Spokane Health & Rehabilitation
North 6025 Assembly, Spokane, WA, 99205
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Hill Valley Healthcare
- Certified beds
- 125 · avg 116 residents/day
- Total nursing staff turnover
- 65.5% — higher than most Washington nursing homesWashington avg: 45.9% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 46.7% — near the Washington averageWashington avg: 46.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Washington averageWashington avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $158,341 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 505322
- Certified beds
- 125 beds · avg 116 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Winston Snf Operations Llc
- Chain affiliation
- Hill Valley Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Hill Valley Healthcare chain — 44 facilities across 7 states. Chain-wide average overall rating 2.0 / 5.
Disclosed owners (10 on record)
- Shimon Idels
Corporate Officer · 100% · since 2023
- Steven a Schwartz
Corporate Officer · 100% · since 2023
- Daniel a Gottesman
Other · since 2023
- Heather Bennet-idels
Other · since 2023
- Lion 26 Holdings Llc
5% or Greater Indirect Ownership Interest · 49% · since 2023
- Sabrina 1818 Holdings Llc
5% or Greater Indirect Ownership Interest · 49% · since 2023
+ 4 additional owners on the federal record.
Recent change of ownership
April 2023 (3 years ago) · acquired from Promedica Skilled Nursing And Rehabilitation (spokane)
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 100)
- D0684·Mar 5, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- G0686·Aug 8, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0725·Jul 25, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F0725·Apr 24, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- L0689·Apr 24, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0658·Apr 24, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- E0572·Apr 24, 2025Complaint
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
- D0921·Apr 24, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal penalties
By year
- 20252 fines · $114K · 1 payment denial
- 20231 fine · $44K
Most recent events
- Jul 25, 2025Fine · $60K
- Jan 23, 2025Payment denial · 48 days · starting Apr 23, 2025
- Jan 23, 2025Fine · $55K
- Dec 20, 2023Fine · $44K
Largest single fine on record: $60K.
Fire-safety citations
35 Life-Safety-Code citations on file. Most recent: Apr 24, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Spokane Health & Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.