Spokane Health & Rehabilitation: Nutrition Care Failures - WA
That detail emerged during a state inspection completed April 24, 2025, at the facility located at North 6025 Assembly in Spokane. The inspection identified failures in nutrition assessment, care planning, and basic communication that left a vulnerable resident without a meaningful plan to address their declining nutritional status.
Resident 313 was admitted to the facility on March 25, 2025, with diagnoses that included malnutrition and adult failure to thrive. The nutrition assessment that should have been completed within roughly a week of admission was not finished until April 16, three weeks after the resident arrived. The person responsible for completing it, identified in the report only as Staff HH, acknowledged to inspectors they had been "behind on getting them completed."
When that assessment finally arrived, it documented that Resident 313 had been offered the facility's standard nutritional supplement drink and refused it. Beyond monitoring meal intake and verbally encouraging the resident to eat, the assessment listed no other interventions. It noted that dietary preferences and dislikes had been recorded in a dietary profile and directed nursing staff there for details. Inspectors went looking for that profile. It was not in the resident's record.
The care plan had been updated on March 30, five days after admission, but the nutritional interventions added that day were generic. They contained no goals specific to Resident 313's diagnoses of malnutrition or failure to thrive. They gave nursing staff no information about what the resident liked or disliked. A nursing assistant, identified as Staff P, told inspectors they had encouraged the resident to eat, knew the resident often refused, and had figured out on their own that the resident liked chocolate, water, and juice, so they tried to make sure those were available. That knowledge lived with one aide. It was not in the care plan. It was not in any profile inspectors could find.
Progress notes covering the entire period from admission through April 15 contained no documentation of the resident's nutritional or dietary needs. Three weeks of notes, and the subject of why a malnourished person was refusing half their meals did not appear once.
When inspectors interviewed Staff HH on April 22 and asked what other nutritional options had been considered, the staff member mentioned ice cream and nutritionally enhanced meals, which contain more nutrients than standard offerings. But those options had not been offered. Staff HH explained that once they spoke with Resident 313's family representative, they would have a better sense of what to try. Inspectors asked whether that conversation had happened. Staff HH said no, but added that now that they were aware, they would follow up.
The resident had been at the facility for 28 days at that point.
The inspection cited the deficiency as causing minimal harm or potential for actual harm, a designation that reflects the lower end of the severity scale used by federal regulators. But Resident 313 arrived already diagnosed with malnutrition. They refused meals on nearly half the days they were there. The one intervention tried, a nutritional supplement drink, was offered once and refused. The dietary profile that was supposed to guide staff did not exist. And the family member who might have helped identify what the resident would eat had not been called.
The nursing assistant who noticed the preference for chocolate and made sure juice was available was doing what the system around them had failed to do.
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 28, 2026 · Our methodology
SPOKANE HEALTH & REHABILITATION in SPOKANE, WA was cited for violations during a health inspection on April 24, 2025.
That detail emerged during a state inspection completed April 24, 2025, at the facility located at North 6025 Assembly in Spokane.
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.