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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Royal Park Health and Rehabilitation

7411 North Nevada · Spokane, WA 99208 · 164 certified beds

5094892273

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1154035327. Look this up in the CMS NPPES registry (opens in a new tab)

Are you the operator? Claim this profile. Corrections are free, always.

About Royal Park Health and Rehabilitation

Royal Park Health and Rehabilitation is a nursing home in Spokane, Washington. Public records list 164 beds. Ownership records list a for-profit operator and tie the listing to Evergreen Healthcare Group. It is Medicare certified. We hold 62 inspection citations for this listing, the most recent dated 5 May 2026. CMS also lists 4 fine or payment denial actions against it. Reported staffing works out to 3.82 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.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

3.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

3.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

48

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

48

3.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

3.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

48

Inspection history (62)

Records from May 2022 to May 2026.

  • May 5, 2026 · D

    Citation F0812

    Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-06-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOV

  • May 5, 2026 · D

    Citation F0760

    Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-06-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOV

  • May 5, 2026 · D

    Citation F0810

    Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0810 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide special eating equipment and utensils for residents who need them and appropriate assistance. The deficiency was recorded as corrected on 2026-06-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOV

  • May 5, 2026 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2026-06-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOV

  • May 5, 2026 · D

    Citation F0657

    Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0657 (CMS scope/severity D: isolated, 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 2026-06-04. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOV

  • May 5, 2026 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-06-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOV

  • May 5, 2026 · D

    Citation F0677

    Federal surveyors cited this nursing home on 2026-05-05 under CMS tag F0677 (CMS scope/severity D: isolated, 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 2026-06-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-05.GOV

  • September 9, 2025 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2025-09-09 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 2025-09-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-09.GOV

  • July 16, 2025 · G

    Citation F0691

    Federal surveyors cited this nursing home on 2025-07-16 under CMS tag F0691 (CMS scope/severity G: isolated, actual harm) for Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. The deficiency was recorded as corrected on 2025-07-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-16.GOV

  • June 9, 2025 · D

    Citation F0677

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0677 (CMS scope/severity D: isolated, 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 2025-06-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • April 14, 2025 · G

    Citation F0697

    Federal surveyors cited this nursing home on 2025-04-14 under CMS tag F0697 (CMS scope/severity G: isolated, actual harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2025-04-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-14.GOV

  • April 14, 2025 · G

    Citation F0689

    Federal surveyors cited this nursing home on 2025-04-14 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-04-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-14.GOV

  • January 17, 2025 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-02-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

  • January 17, 2025 · D

    Citation F0760

    Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

  • January 17, 2025 · E

    Citation F0804

    Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2025-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

  • January 17, 2025 · F

    Citation F0887

    Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0887 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. The deficiency was recorded as corrected on 2025-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

  • January 17, 2025 · D

    Citation F0756

    Federal surveyors cited this nursing home on 2025-01-17 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 2025-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

  • January 17, 2025 · D

    Citation F0847

    Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0847 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. The deficiency was recorded as corrected on 2025-02-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

  • January 17, 2025 · E

    Citation F0585

    Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2025-02-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

  • January 17, 2025 · D

    Citation F0676

    Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0676 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2025-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

Penalties (4)

Total fines on file: $111,830

  • June 9, 2025 · Fine

    Citation FINE-138093

    CMS recorded a civil money penalty of $14,505 against this nursing home on 2025-06-09 (Fine ID: 138093). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • April 14, 2025 · Fine

    Citation FINE-134344

    CMS recorded a civil money penalty of $34,356 against this nursing home on 2025-04-14 (Fine ID: 134344). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-14.GOV

  • August 2, 2024 · Fine

    Citation FINE-43660

    CMS recorded a civil money penalty of $54,145 against this nursing home on 2024-08-02 (Fine ID: 43660). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-02.GOV

  • January 26, 2024 · Fine

    Citation FINE-43578

    CMS recorded a civil money penalty of $8,824 against this nursing home on 2024-01-26 (Fine ID: 43578). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-26.GOV

Staffing

Latest: 3.82 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.81 hrs/resident/day
  2. 2026-06-013.81 hrs/resident/day
  3. 2026-07-013.82 hrs/resident/day
  4. 2026-08-013.82 hrs/resident/day
  5. 2026Q13.82 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Evergreen Healthcare Group

Chain ID 846 · 44 facilities in chain (CMS)

  • Chain average overall rating: 2.5
  • Chain average health inspection rating: 2.4
  • Chain average staffing rating: 3.3
  • Chain average quality measure rating: 3

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.

Recent changes to this listing

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.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. 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.

Typical cost

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/mo
See full WA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

What Medicaid pays nursing homes

Washington 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.

Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV

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.

Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV

Nearby alternatives

Other licensed providers in Spokane, with their own public records.

Compare side by side
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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.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Trust & methodology

Where this information came from

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.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Royal Park Health and Rehabilitation in Spokane, WA · ElderCareCosts