Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505322

Spokane Health & Rehabilitation

102 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $217,475.

Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
102
Total citations
93
Last 3 years
7
Actual harm+
5
Federal penalties
$217,475
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care29 Resident Rights17 Care Planning13 Medication & Pharmacy10 Infection Control10

Most common F-tags at this facility

F6845 F8805 F6894 F7613 F5523

Citation history

102 on record
SurveyF-TagViolationSeveritySource
Aug 8, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jul 25, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 24, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Apr 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LComplaint
Apr 24, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Apr 24, 2025F572Give residents a notice of rights, rules, services and charges.EComplaint
Apr 24, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Apr 24, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Apr 24, 2025F908Keep all essential equipment working safely.DStandard
Apr 24, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 24, 2025F881Implement a program that monitors antibiotic use.EStandard
Apr 24, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 24, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Apr 24, 2025F843Have 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.FStandard
Apr 24, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 24, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Apr 24, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Apr 24, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard
Apr 24, 2025F761Ensure 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.EStandard
Apr 24, 2025F732Post nurse staffing information every day.EStandard
Apr 24, 2025F730Observe each nurse aide's job performance and give regular training.EStandard
Apr 24, 2025F727Have 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.FStandard
Apr 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 24, 2025F696Provide appropriate care/assistance for a resident with a prosthesis.DStandard
Apr 24, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 24, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 24, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Apr 24, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 24, 2025F625Notify 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.EStandard
Apr 24, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FStandard
Apr 24, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard
Apr 24, 2025F620Not 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.FStandard
Apr 24, 2025F584Honor 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.DStandard
Apr 24, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard
Apr 24, 2025F579Provide information about how to apply for and use Medicare and Medicaid benefits.EStandard
Apr 24, 2025F578Honor 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.EStandard
Apr 24, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Apr 24, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Apr 3, 2025F761Ensure 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.DComplaint
Apr 3, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EComplaint
Mar 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Feb 10, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Feb 10, 2025F610Respond appropriately to all alleged violations.DComplaint
Feb 10, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Feb 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 10, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Jan 23, 2025F692Provide enough food/fluids to maintain a resident's health.EComplaint
Jan 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Nov 18, 2024F880Provide and implement an infection prevention and control program.EComplaint
Nov 18, 2024F688Provide 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.DComplaint
Oct 8, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Oct 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Oct 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 29, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EComplaint
Aug 29, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EComplaint
Aug 29, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 25, 2024F881Implement a program that monitors antibiotic use.EComplaint
Jul 25, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
Jul 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jul 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jul 25, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EComplaint
May 29, 2024F880Provide and implement an infection prevention and control program.DComplaint
May 29, 2024F761Ensure 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.DComplaint
May 29, 2024F760Ensure that residents are free from significant medication errors.EComplaint
May 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 29, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Jan 19, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jan 19, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Jan 19, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jan 19, 2024F758Implement 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.DComplaint
Jan 19, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Jan 19, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Jan 19, 2024F692Provide enough food/fluids to maintain a resident's health.GComplaint
Jan 19, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jan 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 19, 2024F610Respond appropriately to all alleged violations.DComplaint
Jan 19, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jan 19, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EComplaint
Jan 19, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 20, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Dec 20, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 11, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Jul 20, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Jun 14, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Jun 14, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint
May 1, 2023F760Ensure that residents are free from significant medication errors.GComplaint
May 1, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
May 1, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 23, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Sep 23, 2022F881Implement a program that monitors antibiotic use.EStandard
Sep 23, 2022F880Provide and implement an infection prevention and control program.EStandard
Sep 23, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Sep 23, 2022F688Provide 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.DStandard
Sep 23, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 23, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $217,475 and 1 payment-denial actions spanning 48 days.

DateTypeFinePayment denial
Jan 23, 2025Fine$54,581—
Jan 23, 2025Payment Denial—Apr 23, 2025 · 48 days
Dec 20, 2023Fine$44,090—
Jun 14, 2023Fine$65,637—
May 1, 2023Fine$53,167—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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