Spokane Health & Rehabilitation

    6025 N Assembly St, Spokane, WA, 99205
    3.6 · 75 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Excellent therapy but staffing concerns

    My experience was mixed. The PT/OT team and many nurses/CNAs were exceptional - compassionate, professional, and the facility was clean, peaceful and rehab-focused - but chronic understaffing, high turnover, poor management and frequent agency nurses led to medication delays, safety/neglect incidents (ignored call lights, a fall, missed care), theft and billing problems. I'd use it for short-term rehab if therapy is the priority, but only with close advocacy and caution.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.59 · 75 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      3.6
    • Meals

      2.8
    • Amenities

      3.0
    • Value

      1.8

    Pros

    • Compassionate nursing staff
    • Caring certified nursing assistants / aides
    • Strong physical and occupational therapy teams (MedBridge unit)
    • Effective rehabilitation program with measurable progress
    • Clean, well-maintained facility and grounds
    • Attentive environmental services / housekeeping
    • Friendly front desk and administrative staff
    • Dedicated recreation / therapy activities and activity director
    • Variety of activities (therapy dogs, church services, social events)
    • Family-friendly visitation policies and ample parking
    • On-site personal grooming services (hairdresser, nail painter)
    • Timely wound care and medication (reported by many families)
    • 24/7 nursing coverage reported
    • Supportive discharge planning and home transition guidance
    • Hospice and pastoral support available
    • Personalized, warm interactions and emotional support from staff
    • Rehab training and home-care guidance for families
    • Peace of mind for families during end-of-life care

    Cons

    • Inconsistent care quality across stays and units
    • Chronic understaffing and high staff turnover
    • Heavy reliance on agency/temporary nurses
    • Medication errors, delays, and dispensing issues
    • Poor communication between nursing, therapists, and physicians
    • Incidents of neglect (missed repositioning, hygiene failures)
    • Serious safety incidents (falls, roommate death, feeding tube disconnection)
    • Infections and medical deterioration reported (UTI, MRSA, dehydration, kidney failure, malnutrition)
    • Management indifference or slow responsiveness to complaints
    • Staff unprofessionalism (arguing, gaslighting, sleeping or gaming on shift)
    • Billing disputes, insurance issues, and alleged fraudulent billing
    • Weak weekend staffing and reduced coverage
    • Dietary shortcomings (poor diabetic options, high-carb meals)
    • Insufficient experience with bariatric patients
    • Long call light response times
    • Variable physician/medical oversight and inconsistent medical teams
    • Corporate ownership changes affecting perceived care
    • Bed hold / hospitalization policy problems
    • Security and safety concerns (theft by staff reported)
    • Privacy issues and poor roommate management
    • Inconsistent personal care (dressing, bathing, toileting assistance)
    • Supply shortages (narcotics/medications out of stock)
    • Staff drama/hostility impacting care environment
    • Allegations of negligence contributing to death
    • Poor coordination with dietician and nutritional management
    • Training gaps when experienced staff retire
    • Documentation and certification problems (death certificate issues)
    • Perceived value concerns relative to cost and billing
    • Occasional poor meal quality and limited menu options

    Summary review

    Overall sentiment across the reviews is strongly mixed: many families and patients offer high praise for the staff, especially therapy teams and direct-care aides, while a substantial number of reviews report serious systemic and safety concerns. The facility consistently receives commendations for compassionate bedside caregivers, effective PT/OT/rehabilitation outcomes (many specifically praise the MedBridge unit), cleanliness, and a welcoming, activity-rich environment. At the same time, there are repeated, detailed accounts of medication errors, neglect, poor communication, and incidents that raised critical safety questions. The result is a pattern of excellent pockets of care coexisting with significant reliability and management issues.

    Strengths: Multiple reviews highlight standout departments and employees. Physical and occupational therapy staff are repeatedly described as hardworking, skilled, and instrumental in rapid functional improvement (examples include patients reducing or eliminating use of walkers in days). Nursing assistants and many nurses are characterized as compassionate, dignified, and attentive — providing personal touches such as hair care, reminders, and emotional support. Housekeeping and environmental services are often praised for keeping the facility clean and odor-free. Recreational programs, visiting therapy dogs, church services, an accommodating activity director, and on-site grooming services contribute to a positive social environment and give families peace of mind. Several reviewers specifically credit the facility with strong discharge planning, home-care training, and hospice/pastoral support for end-of-life comfort.

    Clinical and operational positives: Short-term rehab experiences are frequently described as excellent — measurable progress, focused rehab plans, and effective training for families to continue care at home. Many reviewers note timely wound care and medication administration, 24/7 nursing coverage, friendly administrative staff, and a generally home-like, well-kept environment that made visits easy (ample parking, one-level layout, scenic grounds). Several families explicitly say they would recommend ManorCare for rehab and praise specific clinicians, nurses, and therapists by name.

