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.
January 19, 2024 · D
Citation F0550Federal surveyors cited this nursing home on 2024-01-19 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 2024-02-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-19.GOVJanuary 19, 2024 · D
Citation F0758Federal surveyors cited this nursing home on 2024-01-19 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-02-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-19.GOVJanuary 19, 2024 · D
Citation F0760Federal surveyors cited this nursing home on 2024-01-19 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 2024-02-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-19.GOVJanuary 19, 2024 · D
Citation F0686Federal surveyors cited this nursing home on 2024-01-19 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-02-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-19.GOVJanuary 19, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-01-19 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 2024-02-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-19.GOVDecember 20, 2023 · D
Citation F0600Federal surveyors cited this nursing home on 2023-12-20 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-02-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-20.GOVDecember 20, 2023 · D
Citation F0690Federal surveyors cited this nursing home on 2023-12-20 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 2024-02-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-20.GOVSeptember 11, 2023 · D
Citation F0660Federal surveyors cited this nursing home on 2023-09-11 under CMS tag F0660 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Plan the resident's discharge to meet the resident's goals and needs. The deficiency was recorded as corrected on 2023-09-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-11.GOVJuly 20, 2023 · G
Citation F0697Federal surveyors cited this nursing home on 2023-07-20 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 2023-08-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-20.GOVJune 14, 2023 · E
Citation F0655Federal surveyors cited this nursing home on 2023-06-14 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 2023-07-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-14.GOVJune 14, 2023 · E
Citation F0656Federal surveyors cited this nursing home on 2023-06-14 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 2023-07-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-14.GOVSeptember 23, 2022 · E
Citation F0881Federal surveyors cited this nursing home on 2022-09-23 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 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.GOVSeptember 23, 2022 · E
Citation F0656Federal surveyors cited this nursing home on 2022-09-23 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 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.GOVSeptember 23, 2022 · D
Citation F0677Federal surveyors cited this nursing home on 2022-09-23 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 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.GOVSeptember 23, 2022 · E
Citation F0883Federal surveyors cited this nursing home on 2022-09-23 under CMS tag F0883 (CMS scope/severity E: pattern, 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 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.GOVSeptember 23, 2022 · D
Citation F0645Federal surveyors cited this nursing home on 2022-09-23 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 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.GOVSeptember 23, 2022 · E
Citation F0880Federal surveyors cited this nursing home on 2022-09-23 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 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.GOVSeptember 23, 2022 · E
Citation F0812Federal surveyors cited this nursing home on 2022-09-23 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 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.GOVSeptember 23, 2022 · D
Citation F0552Federal surveyors cited this nursing home on 2022-09-23 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 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.GOVSeptember 23, 2022 · D
Citation F0688Federal surveyors cited this nursing home on 2022-09-23 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2022-11-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-23.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.