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Nursing Home

Aurora Valley Care

Nursing Home

Aurora Valley Care

414 S University Rd, Spokane Valley, WA 99206 View map
Overview of Aurora Valley Care

Serving the community of Spokane Valley, WA since 1966, Aurora Valley Care is a leading senior living community that offers rehabilitation and skilled nursing. The community provides a comfortable living space for both short-term rehabilitation and extended stays, all complemented with around-the-clock nursing assistance. Guaranteeing a lively and enjoyable lifestyle, the community also conducts a dynamic range of activities, spanning from games to festive gatherings and outings.

Focused in delivering optimal recovery, independence, and overall wellness, Aurora Valley Care offers comprehensive services, including physical therapy, speech therapy, nutritional support, occupational therapy, along with wellness-focused activities. A devoted team of professionals offers warmth, empathy, and an unyielding commitment to delivering personalized attention and care, fostering the overall well-being of residents within a nurturing environment.

Managed by Jacqueline Palozzolo

Executive Director

Jacqueline Palozzolo serves as the Executive Director at Aurora Valley Care, a leading skilled nursing and rehabilitation provider in Spokane Valley, WA. She is dedicated to supporting residents and families, ensuring quality care and a welcoming community environment.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5
Washington average: 3.2/5
Health Inspection Info 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.
1/5
Washington average: 2.8/5
Staffing Info 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.
2/5
Washington average: 3.4/5
Quality Measures Info 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.
4/5
Washington average: 3.9/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 32m per day

This home provides 16% less nursing time per resident than the Washington average.

Washington average: 4h 13m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 31m per day 53m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 12m per day 2h 41m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 14m per day 3h 47m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 4m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 16m per day 38m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 124

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Washington average
Occupancy rate 53.3%
Residents per day (avg) 80
Occupancy rate
53.3%
Residents per day (avg)
80

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

64% of new residents, often for short stays.

Typical stay 29 days

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$11.4M
Profit
$238.7K
Privately-owned community Operated by a business corporation.
Home revenue
$11,398,587.00
Profit
$238,694.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.1M
35.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.1M
Total costs $11.2M
Walk Score
Walk Score: 72 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Care Services

Accepts Medicaid
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

Programs & Activities

Specific Programs
Short-Term Rehab, Long-Term Skilled Nursing, Therapy Services

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes, Accept Medicaid

Building type icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Aurora Valley Care

Skilled Nursing

Health Inspection History

Inspections
Total health inspections 19

Washington average 7.8


Last Health inspection on Sep 2025

Total health citations 106

Washington average 48.9

Citations per inspection
5.58

Washington average 6.92


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

72 of 106 citations resulted from standard inspections; 31 of 106 resulted from complaint investigations; and 3 of 106 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Washington average

Washington average: 0.3


Serious Health citations More info 5
194% worse than Washington average

Washington average: 1.7

0 critical citations More info Washington average: 0.3

5 serious citations More info Washington average: 1.7

99 moderate citations More info Washington average: 46.3

2 minor citations More info Washington average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 15, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Sep 15, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Feb 21, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Feb 21, 2025
Corrected

Compare Nursing Homes around Spokane The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

5 facilities compared · CMS & WA Dept. of Health data · Updated Mar 2026

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
3
68
-
50
$10,1M
$4,8M
47.7%
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
80
-
72
$10,8M
$4,1M
37.7%
505114
Columbia Landing of Spokane
-
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 (Moran Prairie)
150
-
-
-
-
-
-
-
-
0
0
0
-
-
35
-
-
-
-
Comstock Place Adult Family Living
-
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 (Comstock)
-
-
-
-
-
-
-
-
-
0
0
0
-
A+
25
-
-
-
-
Rosam Adult Family Homes
-
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 (Balboa)
-
-
-
-
-
-
-
-
-
0
0
0
-
-
40
-
-
-
-

Aurora Valley Care Reviews

Share your thoughts and experiences about Aurora Valley Care. Let’s celebrate the stories that make a difference!
Reviewer avatar
Suzan Troupe
This facility changed its name from Gardens on University last year.. no doubt to hide from all of the negative reviews .. if you want to see all about what this place is, look up their former name .. *note* the ONLY thing that has changed about this facility is the name .. please thoroughly research this place before you trust the lives of your loved ones in their care .. make sure to look up the news footage as well from 2020 or 2021What do you like most about living here? Answer: Nothing at all Are there enough caregivers to handle the residents' needs, especially during emergencies? Answer: No Are the common areas pleasant and comfortable for socializing or relaxing? Answer: No How would you rate the quality and variety of the meals? (1-5) Answer: 1 Are special diets handled well? Answer: No Is the dining schedule flexible enough to meet your preferences? Answer: No How do you feel about the level of social interaction available with other residents? Answer: There is rarely any social interaction How was the units offered in this community? Answer: Sent from hospital Do you feel safe living in this community? Answer: No How well do you think the community handles emergencies or unexpected events? Answer: They ignore emergencies to keep the numbers down and to bring as little attention to the facility as possible Are there any hidden fees or unexpected charges? Answer: I don't know.. but I do know that the social service administrator, aka Jackie, sabotages transfers until patients Medicare runs out Would you recommend this community to others looking for senior living options? Answer: Absolutely not Is there anything you wish you knew before moving in? Answer: I wish we'd looked up the reviews

Places of interest near Aurora Valley Care

Address 8.7 miles from city center — 1.72 miles to nearest hospital (Inland Imaging)

Address 414 S University Rd, Spokane Valley, WA 99206

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 130
Employees 103
Contractors 27
Staff to resident ratio 1.73:1
6% worse than Washington average

