Spokane Health & Rehab: Mental Health Screening Missed - WA
The resident, identified in inspection records only as Resident 79, was admitted to Spokane Health & Rehabilitation at North 6025 Assembly Street sometime before February 17, 2025. On that date, staff completed an initial mental health screening, a document called a PASARR Level 1. The form noted the resident had depression and anxiety. It also noted they qualified for a special exemption, meaning they could skip a deeper evaluation, a PASARR Level 2, as long as they left the facility within 30 days.
They did not leave within 30 days.
The form itself spelled out what was supposed to happen next: if the resident remained past 30 days, a Level 2 evaluation had to be requested. The Level 2 is a more thorough mental health assessment designed to determine whether a resident's psychiatric needs are being properly identified and addressed.
Resident 79 was still at the facility on April 24, 2025, the day inspectors arrived. That was 62 days after admission, 32 days past the deadline written on the screening form.
No referral for a Level 2 had ever been made.
When inspectors interviewed the facility's Social Services Director on April 23, the director confirmed the rule without being prompted: residents admitted under the exemption should be referred for a Level 2 if they hadn't discharged within 30 days. Then the director looked up Resident 79's file.
"There was no documentation a PASARR Level 2 was requested," the director said, "and it should have been."
That sentence captures the full arc of the violation. The policy was understood. The form was completed. The deadline passed. Nobody acted.
PASARR, the Preadmission Screening and Resident Review process, exists specifically to protect nursing home residents with mental illness and intellectual disabilities from having their psychiatric conditions go unrecognized or unaddressed in a long-term care setting. For a resident already documented to have depression and anxiety, and whose cognition was described as severely impaired, the Level 2 evaluation is the mechanism by which the facility is supposed to confirm those needs are being met.
Whether Resident 79's depression and anxiety were being adequately treated during those 62 days is not something the inspection report addresses directly. What it documents is that the formal process for verifying that treatment was never triggered.
Inspectors rated the violation as causing minimal harm or potential for actual harm, and noted it affected few residents. The citation references Washington Administrative Code 388-97-1915.
The facility's plan of correction was not included in the inspection materials reviewed. For information on how Spokane Health & Rehabilitation intends to address the deficiency, the state survey agency directed inquiries to the facility directly.
What the record shows is a system that worked exactly as designed up to a point, and then stopped. Staff completed the initial screening. Staff understood the follow-up requirement. The form carrying that requirement sat in Resident 79's chart for more than two months.
A resident with severe cognitive impairment cannot advocate for their own mental health evaluation. They cannot read their own chart and notice the deadline. They cannot ask why no one made the referral.
Resident 79 was still at the facility when inspectors arrived in late April, 32 days past the point when someone was supposed to take the next step.
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.
On that date, staff completed an initial mental health screening, a document called a PASARR Level 1.
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.