Spokane Health & Rehabilitation: Hygiene Failures Found - WA
Inspectors first noticed dried fluid on the left side of Resident 64's wheelchair and seat cushion on April 14. They came back four more times, on April 18, April 21, April 23, and April 24. The wheelchair was dirty every time.
When inspectors asked Staff Y, a nursing assistant, about the cleaning process on April 21, the aide said they would wipe down a wheelchair when they noticed it needed it. Staff Y was unsure whether wheelchair cleaning was even an assigned task.
Two days later, a different nursing assistant gave a different answer. Staff T told inspectors on April 23 that night-shift aides were supposed to clean wheelchairs twice a week, on the same days residents were scheduled for showers. Staff T didn't think the cleaning was documented anywhere.
The resident care manager, Staff F, said on April 24 that wheelchairs were cleaned on night shift but couldn't say what the schedule was. When Staff F looked at Resident 64's wheelchair alongside an inspector, the manager acknowledged it was dirty and should have been cleaned.
The facility's own shower schedule showed Resident 64 was due for showers on Tuesdays and Saturdays. A review of the resident's records found no scheduled routine for cleaning the wheelchair at all.
Three staff members. Three different accounts. No documentation. And the same dried fluid sitting on the same wheelchair across ten days of inspections.
The second finding involved Resident 69, described in a March assessment as cognitively intact and able to communicate their needs. The resident had diagnoses including high blood pressure and anxiety.
On April 16, a family member told inspectors that staff were not changing the resident's sheets, and that the sheets on the bed had been there for two weeks. Inspectors returned on April 18, April 22, and April 23. The same sheets were still on the bed each time.
A nursing assistant, Staff W, said on April 22 that sheets were changed on shower days and whenever they were soiled. The assistant director of nursing, Staff C, confirmed the same policy that same morning, adding that changing sheets mattered for skin integrity, hygiene, and infection control.
The acknowledgment didn't explain why the sheets had gone unchanged for two weeks for a resident who, by the facility's own assessment, was fully capable of asking for what they needed.
The inspection, completed April 24, cited both findings under the same deficiency, with a harm level of minimal harm or potential for actual harm and a scope affecting few residents.
What the report leaves open is how a resident who could communicate their needs ended up in a two-week-old bed, or how a wheelchair visible to inspectors on five separate visits never got wiped down between any of those visits.
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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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 26, 2026 · Our methodology
SPOKANE HEALTH & REHABILITATION in SPOKANE, WA was cited for violations during a health inspection on April 24, 2025.
Inspectors first noticed dried fluid on the left side of Resident 64's wheelchair and seat cushion on April 14.
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.