Providence Hospice Spokane
A hospice in Spokane Valley, Washington 98212
1000 N Argonne Rd Ste 201, Spokane Valley, Washington 98212. (425) 293-2819.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Feb 8, 2024: an initial inspection by The Joint Commission.
7 deficiencies cited in the last three years.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
When those deficiencies happened
7 deficiencies in 1 month of the last 36. Last cited Feb 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Feb 8, 2024: initial inspection by The Joint Commission7 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
The inspectors’ words, 115 words
“Observed in Record Review. In 5 of 10 patient records reviewed, where the patient elected to receive the Patient Notification of Hospice Non-Covered Items, Services and Drugs, the organization failed to ensure the request was fulfilled. In RRHV#1, RRHV#3, RRNHV#4, RRNHV#5, and RRNHV#6 there was documentation that the patient had elected to receive the Notification of Non-Covered Item, yet there was no documentation that the notification was completed and delivered to the patient. On discussion with Quality Management it was noted that the organization has a process for fulfilling the request within the EMR but it was noted that the process was not followed, therefore there was no documentation that the patient received the document.”
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
The inspectors’ words, 168 words
“Observed in Record Review. In 1 of 10 patient records reviewed, the organization failed document a patient-specific comprehensive assessment and reassessment that identifies the patient’s need for hospice care and services. For example: on review of RRNHV#7 the patient had multiple wound to the lower extremity yet there was not a comprehensive wound assessment documented on admission, and further visits documented a size and location but lacked shape, color, moisture, exudate as required by organization accepted procedure. This observation was reviewed with the Hospice Director, and Quality Management. Observed in Record Review. In 5 of 10 patient records reviewed, the organization failed to conduct and document a patient-specific comprehensive assessment and reassessment that identifies the patient’s need for hospice care and services. For example: on review of RRHV#1, RRHV#3, RRNHV#5, RRNHV#6, and RRNHV#10 there was no documentation that the need for volunteer services to offer support or respite to the patient, family, or other caregivers was assessed. This observation was reviewed with the Hospice Director, and Quality Management.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 129 words
“Observed in Patient Home. In 2 of 10 patient records reviewed, the organization failed to ensure the plan of care include all services needed for the palliation and management of the terminal illness and related conditions. For example: on home observation for RRHV#1 the caregiver discussed the patient’s difficulty with swallowing and the use to thickened liquids to assist in swallowing, yet issues with swallowing was not noted on the plan of care. Further in RRHV#1 the documentation noted fragile skin with skin tears yet the issues were not reflected in the plan of care. In RRHV#3 the documentation noted restlessness with medication changes yet the change in patient status was not reflected in the plan of care. These observations were reviewed with the Hospice Director and the RN.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 206 words
“Observed in Record Review. In 4 of 10 patient records reviewed, The organization failed to ensure plan of care includes all services needed for the palliation and management of the terminal illness and related conditions. In review of RRHV#1 the patient was noted to have difficulty swallowing and discussion with caregiver and documentation noted they were using thickener in the patient’s liquids, yet there were no physicians order for thickener noted on the record. On review of RRNHV#5 there were medication orders noted on medication profile that had ranges without specific instructions to guide the user on which dose to choose; such as Lorazepam take 0.25 - 1ml by mouth under tongue/in cheek every 2 hours as needed for agitation, anxiety, or nausea and Guaifenesin 100/5ml liquid - take 5-10ml by mouth every 4 hours as needed for cough. In RRNHV#10 there was also an for morphine 0.5 to 1 tab every 4 hours as needed for pain yet there were no instructions on when to choose what dose. In RRNHV#6 the documentation noted the patient was utilizing a Trilogy ventilator, yet there were no physicians orders and settings for the use of the Trilogy. These observations were reviewed with the Hospice Director, and Quality Management.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 143 words
“Observed in Record Review. In 3 of 10 patient records reviewed, The organization failed to ensure the registered nurse prepare written patient care instructions. For example: on home observation at RRHV#3 to observe the hospice aide it was noted that the patient was on continuous oxygen and the oxygen was removed for the duration of the patients bath. The aide plan of care did not specify oxygen precautions and how to handle the oxygen during the bath. In RRNHV# 5 the patient was also utilizing oxygen yet the aide plan of care did not address O2 precautions or how to handle oxygen during the bath. In RRNHV#7 the patient had wounds with dressing changes yet there were no instructions to guide the aide in how to handle the dressings while performing care. These observations were reviewed with the Hospice Director, and Quality Management.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
“Observed in Patient Home. In 1 of 3 home visits conducted, the organization failed to ensure the hospice aide provide services that are ordered in the plan of care For example: on home observation with the hospice aide in RRHV#3 the aide was observed to give the patient a shower in a shower chair, however the plan of care specified that a bed bath was to be provided. This observation was reviewed with the Hospice Director, Quality Management, and the hospice Aide.”
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Services (42 CFR 418.100(c)(1)(v))
“Observed in Tracer Activities. During the volunteer program review session, it was noted that the organization did not provided volunteer services in 2023 as there were no active volunteers during the start of business throughout the year. This observation was reviewed with Hospice Director, Quality Management, and Volunteer services.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 8, 2024 | Initial inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 26, 2024.
- CMS doesn’t list its type of ownership.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 10.4 nurse care minutes per routine home care day, 7.8% of skilled nursing minutes at weekends and a visit near death for 90.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 60% at home, 39% in assisted living, 1% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.4 min |
| Skilled nursing minutes at weekends | 7.8% |
| Visits near death | 90.2% of patients who died |
Who owns it?
- Providence Health & Services - Washington owns 100% directly since Jan 1, 2010.
- Fc Compassus LLC runs it.
- 23 owners or officers are people: Diane L Hejna (corporate director, 0%); Richard S Blair (corporate director, 0%); Silvia Bowker (managing employee (on the payroll), 0%); Marvin O’quinn (corporate director, 0%); Linda Buck (corporate director, 0%); Terri P Warren (managing employee (on the payroll), 0%); Mary E Lyons (corporate director, 0%); Nicole Sikes (managing employee (on the payroll), 0%); Phyllis M Hughes (corporate director, 0%); Rogelio Riojas (corporate director, 0%); James Martin (corporate officer, 0%); Charles Wallace Sorenson (corporate director, 0%); Donald Wayne Anderson (corporate officer, 0%); Gregory David Hoffman (corporate officer, 0%); Isiaah D Crawford (corporate director, 0%); Donna Markham (corporate director, 0%); Thomas Martin (managing employee (on the payroll), 0%); Michael W Murphy (corporate director, 0%); Mary Beth Kingston (corporate director, 0%); Eric D Sprunk (corporate director, 0%); Anna R Newsom (corporate officer, 0%); Darryl Elmouchi (corporate officer, 0%); Karin Dufault (corporate director, 0%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Providence Health & Services - Washington | Owns 5% or more directly | 100% | Jan 1, 2010 |
| Fc Compassus LLC | Runs it (operational or managerial control) | May 1, 2025 | |
| Providence Health & Services | Other role (CMS gives no detail) | 0% | Jul 1, 2016 |
| Providence St. Joseph Health | Other role (CMS gives no detail) | 0% | Jul 1, 2016 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 77% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.02% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 8 of 10 |
How does it compare nearby?
- There aren’t enough hospices serving patients in ZIP code 98212 to compare.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Providence Hospice Spokane This hospice | 7 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.