Spokane Valley Health and Rehab of Cascadia

    17121 E 8th Ave, Spokane, WA 99016
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Exceptional staff and compassionate care

    I placed my relative here and have been very pleased. The staff are exceptional-skilled, compassionate RNs/CNAs (Mickie and Meagan were especially thoughtful) and seamless transportation by John Amaya. The facility is spotless, well-maintained, and set on a lovely wooded hill with cottage and multi-tier housing options, plenty of activities, attentive chefs, and a warm, family atmosphere. Care was excellent through difficult times, coverage options made it affordable, and my loved one adjusted quickly. I highly recommend it-very few minor quibbles aside.

    Loved one of resident
    Jul 2026

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    Reviews

    3.87·(93)

    Overall rating

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

      3.6
    • Staff

      3.6
    • Meals

      3.3
    • Amenities

      3.7
    • Value

      2.9

    Pros

    • Compassionate and attentive nursing staff
    • Skilled RNs and CNAs on-site
    • Supportive end-of-life and hospice care
    • Clean and well-maintained building interiors
    • Scenic grounds and attractive views
    • Multiple living options including cottages and private rooms
    • Acceptance of Medicaid and Social Security coverage
    • Seamless transportation services
    • Active community events and furnished community center
    • Reasonable pricing and tiered accommodation options
    • Efficient admissions experience when available
    • Supplemental travel nurses who provide experienced clinicians

    Cons

    • Understaffing and high staff turnover
    • Inconsistent staff conduct and family communication
    • Gaps in medication-management and clinical monitoring
    • Inconsistent infection-control and wound-care processes
    • Delayed response times to resident assistance requests
    • Inconsistent rehabilitation and therapy availability tied to payer
    • Small apartment footprints and limited common-area capacity
    • Aging building systems (drafty windows, narrow elevators)
    • Opaque admissions fees and nonrefundable waitlist policies
    • Inconsistent payroll and employee-compensation practices
    • Variable meal quality and portioning
    • Community trust and governance concerns

    Summary of reviews

    Overall impression: Reviews describe a facility with strong caregiving strengths alongside persistent operational weaknesses. Many families and residents praise the bedside care, particularly from skilled RNs, CNAs and supplemental travel nurses; end-of-life and hospice support receives repeated positive mention. At the same time, recurring themes point to variability in day-to-day execution that affects clinical safety, responsiveness and family communication.

    Care and clinical oversight: Clinical skill is present in the facility—several accounts describe knowledgeable, compassionate nursing and positive outcomes during rehabilitation and palliative episodes. However, reviewers also describe gaps in medication-management, wound care and infection-control processes, and delayed escalation in some urgent situations. Rehabilitation and therapy availability appears to be inconsistent and in some cases is affected by payer constraints (for example, changes after Medicaid transitions), which has led to reduced therapy services for some residents.

    Staff and communication: Staff behavior and communication are among the most polarized topics. Many reviewers describe attentive, professional and helpful staff who supported families through difficult times. Conversely, other reviews document incidents of poor tone, slow responsiveness and inconsistent updates to families. High staff turnover and reliance on agency personnel are cited as contributors to variable care continuity. Payroll and employee-compensation practices are also a recurring concern, with several accounts describing confusing bonus or pay arrangements that affected staff morale and trust.

    Dining and activities: The facility offers regular activities and an active community center; grounds and seasonal landscaping are appreciated. Dining experiences are mixed: some residents and families praise meals and attentive dietary staff, while others describe small portions, inconsistent meal quality and limited fresh fruit availability. Allergy awareness and individualized dietary support are highlighted as a positive in some reports.

    Facilities and accommodations: The campus has appealing outdoor settings and a range of accommodation tiers, including cottages and private rooms, which many find attractive and well suited to needs and budgets. At the same time, the main building shows constraints — apartments described as compact, narrow hallways, small elevators and drafty windows indicate aging infrastructure and limited communal capacity. Cottage expansion plans and scenic hilltop location are positives for some, but the site topology has raised concerns about drainage and development impact for others.

