for this listing, the most recent dated 5 March 2026. CMS also lists 4 fine or payment denial actions against it. Reported staffing works out to 3.55 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

CMS designation

Special Focus Facility candidate (CMS)

CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.

Source: CMS Provider Information.GOV

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

3.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

89

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

91

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

3.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

88

Inspection history (100)

Records from September 2022 to March 2026.

  • April 3, 2025 · E

    Citation F0694

    Federal surveyors cited this nursing home on 2025-04-03 under CMS tag F0694 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-03.GOV

  • April 3, 2025 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2025-04-03 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-03.GOV

  • March 25, 2025 · G

    Citation F0684

    Federal surveyors cited this nursing home on 2025-03-25 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-25.GOV

  • February 10, 2025 · D

    Citation F0610

    Federal surveyors cited this nursing home on 2025-02-10 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-10.GOV

  • February 10, 2025 · E

    Citation F0842

    Federal surveyors cited this nursing home on 2025-02-10 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-10.GOV

  • February 10, 2025 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2025-02-10 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-10.GOV

  • February 10, 2025 · E

    Citation F0607

    Federal surveyors cited this nursing home on 2025-02-10 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-10.GOV

  • February 10, 2025 · D

    Citation F0552

    Federal surveyors cited this nursing home on 2025-02-10 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-10.GOV

  • January 23, 2025 · E

    Citation F0677

    Federal surveyors cited this nursing home on 2025-01-23 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

  • January 23, 2025 · E

    Citation F0692

    Federal surveyors cited this nursing home on 2025-01-23 under CMS tag F0692 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

  • January 23, 2025 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2025-01-23 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

  • November 18, 2024 · D

    Citation F0688

    Federal surveyors cited this nursing home on 2024-11-18 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-12-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-18.GOV

  • November 18, 2024 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2024-11-18 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-12-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-18.GOV

  • October 8, 2024 · E

    Citation F0684

    Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOV

  • October 8, 2024 · E

    Citation F0698

    Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0698 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOV

  • October 8, 2024 · D

    Citation F0600

    Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOV

  • August 29, 2024 · E

    Citation F0757

    Federal surveyors cited this nursing home on 2024-08-29 under CMS tag F0757 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2024-09-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-29.GOV

  • August 29, 2024 · E

    Citation F0661

    Federal surveyors cited this nursing home on 2024-08-29 under CMS tag F0661 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2024-09-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-29.GOV

  • August 29, 2024 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2024-08-29 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-09-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-29.GOV

  • July 25, 2024 · E

    Citation F0690

    Federal surveyors cited this nursing home on 2024-07-25 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

Penalties (4)

Total fines on file: $137,457

  • July 25, 2025 · Fine

    Citation FINE-138374

    CMS recorded a civil money penalty of $38,786 against this nursing home on 2025-07-25 (Fine ID: 138374). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-25.GOV

  • January 23, 2025 · Payment Denial

    Citation PAYDEN-2025-04-23

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2025-04-23, lasting 48 days (triggered by inspection on 2025-01-23). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

  • January 23, 2025 · Fine

    Citation FINE-43696

    CMS recorded a civil money penalty of $54,581 against this nursing home on 2025-01-23 (Fine ID: 43696). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOV

  • December 20, 2023 · Fine

    Citation FINE-43565

    CMS recorded a civil money penalty of $44,090 against this nursing home on 2023-12-20 (Fine ID: 43565). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-20.GOV

Staffing

Latest: 3.55 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.46 hrs/resident/day
  2. 2026-06-013.46 hrs/resident/day
  3. 2026-07-013.55 hrs/resident/day
  4. 2026-08-013.55 hrs/resident/day
  5. 2026Q13.55 hrs/resident/day

Most recent period is higher than 2025Q4 (+0.10 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Hill Valley Healthcare

Chain ID 270 · 43 facilities in chain (CMS)

  • Chain average overall rating: 1.8
  • Chain average health inspection rating: 1.7
  • Chain average staffing rating: 2
  • Chain average quality measure rating: 3.7

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical WA range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · WA$13,155/mo
See full WA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

What Medicaid pays nursing homes

Washington publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.

Day-weighted mean daily rate

$404.31per day

That works out to about $12,291 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.

Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.

Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV

Median facility daily rate

$389.86per day

That works out to about $11,852 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.

Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.

Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV

Nearby alternatives

Other licensed providers in Spokane, with their own public records.

Compare side by side
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A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.