Nursing Homes · Spokane, WA
Alderwood Manor
Cost data not yet available
SOURCE DATA AUG 2026
Nursing Homes · Medicare certified
Spokane Health & Rehabilitation
North 6025 Assembly · Spokane, WA 99205 · 125 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1306544325. 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 Spokane Health & Rehabilitation
In Spokane, Washington, Spokane Health & Rehabilitation is listed as a nursing home. Public records list 125 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Hill Valley Healthcare. We hold 100 inspection citations for this listing, the most recent dated 5 March 2026. CMS also lists 4 fine or payment denial actions against it. Reported staffing works out to 3.55 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
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
89
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
2.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
91
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
88
Inspection history (100)
Records from September 2022 to March 2026.
March 5, 2026 · D
Citation F0684Federal surveyors cited this nursing home on 2026-03-05 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-05.GOVAugust 8, 2025 · G
Citation F0686Federal surveyors cited this nursing home on 2025-08-08 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-09-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-08.GOVJuly 25, 2025 · E
Citation F0725Federal surveyors cited this nursing home on 2025-07-25 under CMS tag F0725 (CMS scope/severity E: pattern, 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 2025-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-25.GOVApril 24, 2025 · E
Citation F0622Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0622 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · D
Citation F0695Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · E
Citation F0655Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0655 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · E
Citation F0656Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · E
Citation F0658Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · D
Citation F0696Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0696 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care/assistance for a resident with a prosthesis. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · E
Citation F0552Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0552 (CMS scope/severity E: pattern, 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 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · E
Citation F0582Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0582 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · D
Citation F0554Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · D
Citation F0584Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0584 (CMS scope/severity D: isolated, 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 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · F
Citation F0623Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0623 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · E
Citation F0625Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0625 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · E
Citation F0578Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0578 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · F
Citation F0620Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0620 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · D
Citation F0698Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0812 (CMS scope/severity E: pattern, 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 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOVApril 24, 2025 · D
Citation F0921Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2025-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-24.GOV
Penalties (4)
Total fines on file: $137,457
July 25, 2025 · Fine
Citation FINE-138374CMS recorded a civil money penalty of $38,786 against this nursing home on 2025-07-25 (Fine ID: 138374). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-25.GOVJanuary 23, 2025 · Payment Denial
Citation PAYDEN-2025-04-23CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2025-04-23, lasting 48 days (triggered by inspection on 2025-01-23). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOVJanuary 23, 2025 · Fine
Citation FINE-43696CMS recorded a civil money penalty of $54,581 against this nursing home on 2025-01-23 (Fine ID: 43696). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-23.GOVDecember 20, 2023 · Fine
Citation FINE-43565CMS recorded a civil money penalty of $44,090 against this nursing home on 2023-12-20 (Fine ID: 43565). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-20.GOV
Staffing
Latest: 3.55 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.46 hrs/resident/day
- 2026-06-013.46 hrs/resident/day
- 2026-07-013.55 hrs/resident/day
- 2026-08-013.55 hrs/resident/day
- 2026Q13.55 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.10 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Hill Valley Healthcare
Chain ID 270 · 43 facilities in chain (CMS)
- Chain average overall rating: 1.8
- Chain average health inspection rating: 1.7
- Chain average staffing rating: 2
- Chain average quality measure rating: 3.7
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.
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.
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/moSee 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.
Nursing Homes · Spokane, WA
Aurora Valley Care
Cost data not yet available
Nursing Homes · Spokane, WA
Avalon Care Center at Northpointe
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.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Spokane Health & Rehabilitation
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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.