CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Washington. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Spokane Valley Health and Rehabilitation of Cascad is a 1-star Medicare and Medicaid certified nursing home in Spokane Valley, Washington with 97 certified beds. It has been operating since 1967. Its overall CMS rating is 1 out of 5.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
+ 22 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CASCADIA WASHINGTON OPERATIONS LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 2023 |
| CASCADIA HC GROUP LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 5, 2025 |
| CASCADIA HEALTHCARE LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 2023 |
| CASCADIA HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 5, 2025 |
| HAMMOND, OWEN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 1, 2023 |
| LAFORTE, STEPHEN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jun 5, 2025 |
| NELSON, TIMOTHY | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jun 5, 2025 |
| SPOKANE VALLEY 17121 REALTY, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jun 5, 2025 |
| WHITE OAK HEALTHCARE FINANCE LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Aug 11, 2022 |
| CASCADIA SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Nov 30, 2022 |
| BARRETT, JORDAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2025 |
| HAMMOND, OWEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2023 |
| LAFORTE, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| MEZA, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 30, 2022 |
| NELSON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| CASCADIA SERVICES LLC | ADP OF THE SNF | Organization | N/A | Feb 12, 2025 |
| SPOKANE VALLEY 17121 REALTY, LLC | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| BARRETT, JORDAN | ADP OF THE SNF | Individual | N/A | Oct 16, 2025 |
| MEZA, MICHAEL | ADP OF THE SNF | Individual | N/A | Feb 12, 2025 |
Compare CMS ratings and recorded fines for Spokane Valley Health and Rehabilitation of Cascad and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 45 facilities. View all →