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B
Good

SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD

EAST 17121 EIGHTH AVENUE · SPOKANE VALLEY, WA 99016

5099246161 · For profit - Corporation

97 beds90.7 residents189 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD receives an overall staffing grade of B (Good). With 3.7531 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.14 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.56% compared to weekdays. The facility uses a moderate level of agency staff (12.18% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.7531hrs/resident/day▼ 0.14
CMS benchmark: 3.48
RN HPRD
0.811hrs/resident/day▲ 0.13
Recommended: 0.75
Weekend Drop-off
17.56%
3.9491 weekday → 3.2556 weekend
Agency Staff
12.18%
33.34% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0266hrs/resident/day
Direct care aides
LPN HPRD
0.8448hrs/resident/day
Licensed practical nurses
Consistency
0.4104std 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-0.40 HPRD
4.15
03.75 HPRD
vs. Washington State Average-0.53 HPRD
4.28
03.75 HPRD
vs. National Average-0.14 HPRD
3.90
03.75 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 VALLEY HEALTH AND REHABILITATION OF CASCAD ★
SPOKANE VALLEY · This facility
—
B
3.75310.811★★☆☆☆
SULLIVAN PARK CARE CENTER
SPOKANE
2.9 mi
C
3.660.4064★☆☆☆☆
AURORA VALLEY CARE
SPOKANE
5.2 mi
C
3.77130.5275★☆☆☆☆
SUNSHINE HEALTH & REHAB
SPOKANE
5.6 mi
A
4.73941.5269★★★☆☆
ALDERWOOD MANOR
SPOKANE
9.8 mi
B
3.9311.0646★★★☆☆
TOUCHMARK ON SOUTH HILL NURSING
SPOKANE
10.7 mi
A
4.68091.0506★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

13
Inspections
55
Total Deficiencies
$53,866
Fines Assessed
Nov 24, 2025Health
3 deficiencies cited
▼
Nov 12, 2025Health
3 deficiencies cited
▼
Mar 18, 2025Health
3 deficiencies cited
▼
Nov 6, 2024Health
2 deficiencies cited
▼
Aug 13, 2024Health
20 deficiencies cited
▼
Jul 29, 2024Health
3 deficiencies cited
▼
Jun 28, 2024Health
1 deficiency cited
▼
May 3, 2024Health
1 deficiency cited
▼
Oct 18, 2023Health
1 deficiency cited· Includes actual harm
▼
May 11, 2023Health
1 deficiency cited· Includes actual harm
▼
Apr 10, 2023Health
8 deficiencies cited
▼
Feb 10, 2023Health
1 deficiency cited
▼
Aug 21, 2019Health
8 deficiencies cited
▼

Penalty History

Nov 6, 2023Fine
$3,529
Oct 18, 2023Fine
$18,233
Aug 14, 2023Fine
$2,098
Jul 17, 2023Fine
$3,174
Apr 10, 2023Fine
$26,832
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.