Amani Place AFH II
Receive an all-encompassing care in the serene senior living community of Amani Place Afh II that sits peacefully in the quiet neighborhood of Spokane Valley, WA. Focused on helping its residents age in one place, the community offers an all encompassing care services, including assisted living, Alzheimer’s care, memory care, skilled nursing, and hospice care. Residents here are provided with inviting and stunning accommodations where they can enjoy a restful retirement experience.
The community makes sure residents’ unique needs are met by providing each of them with personalized care plans that accommodate their individual needs, preferences, and care goals. Featuring a round the clock team of care experts, Amani Place Afh II ensures residents can live confidently knowing that someone is always there to care for their needs. Here, residents are supported to lead the lifestyle they want within an environment that allows them to thrive.
Community insights.
About This Community
Tana Shea is the Administrator at Amani Place AFH II, dedicated to providing quality care that she values deeply. She cherishes her family life with her husband Tim, their four children, and seven grandchildren. Tana enjoys contributing to community healing programs and is committed to fostering a warm, supportive environment for residents and staff alike.
Places of interest near Amani Place AFH II
1.4 miles from city center
Estimated distance in miles from Spokane Valley's city center to Amani Place AFH II's address, calculated via Google Maps.
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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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 64.4% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Spokane Veterans Home | NH HOS MC | Spokane (East Central) | 100
Facility
100
WA AVG
103
Rank
#36 / 69 |
97.8%
Facility
97.8%
WA AVG
77.2%
Rank
#4 / 57 | +27% | 4.07
Facility
4.07
WA AVG
4.41
Rank
#32 / 59 | +24% | -8% | $0
Facility
$0
WA AVG
$82.6k
Rank
#1 / 61 | 45
Facility
45
WA AVG
49.9
Rank
#27 / 61 | 5.6
Facility
5.6
WA AVG
6.2
Rank
#26 / 61 | 1 | 98 | - |
77
Facility
77
WA AVG
51
Rank
#11 / 80 | Washington State Department Of Vete | $17.7MFiscal year ending 06/2025
Facility
$17.7MFiscal year ending 06/2025
WA AVG
$16.6M
Rank
#16 / 60 | $13.4MFiscal year ending 06/2025
Facility
$13.4MFiscal year ending 06/2025
WA AVG
$10.1M
Rank
#15 / 60 | 76%Fiscal year ending 06/2025
Facility
76%Fiscal year ending 06/2025
WA AVG
64.4%
Rank
#5 / 60 | 505509 | ||||
| Regency at Northpointe | NH RC SNF | Spokane (Shiloh Hills) | 120
Facility
120
WA AVG
103
Rank
#21 / 69 |
75.8%
Facility
75.8%
WA AVG
77.2%
Rank
#32 / 57 | -2% | 4.05
Facility
4.05
WA AVG
4.41
Rank
#40 / 59 | -46% | -8% | $8.3k
Facility
$8.3k
WA AVG
$82.6k
Rank
#26 / 61 | 15
Facility
15
WA AVG
49.9
Rank
#1 / 61 | 3.8
Facility
3.8
WA AVG
6.2
Rank
#10 / 61 | 1 | 91 | - |
37
Facility
37
WA AVG
51
Rank
#55 / 80 | Tod Dunfield | $17.4MFiscal year ending 12/2024
Facility
$17.4MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#17 / 60 | $9.7MFiscal year ending 12/2024
Facility
$9.7MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#20 / 60 | 55.7%Fiscal year ending 12/2024
Facility
55.7%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#42 / 60 | 505369 | ||||
| Sunshine Health and Rehabilitation | NH AL HC MC SNF | Spokane Valley (Dishman) | 37
Facility
37
WA AVG
103
Rank
#65 / 69 |
87.3%
Facility
87.3%
WA AVG
77.2%
Rank
#20 / 57 | +13% | 5.54
Facility
5.54
WA AVG
4.41
Rank
#5 / 59 | -13% | +26% | $0
Facility
$0
WA AVG
$82.6k
Rank
#1 / 61 | 32
Facility
32
WA AVG
49.9
Rank
#15 / 61 | 5.3
Facility
5.3
WA AVG
6.2
Rank
#25 / 61 | - | 32 | - |
28
Facility
28
WA AVG
51
Rank
#65 / 80 | Carol Dikes | $7.8MFiscal year ending 12/2024
Facility
$7.8MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#51 / 60 | $4.1MFiscal year ending 12/2024
Facility
$4.1MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#54 / 60 | 52.1%Fiscal year ending 12/2024
Facility
52.1%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#51 / 60 | 505411 | ||||
| Aurora Valley Care | NH SNF | Spokane Valley | 124
Facility
124
WA AVG
103
Rank
#19 / 69 |
70.0%
Facility
70.0%
WA AVG
77.2%
Rank
#42 / 57 | -9% | 4.14
Facility
4.14
WA AVG
4.41
Rank
#32 / 59 | -52% | -6% | $93.5k
Facility
$93.5k
WA AVG
$82.6k
Rank
#51 / 61 | 101
Facility
101
WA AVG
49.9
Rank
#56 / 61 | 5.6
Facility
5.6
WA AVG
6.2
Rank
#26 / 61 | 3 | 87 | - |
72
Facility
72
WA AVG
51
Rank
#16 / 80 | - | $11.4MFiscal year ending 12/2024
Facility
$11.4MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#44 / 60 | $6.4MFiscal year ending 12/2024
Facility
$6.4MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#49 / 60 | 56.4%Fiscal year ending 12/2024
Facility
56.4%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#37 / 60 | 505114 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other WA nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Programs that may help with care and living costs in Washington State
Amani Place AFH II is in Spokane Valley, Washington State. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
Washington VA Aid and Attendance/Housebound
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
- Asset limit
- VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.
