Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (61% of admissions), and a typical Medicare stay runs around 18 days.
Owned by Carol Dikes, Sunshine Health and Rehabilitation is a single-story nursing home in the Dishman neighborhood of Spokane Valley, Washington. It offers a full range of care: nursing home, assisted living, memory care, and home care, giving families multiple paths for support as needs change over time. The 37-bed facility is nearly full, with 90.7 percent occupancy. The average stay duration is 25 days, pointing to a community built around short-term recovery instead of long-term residence. The surrounding area scores 28 for walkability, so most errands and outings demand a car.
Central to daily life here is rehabilitation. A physical therapist is on staff, a physician is available on-site, and nursing staff work 24/7. Total nursing care is about 4 hours 54 minutes per resident day, with registered nurses contributing roughly 1 hour 31 minutes and nurse aides covering about 2 hours 47 minutes of that time. Care transcends short-term rehab. Behavioral health services exist through a mental health service worker on staff, memory care and assisted living support occupants with longer-term needs, and dental services are provided on-site. Individualized care plans guide daily support, including three meals a day, housekeeping, laundry, and a regular activity program. Medicare and private pay are accepted to give families two established routes to afford care.
Families assessing a short-term rehab stay may want to interrogate how the clinical team coordinates between physical therapy, nursing, and physician care to bolster a smooth return home.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
67 contractor hours this quarter
| Certified Nursing Assistant | 30 | 0 | 30 | 8,443 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 12 | 0 | 12 | 2,209 | 92 | 100% | 7.5 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,160 | 79 | 86% | 7.1 |
| Registered Nurse | 17 | 0 | 17 | 2,043 | 92 | 100% | 7.4 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,559 | 78 | 85% | 8.3 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,093 | 80 | 87% | 7.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 918 | 75 | 82% | 7.2 |
| Qualified Social Worker | 1 | 0 | 1 | 504 | 65 | 71% | 7.8 |
| Administrator | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 475 | 65 | 71% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 422 | 61 | 66% | 6.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 417 | 57 | 62% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 408 | 59 | 64% | 6.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 383 | 51 | 55% | 7.5 |
| Speech Language Pathologist | 2 | 0 | 2 | 155 | 29 | 32% | 5.2 |
| Medical Director | 0 | 1 | 1 | 67 | 38 | 41% | 1.8 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
61% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Historical financial and operational data for Sunshine Health and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
No pets allowed
Building Type: Single-story
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (61% of admissions), and a typical Medicare stay runs around 18 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.1 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.
Add your location
Info below is compiled from CMS reports & the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
|
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
|
Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
|
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
|
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
|
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
|
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
|
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
|
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
|
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
|
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
|
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
|
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
|
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
|
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
|
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
|
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
|
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
|
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
|
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
|
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
|