    Recurring and serious concerns: A substantial cluster of reviews documents operational failures with safety implications. Common themes include chronic understaffing and high turnover, meaning frequent use of agency nurses who may be unfamiliar with residents and facility procedures. Medication management problems are reported repeatedly: delays in administering meds, medication errors, and inconsistent med cart practices by agency staff. Communication breakdowns among nursing, therapy, and medical teams are frequently cited, leading to missed or conflicting orders, delayed treatments, and family frustration. Several reports describe neglectful incidents (left in bathroom for extended periods, soaked briefs not changed, missed repositioning) and hygiene failures that led to bedsores or worsening conditions. There are also multiple allegations of very serious adverse outcomes — infections (UTI, MRSA), dehydration, kidney failure, malnutrition — and at least a few accounts linking poor care to patient deaths. These accounts include claims of misattributed causes on death paperwork and unprofessional behaviors during critical events.

    Management, ownership, and systemic issues: Several reviewers attribute part of the decline in consistency to changes in ownership or corporate-level decisions, staffing policies, and financial motives. Problems noted include indifferent or slow administrative responses to complaints, billing disputes and insurance issues (including allegations of fraudulent billing), and weekend staffing shortfalls. Staff morale and culture problems are also mentioned — drama, hostility, and reports of staff sleeping or gaming on shift. These systemic problems appear to create variability: some units and time periods deliver excellent care, while others fall far short of standards. The presence and involvement of medical leadership varies by report: some cite high-caliber doctors and an on-site ARNP or medical director, while others describe lapses in physician oversight and episodes where medical teams 'failed to provide care.'

    Dining and nutrition: Opinions on dining are mixed. Some reviewers praise timely, warm meals and accommodating kitchen staff (even supplying requested items like grilled cheese), while others report poor meal quality, lack of diabetic-appropriate options, slow access to sugar-free or specialty items, and poor dietician coordination. Nutrition concerns intersect with reported clinical deterioration in a few cases (malnutrition, weight loss), suggesting this is an area that may need closer scrutiny for vulnerable residents.

    Variability over time and units: A notable pattern is variability by unit, time, and individual staff. Many positive reports reference the MedBridge rehab wing and specific named staff, whereas negative reports often concern other units, nights/weekends, or periods after staff retirements and management changes. This implies that families may have very different experiences depending on placement and timing. Several reviews specifically recommend the MedBridge unit for short-term rehab while cautioning about long-term placement due to staffing and oversight inconsistencies.

    Practical takeaways: The facility has clear strengths in rehabilitation, compassionate direct caregivers, cleanliness, and activities — attributes that produce strong positive outcomes for many short-term rehab patients. However, recurring reports of medication management issues, understaffing, agency dependence, poor communication, neglect incidents, and management or billing problems present serious risks, particularly for medically complex or vulnerable long-term residents. Prospective residents and families should weigh the strong rehabilitation reputation and warm caregiving against the documented variability and safety concerns. If choosing this facility, families should advocate proactively: verify staffing levels for the intended unit and time of stay, clarify medication and medical oversight protocols, confirm diabetic/nutritional accommodations, understand bed-hold and Medicare policies, and arrange frequent communication with the care team. Checking recent, unit-specific experiences and asking for named clinical contacts (therapists, nurse manager, medical provider) may help mitigate some of the variability documented in these reviews.

    Location

    Map showing location of Spokane Health & Rehabilitation

    About Spokane Health & Rehabilitation

    Spokane Health & Rehabilitation sits at 6025 N Assembly St in Spokane, Washington, where you'll find a place offering skilled nursing, rehabilitation, assisted living, independent living, home care, memory care, and senior apartments, and folks will also notice there are shared neighborhood homes for people needing a live-in caregiver, so there's some flexibility with living arrangements, and the facility is open all day and night, every day, with 24/7 nursing and personal care, which comes in handy for people who need help any time. There's a lot of experienced healthcare staff, somewhere in the ballpark of 51 to 200 employees, and they're known for being friendly-awards have even recognized them as the Most Friendly, and best activities awards point to their attention to keeping people socially, physically, mentally, and emotionally active, plus nutritious meals planned and cooked by chefs have won their own recognition for quality and taste, and folks can eat in the dining room or enjoy meals in their own rooms if that suits them better.

    Comfortable living spaces have been spruced up with recent renovations, and there's a patio garden, rehab gym, outdoor recreation area, beauty and barber shop, library, and even transportation and pastoral support, so residents have options for social visiting or keeping active and engaged, and for those who need extra help, things like wound care, post-surgical care, hospice, palliative care, and specialized therapy services-including occupational, physical, and speech therapy-are available along with care for cancer, bariatric needs, pulmonary issues, orthopedic rehab, tracheostomies, dementia, and Alzheimer's. With 125 licensed and Medicare beds, the state-of-the-art facility focuses on high standards and has been recognized by U.S. News & World Report as one of the best for 2024, with a "People First" philosophy that means the staff puts attention on personal, high-quality care and tailors support to each person's needs, no matter if they're there for short-term rehab, long-term care, or specialized memory care.

    Manor Care and Manorcare Health Services-Spokane operate the services, and Hill Valley Healthcare, LLC owns the property with Lisa Parker as the administrator, so there's clear management, and the facility covers a lot, from comprehensive rehab to ongoing long-term stays, all while aiming to keep residents comfortable, supported, and as independent as possible, with programs and support that focus on social life, physical movement, and well-being for people in every stage of needing care.

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