All citations for Spokane Valley Health and Rehabilitation of Cascad

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Spokane Valley Health and Rehabilitation of Cascad

Last standard health inspection on record

November 24, 2025

Showing 1 to 25 of 26 citations

  1. No harm, with potential for more than minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of May 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  2. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  3. No harm, with potential for more than minimal harm

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  4. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  5. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  7. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  8. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  10. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  11. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  12. No harm, with potential for more than minimal harm

    Install resident room doors of proper design and width.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0233, Egress Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  13. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  14. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  15. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of November 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  16. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 24, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  17. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  18. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  19. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  20. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  21. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  23. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  24. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  25. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.