Spokane Health & Rehabilitation: Billing Notice Failures - WA
The facility, located at North 6025 Assembly in Spokane, failed to provide Skilled Nursing Facility Advance Beneficiary Notices to at least two residents, according to a federal inspection completed April 24, 2025. Those notices, known as SNF ABNs, are the documents that give Medicare patients formal written warning that the facility believes their coverage may be ending, and that lay out what the resident can do to dispute that determination. Without them, residents have no documented starting point for an appeal.
The inspection identified Residents 19 and 85 as not having received the required notices. Resident 85 was still living at the facility at the time of the inspection.
When a surveyor reviewed the SNF Beneficiary Notification forms with the administrator, identified in the inspection record as Staff A, the administrator's explanation was direct: there had been no billing office manager in the facility since the beginning of February. Staff A said the departed manager's duties had been split between the administrator and corporate oversight.
That arrangement, whatever it looked like in practice, did not result in the notices getting to the residents.
The gap matters because an SNF ABN is not a formality. It is the mechanism by which a Medicare patient learns, in plain terms, that the facility believes their skilled care coverage is ending and what their options are. A resident who never receives that notice may not know they have the right to request a review, or that they can appeal a coverage denial. They may simply begin receiving bills they did not know were coming.
The inspection record noted the level of harm as minimal harm or potential for actual harm, and identified some residents as affected. The deficiency references a cluster of related federal and state citation codes, including citations that address resident rights, access to information, and Medicare billing protections.
Records reviewed during the inspection showed no documentation of the notice being provided to Resident 85 as far back as November 25, 2024, meaning the gap in notification extended well before the billing manager's departure.
That detail is worth sitting with. The billing manager left in February. But the records showed a missing notice from November. The inspection does not resolve whether the problem predated the staffing change or whether the November gap was a separate, earlier failure. What the record shows is that when surveyors looked, the documentation was not there.
The administrator did not dispute the findings. Staff A acknowledged the notices had not been given, explained the staffing situation, and offered no documentation that the gap had been corrected before the inspection.
Spokane Health & Rehabilitation is a skilled nursing facility operating under the CMS provider number 505322. The inspection was conducted on April 24, 2025, by the Washington State Department of Health on behalf of the Centers for Medicare and Medicaid Services.
For residents at a skilled nursing facility, the period when Medicare coverage transitions is one of the most financially precarious moments of a stay. Daily skilled nursing facility costs can run several hundred dollars, and a resident who does not understand that their Medicare coverage is ending, or who does not know they can challenge that determination, may face thousands of dollars in unexpected charges with no opportunity to contest them.
Resident 85 was still in the building when surveyors arrived. The inspection does not say whether that resident ever received the notice, or whether anyone had explained the gap to them.
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.
Without them, residents have no documented starting point for an appeal.
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.