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Aurora Valley Care
Nursing Home & Skilled Nursing · Spokane Valley, WA
CMS overall rating
2/5
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.
Nursing Home & Skilled Nursing · Spokane Valley, WA
CMS overall rating
2/5
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.
Aurora Valley Care accepts Medicare, Medicaid, and private pay.
Aurora Valley Care accepts Medicare, Medicaid, and private pay.
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.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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.
Staffing hours
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.
Hours per resident per day vs Washington averages
Rank#32 / 61Nurse hours — State benchmarkedThis home is ranked 32nd out of 61 homes we track in Washington for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 61 Washington facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Total nursing care
This home is ranked 32nd out of 61 homes we track 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.
3h 58m
6% below state avg
This facilityState avg 4h 13m
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.
40m
−25% State avg: 53m per day · National avg: 41m per day
LPN / LVNLicensed 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.
57m
+17% State avg: 49m per day · National avg: 52m per day
Nurse AideCertified 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.
2h 20m
−13% State avg: 2h 41m per day · National avg: 2h 21m per day
Weekend Total NursingCombined 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.
3h 22m
−11% State avg: 3h 47m per day · National avg: 3h 26m per day
Physical TherapistHours 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.
4m
−23% State avg: 5m per day · National avg: 4m per day
Weekend RNRegistered 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.
17m
−54% State avg: 38m per day · National avg: 29m per day
5 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.124Rank#15 / 68Bed count — State benchmarkedThis home is ranked 15th out of 68 homes we track in Washington for bed count. Shows this facility's certified or reported bed count compared to other Washington facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.Rank#16 / 80Walk Score — State benchmarkedThis home is ranked 16th out of 80 homes we track in Washington for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Washington facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
72/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.Rank#39 / 57Occupancy rate — State benchmarkedThis home is ranked 39th out of 57 homes we track in Washington for occupancy. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 57. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
69.8%This home usually has availability
Lower than the Washington average: 74.9%
Residents per day (avg) The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
87
Avg. Length of Stay
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.
98days
Payment & Insurance
1 service
Accept Medicaid
Therapy & Rehabilitation
2 services
Rehabilitation Services
Short-Term Rehab
Staffing & Medical
2 services
Doctor on Staff
24-Hour Staffing
Amenities & Lifestyle
Specific ProgramsLong-Term Skilled Nursing, Therapy Services
CMS Health Inspection History
InspectionsSince 2024 · 2 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections20
Washington average8.7
Last Health inspection on May 2026
Total health citations
105Rank#59 / 61Health citations — State benchmarkedThis home is ranked 59th out of 61 homes we track in Washington for health citations. Shows this facility's total health deficiency citations benchmarked to the Washington State average, with a ranking across all 61 WA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Washington average49.3
Citations per inspection
5.25Rank#23 / 61Citations per inspection — State benchmarkedThis home is ranked 23rd out of 61 homes we track in Washington for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Washington mean across 61 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Washington average6.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
71 of 105 citations resulted from standard inspections; 31 of 105 resulted from complaint investigations; and 3 of 105 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 2 years)
Critical health citations
0
100% better than Washington average
Washington average: 0.3
Serious health citations
3
67% worse than Washington average
Washington average: 1.8
0 critical citationsWashington average: 0.3
3 serious citationsWashington average: 1.8
101 moderate citationsWashington average: 46.8
1 minor citationWashington average: 0.5
Citations history (last 2 years)
Quality of Care moderate citationMay 27, 2026
Corrected
Pharmacy moderate citationApr 01, 2026
Corrected
Resident Rights moderate citationApr 01, 2026
Corrected
Administration moderate citationSep 15, 2025
Corrected
Citations history (last 2 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff148
Employees97
Contractors51
Staff to resident ratio1.97 : 1
6% more staff per resident than Washington average
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 Rank#50 / 61Federal fines — State benchmarkedThis home is ranked 50th out of 61 homes we track in Washington for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Washington average among facilities with fines, and where it ranks among 61 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
99% higher than Washington average
Washington average: $82K
Number of fines
3
62% more fines than Washington average
Washington average: 1.8
Payment DenialsSerious 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.
