All states › Washington › Spokane Valley › Spokane Valley Health and Rehabilitation of Cascad
East 17121 Eighth Avenue Spokane Valley, WA 99016 · Spokane County
CMS certification number 505099 · See this home on Medicare Care Compare
Is Spokane Valley Health and Rehabilitation of Cascad a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Spokane Valley Health and Rehabilitation of Cascad as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Washington average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.54 hours per resident per day at Spokane Valley Health and Rehabilitation of Cascad, below the Washington median of 4.15 (US median: 3.72). About 0.87 of those hours are from registered nurses. On weekends it falls to 3.14 hours, 11% below its all-week average.
About this nursing home
Paying for care at Spokane Valley Health and Rehabilitation of Cascad: Medicare and Medicaid
Spokane Valley Health and Rehabilitation of Cascad is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Washington's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 24, 2025 and found 6 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 52 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 52 citations at Spokane Valley Health and Rehabilitation of Cascad across 11 inspection dates, 19 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 18, 2023. The most common areas cited were quality of life and care (17) and pharmacy service (8). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, October 18, 2023). 3 citations were under CMS's abuse, neglect and exploitation rules.
May 22, 2026 · 1 citation · includes complaint inspection
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
November 24, 2025 · 9 citations · includes complaint inspection
EProvide 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.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
November 12, 2025 · 3 citations · includes complaint inspection
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
March 18, 2025 · 3 citations · includes complaint inspection
EEnsure that residents are free from significant medication errors.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 6, 2024 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
August 13, 2024 · 20 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
EEducate 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DRespond appropriately to all alleged violations.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
DObserve each nurse aide's job performance and give regular training.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
July 29, 2024 · 3 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure services provided by the nursing facility meet professional standards of quality.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 28, 2024 · 1 citation · includes complaint inspection
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
May 3, 2024 · 1 citation · includes complaint inspection
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
October 18, 2023 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 10, 2023 · 8 citations
EEnsure medication error rates are not 5 percent or greater.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DImplement 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.
Questions to ask on a tour of Spokane Valley Health and Rehabilitation of Cascad
- Inspectors cited the home at the actual-harm level on October 18, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 12, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $21,762 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 6, 2023 | Fine | $3,529 |
| Oct 18, 2023 | Fine | $18,233 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 2/5 |
| August 2026 | 1/5 | 3/5 | 1/5 | 1/5 |
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Location
Hospitals near Spokane Valley Health and Rehabilitation of Cascad
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 11.6 mi
-
12.3 mi
Providence Sacred Heart Medical Center SpokaneEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 36m for patients treated and sent home
- 12.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Spokane Valley Health and Rehabilitation of Cascad › All nursing homes in Spokane Valley ›
Compare Spokane Valley Health and Rehabilitation of Cascad with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Sunshine Health & Rehab · Spokane · 5 stars · 5.6 mi
Other Cascadia Healthcare nursing homes in Washington
- Alderwood Park Health and Rehab of Cascadia · Bellingham · 5 stars
- Hudson Bay Health and Rehabilitation · Vancouver · 5 stars
- Stafholt Health and Rehabilitation of Cascadia · Blaine · 4 stars
- Brookfield Health and Rehab of Cascadia · Battle Ground · 3 stars
- Clarkston Health and Rehab of Cascadia · Clarkston · 3 stars
- Snohomish Health and Rehabilitation of Cascadia · Snohomish · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 47 Cascadia Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.