Spokane Health & Rehabilitation: Staffing Posting Failures - WA
By the time inspectors had finished their rounds, they had documented the missing posting on fourteen separate occasions across seven days.
The requirement exists for a reason. Families choosing a nursing home, or monitoring a parent already inside one, are supposed to be able to walk in on any given day and see how many nurses and aides are actually on the floor. That number, posted publicly, is one of the few pieces of information residents and families have to assess whether care is adequately staffed. At Spokane Health & Rehabilitation, that information had gone dark.
On the morning of April 21, inspectors pressed the facility's staffing coordinator, identified in the report as Staff N, for an explanation. Staff N walked the surveyor to the office of Staff C, the Assistant Director of Nursing, and asked for the daily head count sheets. Staff C pulled out a blank form and said they thought Staff N had been handling the postings. Staff N, standing there, said they thought nurse managers were responsible.
Nobody had been doing it.
When Staff N went to pull together whatever records existed, the gaps were extensive. In January alone, staffing sheets were missing for at least fourteen days, including a full stretch from January 7 through January 12. February was worse: records were missing for more than half the month, including consecutive stretches from February 7 through February 11 and February 18 through February 20. March collapsed almost entirely. Documentation ran out after March 14, leaving the final six weeks before the inspection with no daily staffing records at all.
The facility's administrator, identified as Staff A, told inspectors on the morning of April 21 that they expected staff to post the daily staffing information as required. That was the extent of the explanation.
What the inspection report describes is a facility where two supervisors, when asked directly about a basic transparency requirement, each pointed at the other. The staffing coordinator pointed to nurse managers. The Assistant Director of Nursing pointed to the staffing coordinator. The administrator said they expected it to happen. For at least parts of four consecutive months, it did not.
Inspectors rated the violation as having minimal harm or potential for actual harm, the lowest tier on the federal scale. No resident was recorded as suffering a physical injury because a posting wasn't on the wall. But the violation isn't really about a piece of paper. It's about whether the people who live in a nursing home, and the people who love them, can get basic information about who is caring for them on any given day.
Spokane Health & Rehabilitation sits on North Assembly Street in the northwest corner of Spokane. The inspection was completed April 24, 2025.
A resident whose family visited every week from January through April would have arrived, in most weeks, to a facility that had not posted what the law requires them to see. They would not have known how many nurses were on the floor that day, or whether the count was lower than usual, or whether the aide shortage they suspected was real. They would have had to ask. And they would have had to hope someone answered.
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 30, 2026 · Our methodology
SPOKANE HEALTH & REHABILITATION in SPOKANE, WA was cited for violations during a health inspection on April 24, 2025.
By the time inspectors had finished their rounds, they had documented the missing posting on fourteen separate occasions across seven days.
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.