Spokane Valley Health And Rehabilitation Of Cascad
Spokane Valley Health And Rehabilitation Of Cascad is a 3-star rated nursing home in Spokane Valley, WA with 97 beds. CMS sub-ratings: health inspections 3/5, staffing 3/5, quality measures 2/5.
The facility has 95 health violations on record. Federal fines total $51,389 across 3 enforcement actions. Most recent inspection: March 18, 2025.
Staff turnover rate: 68.8% — significantly above the national average.
Data synthesized from CMS.gov and Washington public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Our Coverage of Spokane Valley Health And Rehabilitation Of Cascad
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.
Fines and Penalties by Year
2020 1 penalties totaling $13,845
Fine
2018 2 penalties totaling $37,544
Fine
Fine
Health Violations by Year
2025 3 violations
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are free from significant medication errors.
2024 25 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Respond appropriately to all alleged violations.
PASARR screening for Mental disorders or Intellectual Disabilities
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide activities to meet all resident's needs.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Observe each nurse aide's job performance and give regular training.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Ensure medication error rates are not 5 percent or greater.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
2023 11 violations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide activities to meet all resident's needs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide enough food/fluids to maintain a resident's health.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure medication error rates are not 5 percent or greater.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide and implement an infection prevention and control program.
2022 3 violations
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
2021 4 violations
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
2020 8 violations
Respond appropriately to all alleged violations.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2019 12 violations
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Observe each nurse aide's job performance and give regular training.
Ensure that residents are free from significant medication errors.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are free from significant medication errors.
2018 18 violations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are fully informed and understand their health status, care and treatments.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
PASARR screening for Mental disorders or Intellectual Disabilities
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide activities to meet all resident's needs.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure medication error rates are not 5 percent or greater.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that residents are free from significant medication errors.
2017 11 violations
Ensure that residents are fully informed and understand their health status, care and treatments.
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide necessary care and services to maintain or improve the highest well being of each resident .
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
Frequently Asked Questions About Spokane Valley Health And Rehabilitation Of Cascad
- What violations has Spokane Valley Health And Rehabilitation Of Cascad received?
- Spokane Valley Health And Rehabilitation Of Cascad has 95 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Spokane Valley Health And Rehabilitation Of Cascad?
- Spokane Valley Health And Rehabilitation Of Cascad has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
- When was Spokane Valley Health And Rehabilitation Of Cascad last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Spokane Valley Health And Rehabilitation Of Cascad safe?
- Safety at Spokane Valley Health And Rehabilitation Of Cascad should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Spokane Valley Health And Rehabilitation Of Cascad?
- Phone: (509) 924-6161. Address: East 17121 Eighth Avenue, Spokane Valley, WA. For visiting hours and admission information, call the facility directly.
- What services does Spokane Valley Health And Rehabilitation Of Cascad offer?
- Spokane Valley Health And Rehabilitation Of Cascad is a skilled nursing facility with 97 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Spokane Valley, WA?
- Compare Spokane Valley Health And Rehabilitation Of Cascad with other nursing homes in Spokane Valley, WA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
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