3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Rockwood South Hill is a 90-bed skilled nursing and assisted living community in Spokane, Washington, part of a non-profit continuing care retirement campus. Medicare and private pay are accepted. Operated by Chris Bafus and serving since 2003, the facility offers skilled nursing, assisted living, memory support, and independent living for residents across Spokane County.
Inspection records cover since early 2025, comprising two inspections and 10 total deficiencies, compared to a Washington state average of 6.3 deficiencies per year. The Life Safety inspection on August 8, 2025, conducted by the Office of the State Fire Marshal, produced 8 deficiencies, all related to fire safety maintenance: storage near sprinkler heads, exposed wiring, power tap misuse across multiple rooms, ceiling and door penetrations, and an obstructed fire extinguisher. All 8 were corrected during the inspection. A similar fire inspection on July 8, 2025, had flagged related issues. The February 14, 2025, annual inspection found 2 administrative deficiencies: missing dementia training documentation for two staff members and an incomplete resident service agreement regarding electronic monitoring access. Both were resolved the same day. No fines, enforcement actions, or substantiated complaints reported. Meanwhile, staffing is a standout. Rockwood South Hill logs 5 hours and 46 minutes of total nursing care per resident per day, ranking 4th out of 89 Washington skilled nursing facilities and running 32 percent above the state average. Registered nurse hours reach 1 hour and 36 minutes per resident per day, 81 percent above the Washington average of 53 minutes, which translates to stronger clinical oversight throughout the day. The facility holds a CMS Health Inspection rating above the state average, though its overall 3-star CMS rating reflects a Quality Measures score trailing the state benchmark.
Amenities include a fitness center, multiple dining venues, outdoor spaces, and salon and spa services.
Rockwood South Hill suits residents seeking post-acute short-term rehabilitation or long-term skilled nursing care in a larger non-profit campus. Short-stay residents return home at a rate of 57.8 percent, 14 percent better than the Washington average. The community also serves those with memory support needs. Families prioritizing RN presence and rehabilitation services will find meaningful data here.
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.
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.
This home is ranked 4th out of 79 homes in Washington for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 27m per day | ▲ 65% State avg: 53m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 20m per day | ▼ 58% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 13m per day | ▲ 20% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 50m per day | ▲ 28% State avg: 3h 47m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 8m per day | ▲ 54% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 8m per day | ▲ 80% State avg: 38m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 31 | This facility has 68% fewer total deficiencies than a typical Washington nursing home (10 vs. WA avg 31).↓ 68% better |
|
Deficiencies per year
Average deficiencies per year since 2025.
| 10 | 31 | This facility has 68% fewer deficiencies per year than a typical Washington nursing home (10 vs. WA avg 31).↓ 68% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Washington average 7.8
Last Health inspection on Dec 2024
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
47 of 48 citations resulted from standard inspections; and 1 of 48 resulted from complaint investigations.
100% better than Washington averageWashington average: 0.3
100% better than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
49% more staff per resident than Washington average
6% worse than Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
21 total: 18 full-time employees and 3 contractors.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
All 29 CNA Staff are full-time employees. No contractors work on this role.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,698 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 0 | 29 | 10,299 | 92 | 100% | 8 |
| Registered Nurse | 18 | 3 | 21 | 3,862 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,093 | 84 | 91% | 7.7 |
| Dietitian | 3 | 0 | 3 | 881 | 84 | 91% | 7.8 |
| Nurse Practitioner | 2 | 0 | 2 | 808 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 412 | 57 | 62% | 4.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 362 | 46 | 50% | 7.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 281 | 59 | 64% | 4.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 278 | 59 | 64% | 4.7 |
| Qualified Social Worker | 0 | 2 | 2 | 246 | 56 | 61% | 4.4 |
| Administrator | 1 | 0 | 1 | 186 | 62 | 67% | 3 |
| Physical Therapy Aide | 0 | 1 | 1 | 165 | 33 | 36% | 5 |
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.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
In line with Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.5
41% worse than Washington averageWashington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
29.6%
81% worse than Washington averageWashington average: 16.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
21% worse than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
89% worse than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
1.9%
61% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
3.1%
75% worse than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
4.6%
21% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
29.7%
105% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
5% worse than Washington averageWashington average: 93.8%
Number of hospitalizations per 1,000 long-stay resident days.
2.39
73% worse than Washington averageWashington average: 1.38
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.85
44% better than Washington averageWashington average: 1.51
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.9%
9% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.4%
18% worse than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.8%
16% better than Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.4%
44% better than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
25% worse than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.8%
14% 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.
43% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
26Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Rockwood South Hill from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 05/2024.
Based on CMS SNF Cost Report for fiscal year ending in 05/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #6 / 83Payroll — State benchmarkedThis home is ranked 6th out of 83 homes in Washington for Payroll. 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.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #61 / 83Payroll % — State benchmarkedThis home is ranked 61st out of 83 homes in Washington for Payroll %. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 51–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Spokane's city center to Rockwood South Hill's address, calculated via Google Maps.
