Spokane Health & Rehab: No Hospital Transfer Agreement - WA
That's because there weren't any.
The Regional Director of Clinical Operations, identified in inspection records as Staff E, acknowledged during an interview on April 23, 2025, that the facility had no transfer agreement with any local hospital. None. Not one of the hospitals serving the Spokane area had a written arrangement with the facility to receive its residents in a medical emergency.
Spokane Health & Rehabilitation sits at 6025 North Assembly in Spokane, a city with several major hospital systems. The facility is certified to participate in Medicare and Medicaid, programs that require nursing homes to maintain written transfer agreements with at least one Medicare- and Medicaid-approved hospital precisely so that when a resident deteriorates, the path to higher-level care is established in advance.
The administrator, identified as Staff A, was present when inspectors raised the question at 11:17 that morning. By early afternoon, the regional clinical director had confirmed what the documents already showed: the agreement didn't exist.
Inspectors classified the violation as posing potential for actual harm affecting many residents, noting the failure placed the entire resident population at risk for delayed hospital transfers, lack of access to hospital-level care, and diminished quality of life. The inspection was completed April 24, 2025.
What a transfer agreement actually does is unglamorous but essential. It establishes in writing that a receiving hospital will accept a nursing home's residents, that medical records will follow them, and that the handoff of care will happen in an organized way. Without one, a facility sending a resident to the emergency room is operating on goodwill and informal relationships, none of which are guaranteed when a resident is having a stroke at two in the morning or going into septic shock on a holiday weekend.
The inspection report cross-references three additional federal deficiency tags, F622, F623, and F625, suggesting the transfer agreement failure was not a standalone paperwork problem but connected to broader concerns about how the facility manages the movement of residents in and out of its care.
There is no indication in the inspection record that the facility disputed the finding. Staff E's acknowledgment was direct.
The facility's plan of correction was not included in the publicly available inspection documents. Inspectors noted that anyone seeking that information should contact the nursing home or the state survey agency directly.
What the record does not show is how long the facility operated without this agreement in place. The inspection caught the absence on April 23, 2025. Whether the gap was weeks, months, or longer is not something the inspection report addresses. The Regional Director of Clinical Operations did not offer a timeline, and inspectors did not document one.
For the residents living at Spokane Health & Rehabilitation, the practical meaning of this finding is straightforward: at some point before April 23, 2025, if one of them had needed emergency hospital care, the facility would have been navigating that transfer without the formal infrastructure required to exist. The nurses would have been making calls. Someone would have worked it out. Maybe it would have gone smoothly. Maybe it wouldn't have.
The inspection record doesn't say whether any resident experienced a delayed transfer during the period the agreement was missing. It says the risk was there, for all of them, for however long the gap existed.
That's the part that doesn't resolve cleanly. The agreement can be signed now. The paperwork can be filed. But the window when it wasn't there, when every resident in that building was one medical crisis away from a transfer process with no written foundation, that window already happened.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Spokane Health & Rehabilitation from 2025-04-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 29, 2026 · Our methodology
SPOKANE HEALTH & REHABILITATION in SPOKANE, WA was cited for violations during a health inspection on April 24, 2025.
That's because there weren't any.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.