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.
April 24, 2025 · E
Citation F0730Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0730 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. 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 F0579Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0579 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide information about how to apply for and use Medicare and Medicaid benefits. 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 F0657Federal surveyors cited this nursing home on 2025-04-24 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 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 F0732Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0732 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. 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 F0801Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0801 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. 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 F0880Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. 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 F0572Federal surveyors cited this nursing home on 2025-04-24 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 2025-06-10. 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 F0645Federal surveyors cited this nursing home on 2025-04-24 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 2025-06-10. 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 F0806Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. 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 F0908Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0908 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep all essential equipment working 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 F0727Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. 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 F0804Federal surveyors cited this nursing home on 2025-04-24 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 2025-06-10. 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 F0843Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0843 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. 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 F0867Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. 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 F0881Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0881 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. 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 F0761Federal surveyors cited this nursing home on 2025-04-24 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 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 F0883Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. 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 F0919Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0919 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. 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 · L
Citation F0689Federal surveyors cited this nursing home on 2025-04-24 under CMS tag F0689 (CMS scope/severity L: widespread, immediate jeopardy) 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 2025-06-10. 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 F0725Federal surveyors cited this nursing home on 2025-04-24 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 2025-06-10. 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
Request info and we'll pass it directly to Spokane Health & Rehabilitation, or call them at 5093268282 if you'd rather talk now.
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.