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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 95 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Spokane Valley Health and Rehabilitation of Cascadia (formerly Good Samaritan) receives polarized feedback, with recent reviews highlighting significant concerns regarding staffing levels and communication. While some families praise the facility for its cleanliness and compassionate individual staff members, others report serious issues with neglect, medication management, and difficulty reaching administration for updates on loved ones.
Quality Themes
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Concerns
Rating Trends
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Distribution · 72 analyzed
This facility responds to some reviews.
Personalized based on this facility's data
Key Review Excerpts
“The one thing that shocked me was that the food was very good. It was never just slopped on the plate. The rooms are nice & roomy and you don't have to share a room.”
“It’s unfortunate, that the facility doesn’t have enough staff to attend seniors with a good service , these people are paying a great amount of money per month to have a decent service , there are nurses that have no intentions to help them.”
“The nurses that are traveling nurses are great! Kind, efficient, no bad treatment. Often the ones who work there are rude to the patient.”
Resident outcomes compared with national, state, and local averages · 17 measures
3
measures
12
measures
2
measures
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has a concerning pattern of complaints from families, with 27 of 79 deficiencies triggered by reports of problems. Key recurring issues include medication management errors, inadequate nursing care and staffing, and problems with basic daily care assistance. Recent complaints in 2024-2025 involved serious concerns about abuse protection, nursing staffing levels, and medication safety, though the facility has provided correction dates for all cited deficiencies.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Quality of Life and Care Deficiencies
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.
Egress Deficiencies
Install resident room doors of proper design and width.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Federal Penalties
Fine
Nov 6, 2023
$3,529
Fine
Oct 18, 2023
$18,233
Fine
Aug 14, 2023
$2,098
Fine
Jul 17, 2023
$3,174
Spokane Valley Health and Rehabilitation of Cascad
for profit
Cascadia Healthcare
45 facilities nationwide
Chain avg rating: 3.2/5 · Rank 33 of 43
Owners
Cascadia Washington Operations LLC
Owner · Organization
Cascadia Hc Group LLC
Owner (parent company) · Organization
Cascadia Healthcare LLC
Owner (parent company) · Organization
Cascadia Holdco LLC
Owner (parent company) · Organization
Hammond, Owen
Owner (parent company)
Laforte, Stephen
Owner (parent company)
Nelson, Timothy
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
95 reviews from families & visitors
Official Website
Visit spokanehealthandrehabofcascadia.com
Medicare data downloads
Original nursing home datasets
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