Total health inspections
7
Washington average 7.8
Last Health inspection on Jun 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Sunshine Health and Rehabilitation
Nursing Home in Spokane
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sunshine Health and Rehabilitation
Nursing Home in Spokane
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sunshine Health and Rehabilitation accepts Medicare and private pay.
Nestled in the neighborhood of Spokane, WA, Sunshine Health Facilities is a trusted senior living community, offering enhanced assisted living and memory care services. Residents needing support with recovery are offered the care and assistance they need with rehabilitation services provided by a skilled and compassionate recovery team. Meanwhile, those living with mental illnesses are provided with excellent behavioral health services to help them live full and productive lives despite their afflictions.
Committed to creating a supportive environment for healing, the community provides residents with personalized care plans that cater to their specific needs, complemented with round the clock care and a doctor on-site. An array of vibrant activities are offered all year round to help residents stay active and engaged. Various conveniences, such as housekeeping, laundry, and three delicious meals daily are offered to make residents’ living experience as comfortable and convenient as possible.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 7th out of 59 homes in Washington.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 7th out of 59 homes in Washington.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 54m per day
Rank #7 / 59Nurse hours — state benchmarkedThis home is ranked 7th out of 59 homes in Washington.Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 59 Washington SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Washington avg
+16%
Standout metric
Total Nursing (Weekend) is +6% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 0m per day | ▲ 6% State avg: 3h 47m per day · National avg: 3h 26m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
90.7%
Rank #3 / 62Occupancy rate — state benchmarkedThis home is ranked 3rd out of 62 homes in Washington.Shows this facility's occupancy rate versus the Washington average, with its statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
25 days
Occupancy rate
90.7%
Rank #3 / 62Occupancy rate — state benchmarkedThis home is ranked 3rd out of 62 homes in Washington.Shows this facility's occupancy rate versus the Washington average, with its statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
25 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
39% of new residents, often for short stays.
Typical stay
19 days
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$8.8M
Operating loss
-$111.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$8.8M Rank #52 / 62Revenue — state benchmarkedThis home is ranked 52nd out of 62 homes in Washington.Shows this facility's annual revenue compared to the Washington SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$111.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #56 / 62Payroll — state benchmarkedThis home is ranked 56th out of 62 homes in Washington.Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #56 / 62Payroll — state benchmarkedThis home is ranked 56th out of 62 homes in Washington.Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.9M
Walk Score: 28 / 100 Rank #44 / 55Walk Score — state benchmarkedThis home is ranked 44th out of 55 homes in Washington.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Washington SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What does this home offer?
Building Type: Single-story
Types of Care at Sunshine Health and Rehabilitation
Assisted Living
Memory Care
Health Inspection History
Inspections
Total health citations
32
Rank #13 / 59Health citations — state benchmarkedThis home is ranked 13th out of 59 homes in Washington.Shows this facility's total health deficiency citations benchmarked to the Washington state average, with a ranking across all 59 WA SNFs. Lower citation counts earn a better rank.
Washington average 48.9
Citations per inspection
4.57
Rank #14 / 59Citations per inspection — state benchmarkedThis home is ranked 14th out of 59 homes in Washington.Shows average deficiency citations per CMS inspection for this facility versus the Washington mean across 59 SNFs with citation data. Lower is better.
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 32 citations resulted from standard inspections; and 7 of 32 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than Washington averageWashington average: 0.3
Serious Health citations
0
0
100% better than Washington averageWashington average: 1.7
0 critical citations
0 serious citations
31 moderate citations
1 minor citation
Citations history (last 3 years)
Administration minor citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 16, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 16, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 16, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 16, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 16, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 16, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 29, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 29, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Financial Assistance for
Nursing Home in Washington
Sunshine Health and Rehabilitation is located in Spokane Valley, Washington.
Here are the financial assistance programs available to residents in Washington.
Places of interest near Sunshine Health and Rehabilitation
3.6 miles from city center
Estimated distance in miles from Spokane Valley's city center to Sunshine Health and Rehabilitation's address, calculated via Google Maps.
