Spokane Health & Rehabilitation: Transfer Record Failures - WA
That admission came on April 24, 2025, the final day of a federal inspection at the North Assembly Street facility. It was not a minor paperwork gap. It meant that residents had been transferred to hospitals without the documentation their emergency providers needed, and that no one in a supervisory nursing role had noticed.
The required transfer package includes the resident's current medication list, recent vital signs, care plan, code status, and the face sheet carrying basic identifying and insurance information. Inspectors found no documentation that this information had been sent to the hospital for at least one resident, identified in the report as Resident 90.
Two licensed practical nurses, interviewed separately on April 23 and 24, gave different accounts of what they believed was being sent with residents. Staff BB said a nurse would send the face sheet, medication list, and recent vital signs. Staff CC said the standard practice was to include provider orders, the medication list, code status, vital signs, and the face sheet, and that nurses were supposed to make a progress note and complete a Transfer Form. When Staff CC searched Resident 90's electronic medical record for that form during the interview, she couldn't find it.
The discrepancy between the two nurses' answers was its own problem. They worked at the same facility, under the same procedures, and described meaningfully different versions of what was supposed to happen. Neither mentioned a care plan. Neither could point to a checklist that would standardize what got sent.
Staff F, identified as the Resident Care Manager, was interviewed later the same morning. She said the facility sent the face sheet, POLST, current medication list, and chart notes. Then she acknowledged she had just learned, that day, that a Transfer Form existed in the facility's electronic documentation system. She said she hoped staff had been putting in progress notes.
That hope was not documentation. And documentation was exactly what the inspection found missing.
The POLST, or Physician Orders for Life-Sustaining Treatment, is among the most critical documents a hospital team needs at the moment a patient arrives. It tells emergency providers whether to attempt resuscitation, whether to pursue aggressive intervention, or whether the patient has chosen comfort-focused care. Sending a resident to a hospital without it, or without a current medication list, forces emergency staff to make decisions with incomplete information about who they are treating and what that person has already decided about their own care.
The facility had no checklist to ensure any of it was consistently included.
The inspection report notes the deficiency caused minimal harm or potential for actual harm, a regulatory classification that reflects the absence of a documented adverse outcome rather than an assessment of what could have happened when a hospital team received an incomplete picture of a patient in crisis.
Staff CC, after searching the electronic record and coming up empty, acknowledged that the information should have been sent to the hospital and documented. The Resident Care Manager, having learned mid-inspection that a required form existed in her own system, said she hoped someone had made a note.
For Resident 90, there was no transfer form in the record. Whether that resident's hospital team knew their code status when they arrived, or had an accurate medication list to work from, the inspection report does not say.
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 admission came on April 24, 2025, the final day of a federal inspection at the North Assembly Street facility.
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.