Spokane Health & Rehabilitation: CPAP Failure Left Resident Sleepless - WA
The resident, identified in inspection records as Resident 17, brought their own CPAP from home. At some point it stopped functioning. They told staff. Staff told them the facility did not repair CPAPs. Nobody arranged a replacement.
Provider notes from March 21, March 24, March 26, and April 12 of this year all documented that Resident 17 had not used their CPAP for over six months. The nursing progress notes told a different story. A March 22 entry logged "CPAP use noted." A March 31 entry went further, recording that the device was "set to home settings, tolerating well." Nowhere in the nursing notes did anyone write that the CPAP was broken, that the resident had stopped using it, or that the resident had raised the problem with staff.
Resident 17 described what the nights had become. They said they had difficulty falling asleep and would wake in the night unable to get back to sleep. That was the consequence of a problem that, according to the facility's own central supply staff, could have been fixed the same day it was identified.
Staff NN, who works in central supply, told inspectors on April 23 that obtaining a rental CPAP for a resident was straightforward. A doctor's order with the correct settings and mask size, faxed to a supply company, and the equipment typically arrived the same day. Staff NN said no one had ever asked about renting a CPAP for Resident 17.
The licensed practical nurse who had been checking on the resident, identified as Staff BB, told inspectors they would ask Resident 17 whether they needed help with the CPAP at bedtime, and the resident would often say they could manage it themselves. Staff BB said they had no idea the machine wasn't working. "If I had known," Staff BB said, "I would have told management."
That explanation points to the core of what inspectors documented: a gap between what nurses were writing in the chart and what was actually happening in the room. Staff BB believed the resident was using the CPAP. The provider notes said otherwise, going back at least to October. No one connected those two facts for months.
The Assistant Director of Nursing, identified as Staff C, told inspectors they had not been informed the CPAP was broken. Staff C acknowledged that staff should have noticed the resident wasn't using it and followed up.
Later that same morning, Staff C and the Regional Director of Clinical Operations, identified as Staff E, told inspectors together that staff had not been following up on whether the CPAP was being used or whether it was functioning, and that the gap between the nursing documentation and the provider notes represented failed practice.
The inspection, which covered the period through April 15, found the violation caused minimal harm or potential for actual harm and affected few residents. It was cited under Washington state regulations governing nursing facility care.
What the records show is a resident who did what they were supposed to do. They brought their own medical equipment. They told staff it was broken. They waited. The nurses kept writing that it was working. The supply office that could have rented a replacement in a single day was never called. And Resident 17 kept waking up in the middle of the night, unable to get back to sleep.
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.
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Last verified: October 30, 2026 · Our methodology
SPOKANE HEALTH & REHABILITATION in SPOKANE, WA was cited for violations during a health inspection on April 24, 2025.
The resident, identified in inspection records as Resident 17, brought their own CPAP from home.
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.