— 2.07 miles to nearest hospital (Inland Imaging)
Calculate Travel Distance to Sunshine Health and Rehabilitation
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
165
Employees
78
Contractors
87
Staff to resident ratio
4.58:1
147% better than Washington averageWashington average ratio: 1.85:1
Avg staff/day
31
Average shift
7.5 hours
7% worse than Washington averageWashington average: 8.1 hours
Total staff hours (quarter)
21,073
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
83
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
9.3%
1,949 contractor hours this quarter
Certified Nursing Assistant: 57
Licensed Practical Nurse: 15
Registered Nurse: 13
Medical Director: 2
Staff by category
| Certified Nursing Assistant | 26 | 57 | 83 | 7,889 | 91 | 100% | 7.3 |
| Registered Nurse | 18 | 13 | 31 | 2,797 | 91 | 100% | 7.7 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,283 | 81 | 89% | 8.1 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,574 | 83 | 91% | 8.1 |
| Licensed Practical Nurse | 6 | 15 | 21 | 1,461 | 89 | 98% | 7.1 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,082 | 76 | 84% | 7.9 |
| Physical Therapy Assistant | 4 | 0 | 4 | 894 | 69 | 76% | 7.3 |
| Qualified Social Worker | 1 | 0 | 1 | 451 | 62 | 68% | 7.3 |
| Administrator | 1 | 0 | 1 | 443 | 59 | 65% | 7.5 |
| Dental Services Staff | 2 | 0 | 2 | 431 | 58 | 64% | 6.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 425 | 57 | 63% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 425 | 58 | 64% | 7.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 402 | 52 | 57% | 7.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 379 | 51 | 56% | 7.4 |
| Speech Language Pathologist | 2 | 0 | 2 | 80 | 14 | 15% | 5.7 |
| Medical Director | 0 | 2 | 2 | 58 | 16 | 18% | 3.6 |
83 Certified Nursing Assistant
% of Days
100%
31 Registered Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
89%
5 Respiratory Therapy Technician
% of Days
91%
21 Licensed Practical Nurse
% of Days
98%
4 Physical Therapy Aide
% of Days
84%
4 Physical Therapy Assistant
% of Days
76%
1 Qualified Social Worker
% of Days
68%
1 Administrator
% of Days
65%
2 Dental Services Staff
% of Days
64%
1 Mental Health Service Worker
% of Days
63%
1 Nurse Practitioner
% of Days
64%
1 Other Dietary Services Staff
% of Days
57%
1 Occupational Therapy Aide
% of Days
56%
2 Speech Language Pathologist
% of Days
15%
2 Medical Director
% of Days
18%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
36
Medicare
33
91.7% of residents
Medicaid
1
2.8% of residents
Private pay or other
2
5.6% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
12% better than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
49% better than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
17% better than Washington averageWashington average: 82.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.9%
35% better than Washington averageWashington average: 19.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
23% better than Washington averageWashington average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
62% better than Washington averageWashington average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
53.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.7%
In line with Washington averageWashington average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
71.0%
Rate of successful return to home or community from a skilled nursing facility.
71.0%
40% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Nursing Homes around Spokane The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Filter by care type
| Sunshine Health and Rehabilitation |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Spokane Valley (Dishman) | 37 | 90.7% | +25% | 4.90 | +37% | +16% | 0 | 32 | 4.6 | 0 | 34 | 28 | Dikes, Carol | $8.8M | $3.2M | 36.7% | 505411 | ||||
| Ivy Court Skilled Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Coeur D'alene | 80 | 90.0% | +30% | 3.93 | -46% | -5% | 0 | 43 | 14.3 | 3 | 68 | 50 | - | $10.6M | $4.8M | 45.3% | 135053 | ||||
| Aurora Valley Care |
N Nursing
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Spokane Valley | 124 | 53.3% | -27% | 3.54 | -50% | -16% | 3 | 106 | 5.6 | 5 | 80 | 72 | - | $11.4M | $4.1M | 35.6% | 505114 | ||||
| Cornerstone Court | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spokane (Fairwood) | 40 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | 51 | - | - | - | - | - |
| Lena‘s Gentle Care | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spokane (Hillyard) | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | 23 | - | - | - | - | - |
Financial Trends
Historical financial and operational data for Sunshine Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
90.7%
↑ 43.3pp vs 2022
Net Income
-$111.3K
↑ ~$663.4K vs 2022
Total Payroll
$4.1M
↓ ~$1.3M vs 2022
Profit Margin
-1.3%
↑ 10.9pp vs 2022
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