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The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Regency at Northpointe | NH RC SNF | Spokane (Shiloh Hills) | 120 |
75.3%
Facility
75.3%
WA AVG
73.7
Rank
#151 / 290 | +2% | 3.83
Facility
3.83
WA AVG
4.22
Rank
#56 / 79 | -41% | -9% | $8.3k
Facility
$8.3k
WA AVG
$87.7k
Rank
#29 / 79 | 15
Facility
15
WA AVG
48.9
Rank
#2 / 79 | 3.8
Facility
3.8
WA AVG
6.9
Rank
#10 / 79 | 1 | 90 | - | 37 | Tod Dunfield | $16.2MFiscal year ending 12/2023
Facility
$16.2MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#27 / 83 | $8.8MFiscal year ending 12/2023
Facility
$8.8MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#24 / 83 | 54.4%Fiscal year ending 12/2023
Facility
54.4%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#26 / 83 | 505369 | ||||
| Spokane Veterans Home | NH AL | Spokane (East Central) | 100 |
97.2%
Facility
97.2%
WA AVG
73.7
Rank
#14 / 290 | +32% | 4.16
Facility
4.16
WA AVG
4.22
Rank
#35 / 79 | +80% | -2% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 79 | 48
Facility
48
WA AVG
48.9
Rank
#39 / 79 | 4.8
Facility
4.8
WA AVG
6.9
Rank
#20 / 79 | 1 | 97 | - | 77 | Washington State Department Of Vete | $14.8MFiscal year ending 06/2024
Facility
$14.8MFiscal year ending 06/2024
WA AVG
$13.2M
Rank
#71 / 83 | $11.9MFiscal year ending 06/2024
Facility
$11.9MFiscal year ending 06/2024
WA AVG
$5.7M
Rank
#11 / 83 | 80.4%Fiscal year ending 06/2024
Facility
80.4%Fiscal year ending 06/2024
WA AVG
45.5%
Rank
#1 / 83 | 505509 | ||||
| Rockwood South Hill | NH AL IL MC SNF | Spokane (Downtown Spokane) | 90 | - | - | 5.77
Facility
5.77
WA AVG
4.22
Rank
#4 / 79 | +104% | +37% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 79 | 48
Facility
48
WA AVG
48.9
Rank
#39 / 79 | 12.0
Facility
12.0
WA AVG
6.9
Rank
#72 / 79 | - | 35 | - | 96 | Chris Bafus | $24.8MFiscal year ending 05/2024
Facility
$24.8MFiscal year ending 05/2024
WA AVG
$13.2M
Rank
#6 / 83 | $15.9MFiscal year ending 05/2024
Facility
$15.9MFiscal year ending 05/2024
WA AVG
$5.7M
Rank
#6 / 83 | 64.3%Fiscal year ending 05/2024
Facility
64.3%Fiscal year ending 05/2024
WA AVG
45.5%
Rank
#61 / 83 | 505033 | ||||
| Aurora Valley Care | NH SNF | Spokane Valley | 124 |
62.0%
Facility
62.0%
WA AVG
73.7
Rank
#228 / 290 | -16% | 3.54
Facility
3.54
WA AVG
4.22
Rank
#70 / 79 | -53% | -16% | $93.5k
Facility
$93.5k
WA AVG
$87.7k
Rank
#59 / 79 | 106
Facility
106
WA AVG
48.9
Rank
#75 / 79 | 5.6
Facility
5.6
WA AVG
6.9
Rank
#31 / 79 | 5 | 77 | - | 72 | - | $10.1MFiscal year ending 12/2023
Facility
$10.1MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#68 / 83 | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#71 / 83 | 46.8%Fiscal year ending 12/2023
Facility
46.8%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#65 / 83 | 505114 | ||||
| Spokane Falls Care | NH SNF | Spokane (Nevada Heights) | 100 |
77.8%
Facility
77.8%
WA AVG
73.7
Rank
#134 / 290 | +6% | 4.42
Facility
4.42
WA AVG
4.22
Rank
#22 / 79 | -27% | +5% | $125.7k
Facility
$125.7k
WA AVG
$87.7k
Rank
#64 / 79 | 106
Facility
106
WA AVG
48.9
Rank
#75 / 79 | 6.2
Facility
6.2
WA AVG
6.9
Rank
#38 / 79 | 6 | 78 | - | 76 | Navdeep Dhaliwal | $10.9MFiscal year ending 12/2023
Facility
$10.9MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#61 / 83 | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#64 / 83 | 51.8%Fiscal year ending 12/2023
Facility
51.8%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#46 / 83 | 505024 |
Rockwood South Hill is located in SPOKANE, Washington.
Here are the financial assistance programs available to residents in Washington.
Rockwood South Hill is in the Downtown Spokane neighborhood of SPOKANE.
Rockwood South Hill has a walk score of 96. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to WA state health department records, Rockwood South Hill's license number is 155.
Rockwood South Hill's occupancy is 77.8%.
Rockwood South Hill is registered as a non-profit in WA.
Rockwood South Hill has 90 beds.
Yes — there are 9 photos of Rockwood South Hill in the photo gallery on this page.
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