Spokane Health & Rehab: Staff Review Failures - WA
The inspection, completed April 24, reviewed personnel files for five staff members. Three of them had none.
One nursing assistant, identified in the inspection report as Staff K, was hired on April 1, 2023. By the time inspectors reviewed the file in April 2025, two years had passed. No performance evaluation had ever been completed. No documentation existed that anyone had assessed whether Staff K was performing adequately, needed additional training, or had developed any gaps in care.
The other two were newer but not by much. Staff L was hired November 29, 2023. Staff M was hired December 6, 2023. Both had been on the floor for roughly 16 months before inspectors arrived. Neither had a performance evaluation on file.
When inspectors interviewed the facility's administrator on April 23, 2025, at 3:18 p.m., the response was not a dispute. The administrator acknowledged that Staff K, L, and M had no performance evaluations on file and stated they expected staff to complete these reviews yearly, as required.
Expected. Past tense. The expectation had not translated into documentation, oversight, or follow-through.
Performance evaluations in nursing homes are not a bureaucratic formality. They are the mechanism by which a facility identifies whether a nursing assistant is performing skills correctly, whether they need retraining on infection control or resident transfers or fall prevention, and whether any pattern of errors has gone unaddressed. When those reviews don't happen, problems that could be caught and corrected quietly accumulate instead.
Inspectors rated the violation as causing minimal harm but noted the potential for actual harm, citing residents' risk of receiving care from inadequately trained or underqualified staff and a diminished quality of life.
Three of the five files reviewed had no evaluations. That is not a paperwork backlog. That is a majority.
Spokane Health & Rehabilitation is a 120-bed skilled nursing facility. Nursing assistants are the staff residents interact with most, the people who help them bathe, dress, eat, transfer from bed to wheelchair, and get to the bathroom. Their competency is not incidental to resident safety. It is central to it.
The inspection report cites Washington Administrative Code 388-97-1680, which sets out the state's requirements for personnel practices in nursing facilities, including annual performance reviews and education based on the outcomes of those reviews. The education piece matters as much as the review itself. The point is not to generate a form. The point is to identify what a staff member needs to do better and then make sure they learn it.
None of that happened for Staff K, L, or M.
The administrator's acknowledgment during the interview was unambiguous. There was no claim that the evaluations had been completed but misfiled, no suggestion that the reviews had happened informally, no explanation for why two nursing assistants hired within a week of each other in late 2023 had both gone without review for the same stretch of time.
For Staff K, the gap was two years.
What inspectors could not determine, and what the report does not address, is what those two years looked like on the floor. Whether Staff K developed habits that a supervisor would have caught and corrected. Whether there were residents whose care was affected. The absence of documentation means the absence of a record either way.
The facility was given the opportunity to submit a plan of correction. The inspection report directs anyone seeking information on that plan to contact the nursing home or the state survey agency directly.
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 27, 2026 · Our methodology
SPOKANE HEALTH & REHABILITATION in SPOKANE, WA was cited for violations during a health inspection on April 24, 2025.
The inspection, completed April 24, reviewed personnel files for five staff members.
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.