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Other Senior care options in Spokane:

Best Nursing Homes in Spokane, WA

Reviewed by
Last updated
May 2026
We analyzed
13 homes in Spokane, WA

Sources: CMS Centers for Medicare and Medicaid Services, and Washington Department of Health, Office of Aging and Long Term Care.

Other Senior care options in Spokane:

Compare Nursing Homes around Spokane (Metro Area)

The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.

7 facilities compared · CMS & WA Dept. of Health data

Click column headers to sort
Sunshine Health 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).

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.

Spokane Valley (Dishman)
37
Facility 37
WA AVG 81
Rank #334 / 366
90.7%
Facility 90.7%
WA AVG 72.5%
Rank #42 / 310
+25%
4.90
Facility 4.90
WA AVG 4.22
Rank #7 / 89
+36%+16%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 91
32
Facility 32
WA AVG 48.9
Rank #20 / 91
4.6
Facility 4.6
WA AVG 6.9
Rank #20 / 91
-34-
28
Facility 28
WA AVG 51
Rank #488 / 628
Carol Dikes
$8.8M
Facility $8.8M
WA AVG $13.2M
Rank #78 / 93
$4.1M
Facility $4.1M
WA AVG $5.7M
Rank #78 / 93
46.8%
Facility 46.8%
WA AVG 45.5%
Rank #52 / 93
505411
Regency at Northpointe
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 (Shiloh Hills)
120
Facility 120
WA AVG 81
Rank #47 / 366
74.0%
Facility 74.0%
WA AVG 72.5%
Rank #160 / 310
+2%
3.83
Facility 3.83
WA AVG 4.22
Rank #61 / 89
-41%-9%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 91
15
Facility 15
WA AVG 48.9
Rank #4 / 91
3.8
Facility 3.8
WA AVG 6.9
Rank #9 / 91
193-
37
Facility 37
WA AVG 51
Rank #427 / 628
Tod Dunfield
$18.9M
Facility $18.9M
WA AVG $13.2M
Rank #27 / 93
$9.7M
Facility $9.7M
WA AVG $5.7M
Rank #23 / 93
51.5%
Facility 51.5%
WA AVG 45.5%
Rank #37 / 93
505369
Royal Park Retirement Center
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.

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.

Spokane (Shiloh Hills)
100
Facility 100
WA AVG 81
Rank #92 / 366
--
4.29
Facility 4.29
WA AVG 4.22
Rank #27 / 89
-58%+1%
$8.2k
Facility $8.2k
WA AVG $87.7k
Rank #32 / 91
16
Facility 16
WA AVG 48.9
Rank #5 / 91
2.3
Facility 2.3
WA AVG 6.9
Rank #1 / 91
-9A+
66
Facility 66
WA AVG 51
Rank #183 / 628
Avalon Of Washington LLC
$15.2M
Facility $15.2M
WA AVG $13.2M
Rank #38 / 93
$6.4M
Facility $6.4M
WA AVG $5.7M
Rank #51 / 93
42.4%
Facility 42.4%
WA AVG 45.5%
Rank #65 / 93
505016
Aurora Valley 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).

N

Nursing

Spokane Valley
124
Facility 124
WA AVG 81
Rank #41 / 366
53.3%
Facility 53.3%
WA AVG 72.5%
Rank #273 / 310
-27%
3.54
Facility 3.54
WA AVG 4.22
Rank #76 / 89
-53%-16%
$162.2k
Facility $162.2k
WA AVG $87.7k
Rank #77 / 91
106
Facility 106
WA AVG 48.9
Rank #87 / 91
5.6
Facility 5.6
WA AVG 6.9
Rank #34 / 91
580-
72
Facility 72
WA AVG 51
Rank #132 / 628
-
$11.4M
Facility $11.4M
WA AVG $13.2M
Rank #69 / 93
$4.7M
Facility $4.7M
WA AVG $5.7M
Rank #72 / 93
41.3%
Facility 41.3%
WA AVG 45.5%
Rank #70 / 93
505114
Spokane Falls 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).

