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 23 of 23 citations

  1. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 18, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  3. 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 April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

  7. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

  9. 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 April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  12. 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 July 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of June 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2024).

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

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of May 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 17, 2024).

  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 April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

  17. 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 April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2023).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

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

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

  22. 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 April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 10, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.