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Washington average is: 62.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
|
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Regency at Northpointe | AL NH RC SNF | Spokane (Shiloh Hills) | 120
Facility
120
WA AVG
81
Rank
#46 / 356 |
77.2%
Facility
77.2%
WA AVG
75
Rank
#138 / 276 | +3% | 3.99
Facility
3.99
WA AVG
4.22
Rank
#32 / 61 | -41% | -5% | $8.3k
Facility
$8.3k
WA AVG
$87.7k
Rank
#25 / 61 | 15
Facility
15
WA AVG
48.9
Rank
#1 / 61 | 3.8
Facility
3.8
WA AVG
6.9
Rank
#8 / 61 | 1 | 93 | - |
37
Facility
37
WA AVG
51
Rank
#428 / 619 | Tod Dunfield | $16.2MFiscal year ending 12/2023
Facility
$16.2MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#14 / 51 | $8.8MFiscal year ending 12/2023
Facility
$8.8MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#17 / 51 | 54.4%Fiscal year ending 12/2023
Facility
54.4%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#28 / 51 | 505369 | ||||
| Sunshine Health and Rehabilitation | AL NH HC MC SNF | Spokane Valley (Dishman) | 37
Facility
37
WA AVG
81
Rank
#325 / 356 |
87.3%
Facility
87.3%
WA AVG
75
Rank
#64 / 276 | +16% | 5.27
Facility
5.27
WA AVG
4.22
Rank
#6 / 61 | +36% | +25% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 61 | 32
Facility
32
WA AVG
48.9
Rank
#16 / 61 | 4.6
Facility
4.6
WA AVG
6.9
Rank
#15 / 61 | - | 32 | - |
28
Facility
28
WA AVG
51
Rank
#489 / 619 | Carol Dikes | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#46 / 51 | $4.1MFiscal year ending 12/2023
Facility
$4.1MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#47 / 51 | 56.3%Fiscal year ending 12/2023
Facility
56.3%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#24 / 51 | 505411 | ||||
| Rockwood South Hill | AL IL MC NH SNF | Spokane | 90
Facility
90
WA AVG
81
Rank
#127 / 356 | - | - | 5.38
Facility
5.38
WA AVG
4.22
Rank
#5 / 61 | +104% | +27% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 61 | 48
Facility
48
WA AVG
48.9
Rank
#33 / 61 | 12.0
Facility
12.0
WA AVG
6.9
Rank
#55 / 61 | - | 35 | A+ |
96
Facility
96
WA AVG
51
Rank
#15 / 619 | Chris Bafus | $24.8MFiscal year ending 05/2024
Facility
$24.8MFiscal year ending 05/2024
WA AVG
$15.9M
Rank
#7 / 51 | $15.9MFiscal year ending 05/2024
Facility
$15.9MFiscal year ending 05/2024
WA AVG
$9.2M
Rank
#5 / 51 | 64.3%Fiscal year ending 05/2024
Facility
64.3%Fiscal year ending 05/2024
WA AVG
62.6%
Rank
#12 / 51 | 505033 | ||||
| Aurora Valley Care | AL NH SNF | Spokane Valley | 124
Facility
124
WA AVG
81
Rank
#40 / 356 |
69.8%
Facility
69.8%
WA AVG
75
Rank
#185 / 276 | -7% | 3.96
Facility
3.96
WA AVG
4.22
Rank
#32 / 61 | -53% | -6% | $93.5k
Facility
$93.5k
WA AVG
$87.7k
Rank
#50 / 61 | 106
Facility
106
WA AVG
48.9
Rank
#59 / 61 | 5.6
Facility
5.6
WA AVG
6.9
Rank
#23 / 61 | 5 | 87 | - |
72
Facility
72
WA AVG
51
Rank
#132 / 619 | - | $10.1MFiscal year ending 12/2023
Facility
$10.1MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#39 / 51 | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#45 / 51 | 46.8%Fiscal year ending 12/2023
Facility
46.8%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#45 / 51 | 505114 | ||||
| Spokane Falls Care | AL NH SNF | Spokane (Nevada Heights) | 100
Facility
100
WA AVG
81
Rank
#91 / 356 |
84.5%
Facility
84.5%
WA AVG
75
Rank
#80 / 276 | +13% | 3.87
Facility
3.87
WA AVG
4.22
Rank
#37 / 61 | -27% | -8% | $125.7k
Facility
$125.7k
WA AVG
$87.7k
Rank
#54 / 61 | 106
Facility
106
WA AVG
48.9
Rank
#59 / 61 | 6.2
Facility
6.2
WA AVG
6.9
Rank
#29 / 61 | 6 | 85 | - |
76
Facility
76
WA AVG
51
Rank
#107 / 619 | Navdeep Dhaliwal | $10.9MFiscal year ending 12/2023
Facility
$10.9MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#34 / 51 | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#40 / 51 | 51.8%Fiscal year ending 12/2023
Facility
51.8%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#34 / 51 | 505024 |
Sunshine Health and Rehabilitation is located in Spokane Valley, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Sunshine Health and Rehabilitation is in the Dishman neighborhood of Spokane Valley.
Sunshine Health and Rehabilitation has a walk score of 28. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Sunshine Health and Rehabilitation's occupancy is 90.7%.
No, Sunshine Health and Rehabilitation has a no-pet policy.
Sunshine Health and Rehabilitation is registered as a for-profit.
Yes — there is 1 photo of Sunshine Health and Rehabilitation in the photo gallery on this page.
Sunshine Health and Rehabilitation is located at 10410 E 9Th Ave Bldg A, Spokane Valley, WA 99206.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance