Spokane Health & Rehabilitation in Spokane, WA

Spokane Health & Rehabilitation is a medicare and medicaid certified nursing home in Spokane, Washington. It is located in Spokane county at North 6025 Assembly, Spokane, Washington 99205. You can reach out to the office of Spokane Health & Rehabilitation via phone at (509) 326-8282. This skilled nursing facility has 125 federally certified beds with average occupancy rate of 92.64%. The nursing facility is a candidate for the "Special Focus Facility" program of CMS (nursing homes with a history of serious quality problems) and its legal business name is Winston SNF Operations LLC and has the following ownership type - For Profit - Limited Liability Company. It is part of Hill Valley Healthcare, a chain of 43 nursing homes.

Spokane Health & Rehabilitation (Medicare CCN 505322) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 1988 (38 years certified) and the last quality survey was conducted in April, 2025.

Contact Information

Spokane Health & Rehabilitation
North 6025 Assembly, Spokane, Washington 99205
(509) 326-8282

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Nursing Home Profile

NameSpokane Health & Rehabilitation
LocationNorth 6025 Assembly, Spokane, Washington
Certified ByMedicare and Medicaid
No. of Certified Beds125
Occupancy Rate92.64%
Medicare ID (CCN)505322
Legal Business NameWinston SNF Operations LLC
Ownership TypeFor Profit - Limited Liability Company
ChainHill Valley Healthcare (43 nursing homes)
Chain Average Overall Rating1.8 out of 5

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Spokane Health & Rehabilitation in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number1306544325
MatchConfirmed listed in Medicare enrollment records
Organization NameWinston SNF Operations LLC
Doing Business AsSpokane Health & Rehabilitation
Address6025 N Assembly St, Spokane, WA 99205
Phone Number509-326-8282

NPI Number1467497511
MatchPossible same name, address or phone number
Organization NameManor Care of Spokane Wa, Association
Doing Business AsPromedica Skilled Nursing and Rehabilitation (spokane)
Address6025 N Assembly St, Spokane, WA 99205
Phone Number509-326-8282

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Spokane Health & Rehabilitation are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Spokane Health & Rehabilitation give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Spokane Health & Rehabilitation, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day3.553.86
Registered nurse (RN) hours per resident per day0.60.69
Licensed practical nurse (LPN) hours per resident per day0.740.86
Nurse aide hours per resident per day2.212.32
Total nurse staff hours per resident per day on the weekend3.273.42
RN hours per resident per day on the weekend0.50.48
Physical therapist hours per resident per day0.080.07
Total nursing staff turnover64.4%45.8%
Registered nurse turnover61.1%42.9%
Number of administrators who have left the nursing home10.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)No
Number of Fines3
Total Amount of Fines in Dollars$137,457
Number of Payment Denials1
Total Number of Penalties4

Health Inspections:

In its most recent inspection cycle (standard health inspection in April, 2025, plus any complaint inspections), inspectors cited Spokane Health & Rehabilitation for 39 health deficiencies (national average: 9.3). The 30 most recent of its 97 citations since 2022 are listed below.

DateDeficiencyHarm LevelStatus
Mar 5, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Mar 24, 2026
Aug 8, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686, Quality of Life and Care, Complaint inspection
Actual harm, isolatedCorrected by Sep 3, 2025
Jul 25, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725, Nursing and Physician Services, Complaint inspection
Potential for harm, patternCorrected by Aug 1, 2025
Apr 24, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Standard inspection, Complaint inspection
Immediate jeopardy, widespreadCorrected by Jun 10, 2025
Apr 24, 2025Not 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.
F0620, Resident Rights, Standard inspection
Potential for harm, widespreadCorrected by Jun 10, 2025
Apr 24, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623, Resident Rights, Standard inspection
Potential for harm, widespreadCorrected by Jun 10, 2025
Apr 24, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725, Nursing and Physician Services, Standard inspection, Complaint inspection
Potential for harm, widespreadCorrected by Jun 10, 2025
Apr 24, 2025Have 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.
F0727, Nursing and Physician Services, Standard inspection
Potential for harm, widespreadCorrected by Jun 10, 2025
Apr 24, 2025Have 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.
F0843, Administration, Standard inspection
Potential for harm, widespreadCorrected by Jun 10, 2025
Apr 24, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867, Administration, Standard inspection
Potential for harm, widespreadCorrected by Jun 10, 2025
Apr 24, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
F0552, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Give residents a notice of rights, rules, services and charges.
F0572, Resident Rights, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Honor 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.
F0578, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Provide information about how to apply for and use Medicare and Medicaid benefits.
F0579, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Notify 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.
F0625, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655, Resident Assessment and Care Planning, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656, Resident Assessment and Care Planning, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Observe each nurse aide's job performance and give regular training.
F0730, Nursing and Physician Services, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Post nurse staffing information every day.
F0732, Nursing and Physician Services, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Ensure 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.
F0761, Pharmacy Service, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801, Nutrition and Dietary, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804, Nutrition and Dietary, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Implement a program that monitors antibiotic use.
F0881, Infection Control, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919, Environmental, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2025
Apr 24, 2025Allow residents to self-administer drugs if determined clinically appropriate.
F0554, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Jun 10, 2025

Quality of Resident Care:

These quality measures of Spokane Health & Rehabilitation, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased17.3613.87
Percentage of long-stay residents who lose too much weight7.285.19
Percentage of long-stay residents with a catheter inserted and left in their bladder0.280.82
Percentage of long-stay residents with a urinary tract infection1.281.59
Percentage of long-stay residents who have depressive symptoms8.2112.8
Percentage of long-stay residents who were physically restrained00.13
Percentage of long-stay residents experiencing one or more falls with major injury1.893.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine87.4293.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine74.7882.04
Percentage of short-stay residents who newly received an antipsychotic medication1.451.56
Percentage of long-stay residents whose ability to walk independently worsened24.9114.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication19.2219.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine95.1295.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine57.3179.75
Percentage of long-stay residents with pressure ulcers4.014.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence31.5919.01
Percentage of long-stay residents who received an antipsychotic medication8.9715.38

Reviews and Comments


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Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

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