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    Nursing home · SPOKANE, WA

    SPOKANE HEALTH & REHABILITATION

    NORTH 6025 ASSEMBLY, SPOKANE, WA 99205

    CMS certification number: 505322 · Updated October 1, 2026

    Request care assistance5093268282Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    125

    Residents / day

    105.5

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Spokane
    Certified beds
    125
    Average residents per day
    105.5
    First certified
    October 19, 1988

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    3 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Spokane, Washington. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    3.20
    n=15
    State peers
    3.30

    Nurse hours / resident / day

    This home
    3.84
    County peers
    4.71
    n=15
    State peers
    4.42
    n=188

    Weekend nurse hours / resident / day

    This home
    3.47
    County peers
    4.05
    n=15
    State peers
    3.82
    n=188

    Nursing staff turnover (%)

    This home
    60.80
    County peers
    48.74
    n=14
    State peers
    43.78
    n=180

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 9.7% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 60.8% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    35
    Health citations
    96
    Resident measures
    17
    Ownership records
    5
    Penalties
    4
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.84056
    Reported RN Staffing Hours per Resident per Day
    0.68542
    Reported LPN Staffing Hours per Resident per Day
    0.86513
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.29001
    Total number of nurse staff hours per resident per day on the weekend
    3.46886
    Registered Nurse hours per resident per day on the weekend
    0.56556
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.05034
    Total nursing staff turnover
    60.8
    Registered Nurse turnover
    50.0
    Number of administrators who have left the nursing home
    1
    Chain Name
    HILL VALLEY HEALTHCARE
    Number of Facilities in Chain
    43
    Chain Average Overall 5-star Rating
    1.9
    Special Focus Status
    SFF Candidate
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    WA
    Urban
    Y
    Chain ID
    270
    Latitude
    47.7074
    Location
    NORTH 6025 ASSEMBLY,SPOKANE,WA,99205
    ZIP Code
    99205
    City/Town
    SPOKANE
    Longitude
    -117.41
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    HILL VALLEY HEALTHCARE
    County/Parish
    Spokane
    Provider Name
    SPOKANE HEALTH & REHABILITATION
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    3
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    NORTH 6025 ASSEMBLY
    Telephone Number
    5093268282
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    WINSTON SNF OPERATIONS LLC
    Long-Stay QM Rating
    4
    High Performing Icon
    N
    Short-Stay QM Rating
    3
    Special Focus Status
    SFF Candidate
    Nursing Case-Mix Index
    1.31746
    Chain Average QM Rating
    4.0
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    125
    Provider SSA County Code
    310
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    50.0
    Total Number of Penalties
    4
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.93420
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    60.8
    Chain Average Staffing Rating
    2.2
    Number of Facilities in Chain
    43
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    505322
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    137457.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    471
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    439.250
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    105.5
    Chain Average Overall 5-star Rating
    1.9
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    344
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    1.7
    Rating Cycle 1 Health Deficiency Score
    471
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    344
    Rating Cycle 1 Standard Survey Health Date
    2025-04-24
    Rating Cycle 2 Standard Health Survey Date
    2024-01-19
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.72794
    Case-Mix RN Staffing Hours per Resident per Day
    0.64613
    Reported RN Staffing Hours per Resident per Day
    0.68542
    Adjusted LPN Staffing Hours per Resident per Day
    0.91880
    Case-Mix LPN Staffing Hours per Resident per Day
    0.80515
    Reported LPN Staffing Hours per Resident per Day
    0.86513
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    38
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    49
    Rating Cycle 1 Number of Standard Health Deficiencies
    37
    Rating Cycle 2 Number of Standard Health Deficiencies
    15
    Reported Licensed Staffing Hours per Resident per Day
    1.55055
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    5
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.43208
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.19290
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.29001
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.07881
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.64417
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    49
    Reported Total Nurse Staffing Hours per Resident per Day
    3.84056
    Registered Nurse hours per resident per day on the weekend
    0.56556
    Date First Approved to Provide Medicare and Medicaid Services
    1988-10-19
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.05034
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.68405
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.20714
    Total number of nurse staff hours per resident per day on the weekend
    3.46886

    COMMUNITY EXPERIENCE

    Reviews of SPOKANE HEALTH & REHABILITATION

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026