Alderwood Manor
Cost data not yet available
Nursing Homes · Medicare certified
414 S University Rd · Spokane, WA 99206 · 124 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1487451779. Look this up in the CMS NPPES registry (opens in a new tab)
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In Spokane, Washington, Aurora Valley Care is listed as a nursing home. Public records list 124 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Caldera Care. We hold 106 inspection citations for this listing, the most recent dated 27 May 2026. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 3.71 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
86
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
86
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
83
Records from January 2023 to May 2026.
May 27, 2026 · D
Citation F0692Federal surveyors cited this nursing home on 2026-05-27 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2026-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
April 1, 2026 · D
Citation F0755Federal surveyors cited this nursing home on 2026-04-01 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 1, 2026 · E
Citation F0584Federal surveyors cited this nursing home on 2026-04-01 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · E
Citation F0577Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0577 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · D
Citation F0687Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0687 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate foot care. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · D
Citation F0694Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0694 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · D
Citation F0756Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · E
Citation F0944Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0944 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · D
Citation F0552Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · E
Citation F0574Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0574 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for The resident has the right to receive notices in a format and a language he or she understands. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · F
Citation F0835Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · D
Citation F0849Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · E
Citation F0677Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · E
Citation F0628Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0628 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · D
Citation F0645Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · D
Citation F0690Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · E
Citation F0657Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · E
Citation F0572Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0572 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents a notice of rights, rules, services and charges. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · F
Citation F0725Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0725 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2025 · D
Citation F0791Federal surveyors cited this nursing home on 2025-09-15 under CMS tag F0791 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain dental services for each resident. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $93,457
May 9, 2024 · Fine
Citation FINE-43642CMS recorded a civil money penalty of $93,457 against this nursing home on 2024-05-09 (Fine ID: 43642). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.71 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.39 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Caldera Care
Chain ID 97 · 6 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical WA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · WA$13,155/moWashington publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Day-weighted mean daily rate
$404.31per day
That works out to about $12,291 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.
Median facility daily rate
$389.86per day
That works out to about $11,852 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.
Other licensed providers in Spokane, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
Read how we handle every file on the data sources page.