Spokane (Nevada Heights)
100
Facility 100
WA AVG 81
Rank #92 / 366
70.5%
Facility 70.5%
WA AVG 72.5%
Rank #193 / 310
-3%
4.42
Facility 4.42
WA AVG 4.22
Rank #23 / 89
-27%+5%
$184.1k
Facility $184.1k
WA AVG $87.7k
Rank #80 / 91
106
Facility 106
WA AVG 48.9
Rank #87 / 91
6.2
Facility 6.2
WA AVG 6.9
Rank #43 / 91
671-
76
Facility 76
WA AVG 51
Rank #107 / 628
Navdeep Dhaliwal
$12.2M
Facility $12.2M
WA AVG $13.2M
Rank #62 / 93
$5.7M
Facility $5.7M
WA AVG $5.7M
Rank #62 / 93
46.2%
Facility 46.2%
WA AVG 45.5%
Rank #55 / 93
505024
Rockwood South Hill
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 (Downtown Spokane)
90
Facility 90
WA AVG 81
Rank #133 / 366
77.8%
Facility 77.8%
WA AVG 72.5%
Rank #132 / 310
+7%
5.77
Facility 5.77
WA AVG 4.22
Rank #4 / 89
+104%+37%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 91
48
Facility 48
WA AVG 48.9
Rank #43 / 91
12.0
Facility 12.0
WA AVG 6.9
Rank #82 / 91
-34-
96
Facility 96
WA AVG 51
Rank #15 / 628
Chris Bafus
$40.1M
Facility $40.1M
WA AVG $13.2M
Rank #5 / 93
$16.9M
Facility $16.9M
WA AVG $5.7M
Rank #5 / 93
42.1%
Facility 42.1%
WA AVG 45.5%
Rank #67 / 93
505033
Spokane Veterans Home
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 (East Central)
100
Facility 100
WA AVG 81
Rank #92 / 366
93.3%
Facility 93.3%
WA AVG 72.5%
Rank #32 / 310
+29%
4.16
Facility 4.16
WA AVG 4.22
Rank #38 / 89
+80%-2%
$0
Facility $0
WA AVG $87.7k
Rank #1 / 91
48
Facility 48
WA AVG 48.9
Rank #43 / 91
4.8
Facility 4.8
WA AVG 6.9
Rank #23 / 91
197-
77
Facility 77
WA AVG 51
Rank #97 / 628
Washington State Department Of Vete
$10.7M
Facility $10.7M
WA AVG $13.2M
Rank #72 / 93
$14.2M
Facility $14.2M
WA AVG $5.7M
Rank #10 / 93
132.8%
Facility 132.8%
WA AVG 45.5%
Rank #1 / 93
505509
Overview of Lena‘s Gentle Care

Lena’s Gentle Care’s peaceful and intimate homes are designed to offer comfort and tranquility, creating the perfect environment for one’s golden years. Their homes boast expansive and lush gardens, offering residents a peaceful and serene atmosphere. At Lena’s Gentle Care, the staff dedicates itself to providing 24-hour care to residents with a wide range of needs, including diabetes, hospice, dementia, Alzheimer’s, Parkinson’s, stroke, respite care, wound care, and more.
At the heart of their approach is the belief that building amazing connections with their residents is essential to providing the best care possible. Their staff strives to nurture relationships with their residents, fostering a strong sense of community and belonging that sets them apart. At Lena’s Gentle Care, they offer a warm and welcoming sanctuary where seniors can be assured of receiving the most genuine care and idyllic retreat that they need.

Contact Lena‘s Gentle Care

Overview of Rockwood South Hill

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.

Contact Rockwood South Hill

Overview of Spokane Veterans Home

Experience a better quality of life at Spokane Veterans Home, a dedicated community in Spokane, WA, offering assisted living. Focusing on Veterans’ welfare, the community provides top-tier care tailored to their unique needs 24/7. Here, residents enjoy a hassle-free lifestyle with housekeeping and laundry services.

Residents enjoy a variety of exciting events and enriching programs that aim to keep them active and socially connected. The community also provides physical and occupational therapy to improve residents’ living experiences. Delicious and well-balanced meals are available for residents’ dietary needs and preferences. The community’s nurturing and welcoming environment creates the ideal setting for residents to thrive in retirement.

Contact Spokane Veterans Home

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Spokane, WA

What's the difference between assisted living and a nursing home in Washington?

Assisted living in Washington is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Washington Medicaid cover nursing home care?

Yes — Washington Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 13 nursing homes in Spokane, WA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Spokane, WA?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Spokane, WA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Spokane, WA?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.