    Management and governance: Admissions, billing and administrative transparency are frequent areas of concern. Specific practices cited include a nonrefundable waitlist fee, inconsistent wait-time communication, and confusing admissions or bonus terms for staff. A small number of reviews raise questions about broader governance or financial practices; those are serious claims that reviewers requested be clarified by oversight or management. Families also noted variability in how administrative staff handle inquiries and updates, which affects trust and satisfaction.

    Notable patterns for prospective families: Strengths center on compassionate clinical caregivers, a clean environment and a range of living options with community programming. Recurrent weaknesses are operational: understaffing, inconsistent communication and variability in clinical follow-through. Prospective residents and families should consider a targeted tour focusing on staffing ratios for the unit of interest, current therapy availability under their expected payer, explicit written clarification of admission fees and waitlist policies, and a review of recent inspection or oversight records to address governance concerns prior to commitment.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Spokane Valley Health and Rehab of Cascadia

    Spokane Valley Health and Rehab of Cascadia is located at 17121 E 8th Ave, Spokane, WA, 99016.

    About Spokane Valley Health and Rehab of Cascadia

    Spokane Valley Health and Rehab of Cascadia sits in a quiet part of Spokane Valley, where folks can get care in a comfortable, homey place while still being close to city resources, and you'll find it's been recently updated with better living spaces and fresh outdoor spots like patios where people can sit and enjoy the day. The facility's got 97 licensed beds, with a mix of semi-private and private rooms, and you can tell they're focused on real comfort with help for every person's needs, from simple dressing help to full personal care. This place is run by Cascadia Healthcare, which has over 30 years of experience in senior care, and they've got Medicare certification, which many families look for.

    Spokane Valley Health and Rehab offers several types of care, so if someone needs skilled nursing, assisted living, memory care for Alzheimer's or other dementias, or even independent living, the staff can help. Staff members know how to work with all levels of support, and they manage medications, meals, wound care, therapy, and personal tasks with skill and patience, and there are social workers ready to guide families through long-term care decisions. They've also made sure to offer respite care for when a caregiver needs a break, short or long term, and the rehab team is on site seven days a week, working out of their own in-house gym for physical, occupational, and speech therapy. People get custom treatment plans, and physicians help make sure care fits what each person needs, which families often appreciate.

    Meals come prepared with good ingredients, aimed at being both healthy and tasty, and daily activities run by an activities director help residents stay involved and keep moving, which sometimes earns awards for best activities. Families and residents often point out the warm, friendly feel of the staff and the attention people get, with a real sense of compassion and understanding, especially when someone's facing memory loss or longer recovery. The entire place works to keep life feeling as normal as it can, with clear routines, kind staff, and support for families-online account options and links with Meta platforms like Facebook Messenger and Instagram make staying in touch easier for families, too.

    With a suburban location and a focus on steady, skilled care, Spokane Valley Health and Rehab of Cascadia tries to support each person, whether someone's coming in for short rehab, a longer stay, memory help, or a place where they can live with a little more help than at home. The care team's got strong training and thoughtful routines, and you'll find both quiet spaces and lively programs if that's what someone enjoys. This place's real focus is on giving a sense of safety, routine, and comfort to people as they get the care they need.

    People often ask...

    Spokane Valley Health and Rehab of Cascadia offers assisted living, memory care, and skilled nursing.

    There are 1 photos of Spokane Valley Health and Rehab of Cascadia on Mirador.

    The full address for this community is 17121 E 8th Ave, Spokane, WA 99016.

    No, Spokane Valley Health and Rehab of Cascadia does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Spokane Valley Health and Rehab of Cascadia. The information above has not been verified or approved by the owner or operator. For exact information, please contact Spokane Valley Health and Rehab of Cascadia directly. There is no cost for this service. We are compensated by the community you select.

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