Spokane Health & Rehabilitation: Staffing, Turnover, and Inspection Record
Spokane Health & Rehabilitation is a 125-bed for-profit nursing home in Spokane, Washington, part of Hill Valley Healthcare. In the CMS August 2026 release it reported 2.21 nurse aide hours per resident per day, 17% below the Washington average of 2.66, and 64.4% nursing staff turnover (Washington average 45.1%).
Spokane Health & Rehabilitation
North 6025 AssemblySpokane, WA 99205
Spokane County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Spokane Health & Rehabilitation, nurse aides logged 2.21 hours per resident per day, 17% below the Washington average. With about 116 residents a day, that works out to roughly 256 aide hours a day, or about 32 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Washington avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.21 | 2.66 | 2.32 |
| Licensed practical nurses | 0.74 | 0.77 | 0.86 |
| Registered nurses | 0.60 | 0.94 | 0.69 |
| All nursing staff | 3.55 | 4.37 | 3.86 |
| All nursing staff, weekends | 3.27 | 3.81 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
64.4% of nursing staff at Spokane Health & Rehabilitation left over the year CMS measured, against a Washington average of 45.1% and a US average of 45.8%. Registered nurse turnover was 61.1%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 24, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 39 health deficiencies (Washington average 16.1). CMS lists 3 fines totaling $137,457 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 25, 2025 | Fine | $38,786 |
| Jan 23, 2025 | Fine | $54,581 |
| Jan 23, 2025 | Payment Denial | 48 days from Apr 23, 2025 |
| Dec 20, 2023 | Fine | $44,090 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Spokane Health & Rehabilitation holds 1 of 5 overall; the Washington average is 3.2.
About Spokane Health & Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Hill Valley Healthcare, 43 homes
- Legal name: Winston SNF Operations LLC
- Medicare and Medicaid certified since: Oct 19, 1988
- Councils: resident council
- Area: urban
Nursing homes near Spokane Health & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Spokane Falls Care Spokane | 0.3 | 100 | 2.19 | 3.55 | 60.7% | 1 | $125,736 |
| Royal Park Health and Rehabilitation Spokane | 1.3 | 164 | 2.46 | 3.82 | 50.0% | 3 | $111,830 |
| Rockwood South Hill Spokane | 1.6 | 45 | 2.89 | 4.83 | — | 2 | None |
| Emerson Health & Rehabilitation Spokane | 1.6 | 99 | 2.48 | 3.92 | 50.0% | 4 | None |
| Regency at Northpointe Spokane | 2.8 | 120 | 2.88 | 4.72 | 47.0% | 5 | $8,278 |
| Avalon Care Center at Northpointe Spokane | 2.8 | 119 | 2.01 | 3.54 | 62.0% | 2 | $84,614 |
| Spokane Veterans Home Spokane | 3.8 | 100 | 2.61 | 4.02 | 34.8% | 5 | None |
| South Hill Rehabilitation and Care Center Spokane | 4.1 | 113 | 2.54 | 4.63 | 63.5% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.