Washington average ratio: 1.85:1

Avg staff/day 42
Average shift 8.4 hours
0% compared with Washington average

Washington average: 8.1 hours

Total staff hours (quarter) 32,012
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

5.5%

1,745 contractor hours this quarter

Licensed Practical Nurse: 11 Certified Nursing Assistant: 10 Occupational Therapy Assistant: 4 Registered Nurse: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant41105114,29091100%9
Licensed Practical Nurse1211236,13291100%9.4
RN Director of Nursing4042,1498695%8.5
Registered Nurse8191,6888897%8.3
Other Dietary Services Staff2028748593%7.3
Clinical Nurse Specialist6067886875%8
Physical Therapy Assistant5057806774%6.5
Mental Health Service Worker2026946875%8.2
Respiratory Therapy Technician5056416369%8.3
Physical Therapy Aide4045426167%7.4
Administrator1015206571%8
Nurse Practitioner1015206571%8
Medication Aide/Technician3035195257%8
Nurse Aide in Training2025185156%8.1
Dietitian1014866167%8
Speech Language Pathologist3033425358%6.3
Qualified Social Worker2022225864%3.8
Occupational Therapy Aide1012184954%4.4
Occupational Therapy Assistant044671213%4.7
Medical Director011241314%1.8
51 Certified Nursing Assistant
% of Days 100%
23 Licensed Practical Nurse
% of Days 100%
4 RN Director of Nursing
% of Days 95%
9 Registered Nurse
% of Days 97%
2 Other Dietary Services Staff
% of Days 93%
6 Clinical Nurse Specialist
% of Days 75%
5 Physical Therapy Assistant
% of Days 74%
2 Mental Health Service Worker
% of Days 75%
5 Respiratory Therapy Technician
% of Days 69%
4 Physical Therapy Aide
% of Days 67%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 71%
3 Medication Aide/Technician
% of Days 57%
2 Nurse Aide in Training
% of Days 56%
1 Dietitian
% of Days 67%
3 Speech Language Pathologist
% of Days 58%
2 Qualified Social Worker
% of Days 64%
1 Occupational Therapy Aide
% of Days 54%
4 Occupational Therapy Assistant
% of Days 13%
1 Medical Director
% of Days 14%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
75 residents
Residents by payment source
Medicare
2 residents (2.7%)
Medicaid
55 residents (73.3%)
Private pay or other
18 residents (24%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.3
7% better than Washington average

Washington average: 10.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.1
8% better than Washington average

Washington average: 20.9

Long-stay resident measures
Above average Washington avg: 3.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.2%
26% better than Washington average

Washington average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.1%
8% better than Washington average

Washington average: 21.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.1%
In line with Washington average

Washington average: 24.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.1%
21% better than Washington average

Washington average: 2.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.3%
47% worse than Washington average

Washington average: 4.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.2%
138% worse than Washington average

Washington average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.1%
13% better than Washington average

Washington average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 13.3%
18% better than Washington average

Washington average: 16.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.1%
46% worse than Washington average

Washington average: 14.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
In line with Washington average

Washington average: 96.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
7% better than Washington average

Washington average: 93.8%

Short-stay resident measures
Above average Washington avg: 3.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.9%
10% worse than Washington average

Washington average: 88.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Washington average

Washington average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 79.0%
In line with Washington average

Washington average: 82.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 21.7%
9% worse than Washington average

Washington average: 19.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.9%
17% better than Washington average

Washington average: 13.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Washington average

Washington average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 62.5%
16% better than Washington average

Washington average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.4%
In line with Washington average

Washington average: 50.6%

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 (Data as of Jan 2026)

Total fines amount $162K
99% higher than Washington average

Washington average: $82K

Number of fines 3
62% more fines than Washington average

Washington average: 1.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
261% more payment denials than Washington average

Washington average: 0.3

Fines amount comparison
Fines amount comparison
This facility $162K
Washington average $82K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 9, 2024
$93K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 27, 2023
$1K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 20, 2023
$67K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jan 20, 2023
12 days

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Washington Seniors

Get financial aid guidance

Community Options Program Entry System (COPES)

WA Medicaid COPES

Age 65+ or disabled, Washington resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand in urban areas (e.g., Seattle).

Washington Family Caregiver Support Program

WA NFCSP

Caregiver of someone 60+ (or with dementia), Washington resident.

No strict limit; prioritizes low-income.

Not applicable.

High urban demand; rural outreach.

Community First Choice (CFC)

Washington Community First Choice

Age 65+ (or disabled 18+), WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.

~$2,829/month; QIT optional.

$2,000 (individual), $3,000 (couple).

Broader than COPES; serves ~20,000; self-directed option.

Older Americans Act (OAA) Services

Washington OAA Services

Age 60+, WA resident; no income/asset limits.

None; donations encouraged.

Not assessed.

13 AAAs; includes Meals on Wheels; rural focus.

Medicare Savings Program (MSP)

Washington Medicare Savings Program

Age 65+ or disabled, WA resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Washington LIHEAP

Age 60+ prioritized, WA resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

Covers gas, electric, wood; emergency aid available.

Senior Community Service Employment Program (SCSEP)

Washington SCSEP

Age 55+, unemployed, low-income, WA resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Washington VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, WA resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran use; supports rural/urban needs.

Senior Citizens Property Tax Exemption

Washington Senior Property Tax Exemption

Age 61+ or disabled retiree, WA resident, homeowner, income-based.

~$45,000-$70,000/year (varies by county, e.g., King: $70,000).

Not assessed; home value cap varies (~$250,000-$400,000).

Saves ~$500-$1,500/year; offered statewide.

Senior Farmers’ Market Nutrition Program (SFMNP)

Washington SFMNP

Age 60+, WA resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$80/season); serves ~20,000 via AAAs.

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