Eligibility
- General
- Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
- WA specifics
- This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.
What it provides
- Increased monthly VA pension based on the applicable MAPR less countable income.
WA Cares Fund
Washington WA Cares Fund
Eligibility
- General
- Washington residents age 18 or older who have earned WA Cares benefits through qualifying contributions and need help with at least three daily activities for at least 90 days as determined by the program.
- WA specifics
- Statewide benefits began July 1 2026. Full benefits can be earned after three qualifying years within the preceding six years or ten qualifying years; workers born before 1968 may qualify for partial benefits. A qualifying year requires at least 500 covered work hours. Services must come from registered WA Cares providers.
What it provides
- Approved beneficiaries may use earned benefits for in-home care or eligible facility care.
- Covered supports may include home modifications and adaptive equipment or paying a qualifying family caregiver.
- The full lifetime benefit is up to $36,500 in 2026 and partial benefits depend on qualifying years.
Medicaid Personal Care (MPC)
Washington Medicaid Personal Care (MPC)
Eligibility
- General
- Washington residents eligible for noninstitutional categorically needy Apple Health or its alternative benefit plan who meet the MPC functional assessment and do not require an institutional level of care.
- WA specifics
- MPC differs from Community First Choice and COPES. Personal care can be authorized at home or in eligible adult family homes and assisted living facilities contracted for adult residential care. Financial eligibility follows the qualifying Apple Health coverage category.
What it provides
- Authorized personal-care help with daily activities.
- Assessment-based nursing support may also be available when not already provided through another resource.
Community Options Program Entry System (COPES)
WA Medicaid COPES
- Income limit
- COPES financial eligibility is program-specific.
Eligibility
- General
- COPES is a Washington Medicaid home/community long-term-care program requiring qualifying functional needs and financial eligibility.
- WA specifics
- DSHS long-term-care manual includes current COPES guidance; assessment and authorized service plan govern individual services.
What it provides
- Authorized home/community long-term services and supports.
Washington Family Caregiver Support Program
WA NFCSP
Eligibility
- General
- Washington supports unpaid family caregivers of adults; program-specific assessment and local eligibility determine services.
- WA specifics
- Local family caregiver support programs provide assessment and resources.
What it provides
- Caregiver information training counseling and respite may be available based on assessment and local funding.
Community First Choice (CFC)
Washington Community First Choice
- Income limit
- Medicaid financial eligibility depends on the applicant coverage group.
Eligibility
- General
- Community First Choice is a Medicaid state-plan home/community service option for eligible people with qualifying functional needs; it is not restricted to age 65 or older.
- WA specifics
- CFC is a state-plan option rather than the COPES waiver; assessment and person-centered service planning apply.
What it provides
- Approved personal assistance and related community supports based on assessment.
Older Americans Act (OAA) Services
Washington OAA Services
- Who it is for
- Adults 60+ looking for meals, in-home help or other local aging services
- Income limit
- OAA nutrition services have no income means test; priority is directed to people with greatest economic or social need.
- Asset limit
- OAA nutrition eligibility is not asset-tested.
Eligibility
- General
- Older Americans Act supportive and nutrition services generally serve adults age 60 or older; individual services can have additional criteria and specified exceptions.
- WA specifics
- Services are subject to local availability and funding; the OAA does not guarantee an individual entitlement.
What it provides
- Locally available nutrition and supportive services may include meals and in-home assistance.
Medicare Savings Program (MSP)
Washington Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
- Income limit
- QMB countable income at or below 110% FPL; SLMB over 110% through 120%; QI-1 over 120% through 138%; Household and income-counting methods can change the determination.
- Asset limit
- Washington Medicare Savings Programs do not require a resource test.
Eligibility
- General
- Meet Washington general eligibility plus Medicare Part A entitlement or qualifying SSA Low-Income Subsidy enrollment under current state rule.
- WA specifics
- QDWI has separate under-65 employment disability and income rules; QI-1 is subject to federal funding and cannot be combined with Medicaid.
What it provides
- QMB pays Medicare premiums and applicable cost sharing; SLMB and QI-1 pay Part B premiums; QDWI pays Part A premiums.
Low-Income Home Energy Assistance Program (LIHEAP)
Washington LIHEAP
- Who it is for
- Income-eligible households responsible for home heating or energy costs
- Income limit
- Depends on household size under current state guidelines.
Eligibility
- General
- Washington household meeting LIHEAP net-income and other eligibility criteria; local providers determine eligibility.
- WA specifics
- Assistance depends on income household size home heating costs and local funding; eligible repair and replacement supports can be available.
What it provides
- Eligible home-energy costs and certain unsafe heating or cooling system repair/replacement.
Senior Citizens Property Tax Exemption
Washington Senior Property Tax Exemption
- Income limit
- Combined disposable-income threshold depends on county and tax year.
Eligibility
- General
- Eligible Washington homeowners age 61 or older or meeting qualifying disability/veteran criteria; ownership principal-residence and income rules apply.
- WA specifics
- Apply through county assessor using the applicable tax-year county thresholds; Exemption and tax-deferral programs have distinct rules.
What it provides
- Qualifying reduction of property tax based on county income tier and exempt levies.







