Spokane Health & Rehabilitation

Nursing Home · Spokane, WA

CMS overall rating 1/5 SFF candidate For profit - Limited Liability company

CMS certification number505322
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

North 6025 Assembly
Spokane, WA 99205
Spokane County
Phone
(509) 326-8282
ZIP code
99205 – all care providers

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Facility details

Certified beds
125
Residents per day
115.8 (93% occupied)
Ownership
For profit - Limited Liability company
Legal name
Winston SNF Operations LLC
Chain
Hill Valley Healthcare (43 facilities, avg 1.8★)
Medicare certified since
October 19, 1988
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.6
Quality measures★★★★★ 4/5
State avg 4.0
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.55 (state 4.37 · U.S. 3.86)
Registered nurses (RN)
0.60 (state 0.94 · U.S. 0.69)
Licensed practical nurses
0.74 (state 0.77 · U.S. 0.86)
Nurse aides
2.21 (state 2.66 · U.S. 2.32)
Weekend total
3.27 (state 3.81 · U.S. 3.42)
Nursing staff turnover
64.4 (state 45.1 · U.S. 45.8)%
RN turnover
61.1 (state 45.4 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
April 24, 2025
Health deficiencies (last cycle)
39.0 (state 16.1 · U.S. 9.3)
From complaints
6
Citations on record (3 years)
63 health · 17 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-24
2025-08-08 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-09-03
2025-07-25 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-01
2025-04-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 L
Immediate jeopardy to resident health or safety		 Corrected 2025-06-10
2025-04-24 Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
F0620 · Resident Rights Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
F0843 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Give residents a notice of rights, rules, services and charges.
F0572 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Provide information about how to apply for and use Medicare and Medicaid benefits.
F0579 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Provide appropriate care/assistance for a resident with a prosthesis.
F0696 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-24 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-04-03 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-04-03 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-03-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-06-10
2025-02-10 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-02-10 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-02-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-02-10 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-23 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-01-23 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $137,457 in fines.

DateTypeAmount
2025-07-25Fine$38,786
2025-01-23Payment Denial48 days payment denial
2025-01-23Fine$54,581
2023-12-20Fine$44,090

Ownership & management

NameRoleSince
Wash 6 SNF Operations Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Idels, Shimon (individual)Corporate Officer · NOT APPLICABLE
Schwartz, Steven (individual)Corporate Officer · NOT APPLICABLE
Idels, Shimon (individual)Operational/managerial Control · NOT APPLICABLE
Schwartz, Steven (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Spokane Health & Rehabilitation?

Spokane Health & Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.

How many beds does Spokane Health & Rehabilitation have?

It has 125 certified beds and cares for about 116 residents per day.

Has Spokane Health & Rehabilitation been fined?

Yes. CMS lists 4 penalties totaling $137,457 in the last three years.

Who owns Spokane Health & Rehabilitation?

It is part of Hill Valley Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Spokane Health & Rehabilitation?

(509) 326-8282. The facility is located at North 6025 Assembly, Spokane, WA 99205.

Other nursing homes in Spokane

Compare all nursing homes in Spokane, WA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.