In their own words
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The record
CMS Care Compare · Aug 2026| Overall | ★☆☆☆☆ 1 of 5 |
| Health inspection | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
Staffing · hours per resident per day
Medication & safety · share of long-stay residents
| Federal fines | $21,762 · 2 penalties |
| Abuse icon | Not flagged |
| Conflict flags in latest reconcile | 3 |
WA does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.
What the pattern says
Palmelle pattern checks · v1Mixed — worth touring with these questions in hand.
- Antipsychotic use runs high. 21% of long-stay residents are on antipsychotics against a 14% national median — ask what share have a qualifying diagnosis.
- $21,762 in federal fines. 2 penalties in the last 36 months — the citation detail is in the record above.
These checks are computed the same way for every facility. Good patterns and bad ones both print.
Nearby & comparable
Same records, same rulesQuestions families ask
What is the CMS rating for SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD?
SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD has an overall CMS Care Compare rating of 1 out of 5 stars.
Has SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD been cited for resident harm?
SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD has $21,762 in federal fines across 2 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.