Spokane Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Spokane Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Apr 24, 2025

  Based on observation, interview, and record review the facility failed to consistently and accurately assess residents smoking abilities and implement safety interventions to prevent smoking related injuries for 3 of 3 sampled residents (Resident 73, 86 and 461), reviewed for smoking. The failure to accurately assess residents' smoking abilities and implement safety interventions to prevent smoking related injuries represented an immediate jeopardy (IJ). On 04/15/2025 at 5:21 PM, the facility was notified of the identified IJ related to F689 CFR S483.25 Accidents and Supervision. […]

• Actual harm, isolatedF686Aug 8, 2025

  Based on observation, interview, and record review, the facility failed to provide pressure reducing measures to prevent the development or worsening of a pressure ulcer/injury for 3 of 3 Residents (Residents 1, 2, and 3) reviewed for pressure ulcer/injury (areas of damaged skin and tissue caused by sustained pressure). Resident 1 experienced harm when they developed Stage 3 (a full thickness skin loss potentially extending into the subcutaneous tissue layer) pressure ulcer to their left heel and that required debridement. […]

• Actual harm, isolatedF684Mar 25, 2025

  Based on interview and record review, the facility failed to order labs on admission, to act timely in accordance with professional standards for critical lab results and medical provider orders for 1 of 3 residents (Resident 1) reviewed for quality of care. Resident 1 experienced harm when they had the change in condition that required transfer to the hospital for treatment and were diagnoised with acute kidney failure. These failures placed residents at risk for unintended health consequences and decreased quality of life. Findings included . Record review showed that on [DATE] Resident 1 admitted from the hospital to the facility. […]

• Actual harm, isolatedF689Jan 19, 2024

  Based on observation, interview and record review, the facility failed to evaluate the effectiveness of interventions implemented to prevent accidents to determine if supervision or other interventions were needed to prevent accidents for 2 of 5 sampled residents (Resident 1 and 65), reviewed for accidents. Specifically, Resident 65 was not evaluated for the need for additional supervision after an unwitnessed fall occurred while using the bathroom, then harm w when they fell under similar circumstances four days later which resulted in a broken left femur. […]

• Actual harm, isolatedF692Jan 19, 2024

  Based on observation, interview, and record review, the facility failed to ensure weights were consistently obtained and acceptable parameters of nutrition were maintained for 3 of 10 sampled residents (Residents 9, 65 and 429) reviewed for nutrition. Resident 65 experienced harm when they experienced a significant weight loss, over 25% of their weight from 11/21/2023 to 01/12/2024, when their weight was not consistently and accurately obtained, staff did not provide consistent assistance and cueing with eating, and weight loss was not reported timely to the provider. […]