Spokane Valley Health and Rehabilitation of Cascad
EAST 17121 EIGHTH AVENUE, Spokane Valley, WA 99016
Spokane Valley, Washington · CMS verdict
CMS places Spokane Valley Health and Rehabilitation of Cascad in the below-average range on the federal scale, and below the Washington average of 3.2.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Spokane Valley Health and Rehabilitation of Cascad in Spokane Valley, Washington holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 28 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
Its CMS deficiency count sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 28 is built
Each segment is a dimension's weighted points toward the score, summing to 28.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Spokane Valley Health and Rehabilitation of Cascad's heavier CMS deficiency book
Quality ratings
On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to Washington.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Spokane Valley, Washington. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 94% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Same-ownership peers
Within Washington, Spokane Valley Health and Rehabilitation of Cascad is one of 65 for profit - corporation nursing homes CMS rates. Its 2-star overall rating sits below the for profit - corporation-segment average of 3.1 stars, ahead of roughly 17% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Spokane Valley Health and Rehabilitation of Cascad's lower-tercile stars compare to Washington
CMS five-star sub-ratings (0–5) for this facility against the Washington facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Washington state average. Higher is better on all four CMS measures.
Where Spokane Valley Health and Rehabilitation of Cascad ranks in Washington
Among the 192 CMS-rated nursing homes in Washington, Spokane Valley Health and Rehabilitation of Cascad’s 2-star overall rating is higher than 14% of them. The bars show how all Washington homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
42 Washington homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 97 |
| Residents | 91 |
| Ownership | For profit - Corporation |
| County | Spokane |
| Penalties | 5 |
| Deficiencies | 55 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Spokane Valley Health and Rehabilitation of Cascad's inspection record
What is the quality rating for Spokane Valley Health and Rehabilitation of Cascad? ▾
2 out of 5 stars is Spokane Valley Health and Rehabilitation of Cascad's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the Washington average.
How much does a nursing home cost per month in Washington? ▾
The median cost for a semi-private nursing home room in Washington is $13,155 per month ($157,859 annually). A private room averages $15,969 per month. Costs are from the CareScout 2025 survey.
What services does Spokane Valley Health and Rehabilitation of Cascad offer? ▾
Spokane Valley Health and Rehabilitation of Cascad is a skilled nursing facility. CMS Care Compare does not list individual services or therapies, so ask the facility directly which it provides. Its bed capacity, census, and ownership type are in the Facility details table on this page.
Does Spokane Valley Health and Rehabilitation of Cascad have any deficiencies or penalties? ▾
Spokane Valley Health and Rehabilitation of Cascad has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Washington? ▾
In Washington, alternatives include assisted living ($7,600/mo), home health aides ($8,580/mo), and adult day care ($5,395/mo).
Keep reading
Also see the Washington elder-care overview and highest-rated states. Provider ID: 505099.
Read our methodology - how this data is sourced, computed, and verified.