Home›Washington›Spokane County›SPOKANE HEALTH & REHABILITATION
C
Below Standard

SPOKANE HEALTH & REHABILITATION

NORTH 6025 ASSEMBLY · SPOKANE, WA 99205

5093268282 · For profit - Limited Liability company

125 beds113.4 residents197 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SPOKANE HEALTH & REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.4453 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5117 HPRD, below the recommended 0.75. It is 0.45 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 7.28% compared to weekdays. The facility relies heavily on temporary agency staff (33.42% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4453 HPRD — needs 0.03 more hours per resident per day.
⚠️RN staffing (0.5117 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️33.42% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 7.28% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.4453hrs/resident/day▼ 0.45
CMS benchmark: 3.48
RN HPRD
0.5117hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
7.28%
3.5176 weekday → 3.2617 weekend
Agency Staff
33.42%
21.21% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1329hrs/resident/day
Direct care aides
LPN HPRD
0.7913hrs/resident/day
Licensed practical nurses
Consistency
0.2379std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Spokane County Average-0.71 HPRD
4.15
03.45 HPRD
vs. Washington State Average-0.84 HPRD
4.28
03.45 HPRD
vs. National Average-0.45 HPRD
3.90
03.45 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SPOKANE HEALTH & REHABILITATION ★
SPOKANE · This facility
—
C
3.44530.5117★☆☆☆☆
SPOKANE FALLS CARE
SPOKANE
0.3 mi
C
4.13080.4251★☆☆☆☆
Royal Park Health and Rehabilitation
SPOKANE
1.3 mi
B
3.83470.6006★☆☆☆☆
ROCKWOOD SOUTH HILL
SPOKANE
1.6 mi
A+
5.13531.6045★★★☆☆
NORTH CENTRAL CARE CENTER
SPOKANE
1.6 mi
B
3.96970.6688★★★★☆
REGENCY AT NORTHPOINTE
SPOKANE
2.8 mi
A
4.94170.99★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

19
Inspections
102
Total Deficiencies
$217,475
Fines Assessed
Aug 8, 2025Health
1 deficiency cited· Includes actual harm
▼
Jul 25, 2025Health
1 deficiency cited
▼
Apr 24, 2025Health
37 deficiencies cited· Includes actual harm
▼
Apr 3, 2025Health
2 deficiencies cited
▼
Mar 25, 2025Health
1 deficiency cited· Includes actual harm
▼
Feb 10, 2025Health
5 deficiencies cited
▼
Jan 23, 2025Health
3 deficiencies cited
▼
Nov 18, 2024Health
2 deficiencies cited
▼
Oct 8, 2024Health
3 deficiencies cited
▼
Aug 29, 2024Health
3 deficiencies cited
▼
Jul 25, 2024Health
5 deficiencies cited
▼
May 29, 2024Health
6 deficiencies cited
▼
Jan 19, 2024Health
15 deficiencies cited· Includes actual harm
▼
Dec 20, 2023Health
2 deficiencies cited
▼
Sep 11, 2023Health
1 deficiency cited
▼
Jul 20, 2023Health
1 deficiency cited· Includes actual harm
▼
Jun 14, 2023Health
2 deficiencies cited
▼
May 1, 2023Health
3 deficiencies cited· Includes actual harm
▼
Sep 23, 2022Health
9 deficiencies cited
▼

Penalty History

Jan 23, 2025Fine
$54,581
Jan 23, 2025Payment Denial
Dec 20, 2023Fine
$44,090
Jun 14, 2023Fine
$65,637
May 1, 2023Fine
$53,167
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.