With a score of 24/100, Spokane Valley Health And Rehabilitation Of Cascad ranks in the bottom tier of Washington nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Spokane Valley Health And Rehabilitation Of Cascad is near the national average, with 3.75 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 54 deficiencies at Spokane Valley Health And Rehabilitation Of Cascad. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.75 | 3.8 | Average |
| Registered Nurses (RN) | 0.81 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.85 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.09 | 2.4 | Below Average |
| Weekend Total Nursing | 3.25 | 3.8 | Below Average |
| Weekend RN Hours | 0.58 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nov 23, 2025 · Nursing and Physician Services Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Nov 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Nov 11, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Nov 11, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.3% | 4.5% | Better |
| Falls with major injury | 3.3% | 3.0% | Worse |
| On antipsychotic medication | 23.0% | 14.5% | Worse |
| Urinary tract infections | 2.7% | 2.5% | Average |
| ADL decline (daily activities) | 25.7% | 14.0% | Worse |
| Excessive weight loss | 9.8% | 7.5% | Worse |
| New/worsened incontinence | 28.9% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $53,866
How This Grade Was Calculated
This facility's grade of F is based on a score of 24 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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