Spokane Valley Health and Rehabilitation of Cascad
A nursing home in Spokane Valley, Washington 99016
East 17121 Eighth Avenue, Spokane Valley, Washington 99016. (509) 924-6161.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle Washington average: 15.7
- 3.54 nurse hours per resident per day Washington average: 4.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Nov 24, 2025.
Most serious in three years: F: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
43 citations in 8 months of the last 36. Last cited May 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 43 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 18 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 22, 2026: complaint inspection1 citation
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nov 24, 2025: standard inspection6 citations
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Provide 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.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure 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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Nov 24, 2025: standard and complaint inspection3 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nov 12, 2025: complaint inspection3 citations
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Respond appropriately to all alleged violations.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Mar 18, 2025: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure that residents are free from significant medication errors.
Nov 6, 2024: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Aug 13, 2024: standard inspection19 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Respond appropriately to all alleged violations.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide activities to meet all resident’s needs.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Observe each nurse aide’s job performance and give regular training.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Ensure medication error rates are not 5 percent or greater.
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Ensure 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.
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.
Aug 13, 2024: standard and complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 29, 2024: complaint inspection3 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 28, 2024: complaint inspection1 citation
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
May 3, 2024: complaint inspection1 citation
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1967.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 97 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $3,529 in all.
- No Medicare payment denials in the last three years.
- 18 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 6, 2023 | Fine | $3,529 |
Who does the caring?
3.54 nurse hours per resident per day
The Washington average is 4.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Washington average |
|---|---|---|
| Nurse hours per resident per day | 3.54 | 4.42 |
| Of which registered nurses | 0.87 | 0.99 |
| At weekends | 3.14 | 3.82 |
| Nursing staff turnover | Not given | 43.9% |
| Registered nurse turnover | Not given | 43.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Cascadia Washington Operations LLC owns 100% directly since Jul 1, 2023.
- Cascadia Services LLC runs it.
- 10 owners or officers are people: Owen C Hammond (owns a share through other companies, 33.34%); Stephen J Laforte (owns a share through other companies, 33.33%); Timothy Nelson (owns a share through other companies, 33.33%); Jordan Barrett (runs it (operational or managerial control)); Jordan Barrett (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen J Laforte (runs it (operational or managerial control)); Owen C Hammond (runs it (operational or managerial control)); Michael G Meza (runs it (operational or managerial control)); Michael G Meza (additional disclosable party (controls, leases property to, or provides services to the home)); Timothy Nelson (runs it (operational or managerial control)).
- Part of Cascadia Healthcare (47 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Spokane Valley 17121 Realty, LLC | Holds 5% or more security interest | 100% | Jun 5, 2025 |
| Cascadia HC Group LLC | Owns a share through other companies | 100% | Jun 5, 2025 |
| Cascadia Healthcare LLC | Owns a share through other companies | 100% | Jul 1, 2023 |
| Cascadia Washington Operations LLC | Owns a share directly | 100% | Jul 1, 2023 |
| Cascadia Holdco LLC | Owns a share through other companies | 100% | Jun 5, 2025 |
| Spokane Valley 17121 Realty, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 5, 2025 | |
| Cascadia Services LLC | Runs it (operational or managerial control) | Nov 30, 2022 | |
| Cascadia Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 12, 2025 | |
| Cascadia Healthcare LLC | Owns 5% or more through other companies | Nov 30, 2022 | |
| White Oak Healthcare Finance LLC | Holds 5% or more security interest | Aug 11, 2022 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Washington average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 12.9 miles, this one had the 6th most health citations at the latest inspection cycle (12; the middle value was 12).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Spokane Valley Health and Rehabilitation of Cascad This nursing home | 12 | |
| Sullivan Park Care Center | 2.9 | 11 |
| Aurora Valley Care | 5.2 | 34 |
| Sunshine Health & Rehab | 5.6 | 9 |
| Idaho State Veterans Home - Post Falls | 8.1 | 12 |
| Alderwood Manor | 9.8 | 14 |
| South Hill Rehabilitation and Care Center | 12.1 | 12 |
| Spokane Veterans Home | 12.1 | 13 |
| Life Care Center of Post Falls | 12.2 | 5 |
| Rockwood South Hill | 12.4 | 13 |
| Spokane Health & Rehabilitation | 12.9 | 38 |
| Royal Park Health and Rehabilitation | 12.9 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. 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 Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.