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Data / Nursing homes / Washington / Spokane Health & Rehabilitation

Spokane Health & Rehabilitation, Spokane, WA: 1 star rating, fined $137,457 across 3 fines and had 1 payment denial

Spokane Health & Rehabilitation in Spokane, WA is owned by Wash 6 SNF Operations Holdings LLC, is rated 1 of 5 stars by Medicare, and was fined $137,457 across 3 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 87 health citations from inspections in that time, the latest survey on March 5, 2026, and 5 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Washington
Address
North 6025 Assembly, Spokane, WA 99205
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
3 of 5
Certified beds
125
Residents per day
106 on average
Ownership type
For profit, limited liability company
Legal business name
Winston SNF Operations LLC
Chain
Hill Valley Healthcare, 43 facilities
Special focus
Special focus candidate
Fines
$137,457 across 3 fines, three years to October 1, 2026
Payment denials
1
Health citations
87, of which 5 with actual harm or immediate jeopardy
Latest survey
March 5, 2026
CMS Certification Number
505322
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 25, 2025Fine$38,786Not listeddata.cms.gov
January 23, 2025Fine$54,581Not listeddata.cms.gov
January 23, 2025Payment denialNot listedApril 23, 202548data.cms.gov
December 20, 2023Fine$44,090Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
March 5, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 24, 2026data.cms.gov
August 8, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedSeptember 3, 2025data.cms.gov
July 25, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2025data.cms.gov
April 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.L: widespread, immediate jeopardyCorrectedJune 10, 2025data.cms.gov
April 24, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F843Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F732Post nurse staffing information every day.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F696Provide appropriate care/assistance for a resident with a prosthesis.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F625Notify 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F620Not 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F579Provide information about how to apply for and use Medicare and Medicaid benefits.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F578Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F572Give residents a notice of rights, rules, services and charges.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 24, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 3, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
April 3, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2025data.cms.gov
March 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJune 10, 2025data.cms.gov
February 10, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
February 10, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 10, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
February 10, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
January 23, 2025F692Provide enough food/fluids to maintain a resident's health.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
January 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
January 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 10, 2025data.cms.gov
November 18, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2024data.cms.gov
November 18, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2024data.cms.gov
October 8, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 25, 2024data.cms.gov
October 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 25, 2024data.cms.gov
October 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 25, 2024data.cms.gov
August 29, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2024data.cms.gov
August 29, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2024data.cms.gov
August 29, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2024data.cms.gov
July 25, 2024F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2024data.cms.gov
July 25, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2024data.cms.gov
July 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2024data.cms.gov
July 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2024data.cms.gov
July 25, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2024data.cms.gov
May 29, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 29, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 5, 2024data.cms.gov
May 29, 2024F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 29, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
January 19, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
January 19, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
December 20, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov
December 20, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 15, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 4 individual or personal trusts (2 managers, 2 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Wash 6 SNF Operations Holdings LLCDirect owner100%February 8, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.