Spokane Health & Rehabilitation: Care Failures Repeat - WA
The facility had been cited for the same problem before. Twice.
Federal inspectors returned to the North Assembly Street facility on April 24, 2025, and found a pattern that had survived two previous inspection cycles: residents not being monitored properly after falls, care conferences not being held, and admission paperwork left unfinished. The same deficiencies had been documented during an annual survey in January 2024 and again during a complaint investigation in May 2024.
After the second citation, the facility's then-Director of Nursing launched what's called a Performance Improvement Plan, or PIP, a structured effort to correct identified problems. By December 2024, the director considered falls monitoring under control. The number of falls had dropped from 28 to 23, and the director decided a full quality review was no longer necessary.
Staff A, the administrator interviewed by inspectors, said they had not been aware there were ongoing concerns with how residents were monitored after falls. The inspection report cross-references a separate deficiency tag for additional findings on that issue.
The care conference failure was more direct. Staff A was asked how the facility was out of compliance and was told: of 12 residents whose conferences were scheduled in February, only one had one. Staff A said the improvement plan included a daily check on whether scheduled conferences had been completed, and that staff had said yes when asked. Staff A acknowledged never verifying that the conferences had actually taken place.
Someone was asking. Nobody was checking.
The admission paperwork problem was the one area where Staff A acknowledged knowing the facility was still out of compliance. Residents are supposed to receive certain documents when they are admitted, covering their rights, their care choices, and their financial and medical information. The improvement plan tracked outstanding cases through reports from admissions staff. Staff A said the plan had not been sustained.
The inspection report cites five separate regulatory tags related to admissions alone, covering areas including resident rights, access to records, and required notifications.
What connects all three problem areas is the same structural failure: the facility built monitoring systems that relied on staff self-reporting, then accepted those reports without verification. Falls monitoring was declared improved because the count dropped slightly. Care conferences were marked complete because staff said so. Admission documents were tracked through a list that never got fully resolved.
The April 2025 inspection found holes in all three.
Facilities cited for the same deficiencies across multiple consecutive inspections face the possibility of escalating federal enforcement, including fines and restrictions on new admissions. The inspection report does not indicate what corrective actions, if any, were agreed to following this visit.
What the record shows is a facility that has now been told three times, across 15 months, that residents are not getting the monitoring, the meetings, or the paperwork they are owed at admission. After the second citation, managers built a system to fix it. After the third, Staff A sat across from inspectors and explained, in some cases, that they simply hadn't known.
Eleven residents went without a scheduled care conference in a single month. The staff said otherwise.
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 facility had been cited for the same problem before.
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.