1 penalty in the past 3 years
May 9, 2024 · $93K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.May 9, 2024
$93K
Last updated: Jan 2026
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 scoreA 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 scoreA 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
Significantly above averageWashington avg: 3.6CMS 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 Percent of long-stay residents whose need for help with daily activities has increased12.2%
26% better than Washington average
Washington average: 16.4%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened20.1%
8% better than Washington average
Washington average: 21.8%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder25.1%
In line with Washington average
Washington average: 24.3%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury2.1%
21% better than Washington average
Washington average: 2.6%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers7.3%
47% worse than Washington average
Washington average: 4.9%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection4.2%
138% worse than Washington average
Washington average: 1.7%
Lost Too Much Weight Percent of long-stay residents who lose too much weight5.1%
13% better than Washington average
Washington average: 5.8%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms13.3%
18% better than Washington average
Washington average: 16.2%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication21.1%
46% worse than Washington average
Washington average: 14.5%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine98.8%
In line with Washington average
Washington average: 96.2%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%
7% better than Washington average
Washington average: 93.8%
Short-stay resident measures
Significantly above averageWashington avg: 3.6CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine78.9%
10% worse than Washington average
Washington average: 88.1%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication0.0%
100% better than Washington average
Washington average: 1.4%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine79.0%
In line with Washington average
Washington average: 82.0%
Re-hospitalized after SNF stayPercentage 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 visitsPercentage 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 injuryPercentage 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 dischargePercentage 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 communityRate of successful return to home or community from a skilled nursing facility.49.4%
In line with Washington average
Washington average: 50.6%
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay1 - 2 months
Private pay
64% of new residents, often for short stays.
Typical stay29 days
Medicaid
13% of new residents, often for long-term daily care.
Typical stay1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents75
Medicare
2
2.7% of residents
Medicaid
55
73.3% of residents
Private pay or other
18
24% of residents
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.
Financial Trends
Historical financial and operational data for Aurora Valley Care from 2011–2023, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2023.
Net Patient Income-$384.6K↓ ~$233.1K vs 2022
Payroll Costs$4.7M↑ ~$260.5K vs 2022
Operating Margin-3.8%↓ 2.1pp vs 2022
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2016
2019
2020
2021
2022
2023
Occupancy %
91.2%
84.2%
76.3%
85.1%
78.1%
88.7%
83.3%
61.0%
52.6%
53.3%
Beds
121
121
121
122
121
124
124
124
124
124
Net Income
$774,617
-$440,703
-$1,785,520
-$1,225,276
-$1,684,196
-$442,325
$508,944
-$1,939,671
$38,801
$238,694
Gross Revenue
$16,334,338
$14,692,490
$12,929,180
$13,912,826
$11,288,310
$13,378,351
$12,432,556
$9,081,354
$9,840,625
$10,775,263
Operating Expenses
$11,097,977
$10,836,252
$10,869,197
$11,269,689
$10,539,398
$10,858,646
$11,014,394
$10,450,704
$9,028,618
$10,445,546
Net Patient Income
$737,995
-$375,715
-$1,743,382
-$1,234,973
-$1,697,274
-$460,677
$458,471
-$2,021,471
-$151,526
-$384,630
Net Patient Revenue
$11,835,972
$10,460,537
$9,125,815
$10,034,716
$8,842,124
$10,397,969
$11,472,865
$8,429,233
$8,877,092
$10,060,916
Payroll Costs
$4,602,858
$4,363,757
$4,586,426
$4,857,295
$4,790,963
$5,480,332
$5,680,601
$4,948,807
$4,446,854
$4,707,365
Operating Margin %
6.2%
-3.6%
-19.1%
-12.3%
-19.2%
-4.4%
4.0%
-24.0%
-1.7%
-3.8%
Medicare %
21.0%
19.8%
13.5%
13.2%
7.8%
5.9%
6.9%
8.6%
15.6%
8.7%
Medicaid %
0.0%
0.0%
0.0%
0.0%
0.0%
83.9%
77.3%
74.9%
68.7%
72.1%
Private %
79.0%
80.2%
86.5%
86.8%
92.2%
10.2%
15.8%
16.5%
15.6%
19.2%
Net Patient Revenue/Day
$294
$281
$271
$265
$256
$259
$304
$305
$373
$417
Cost/Day
$276
$291
$323
$297
$305
$271
$292
$379
$379
$433
Avg Length of Stay
79.0 days
77.2 days
90.8 days
87.9 days
116.1 days
165.9 days
120.0 days
105.8 days
103.5 days
98.5 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Operated by a limited liability company.
Net patient revenueNet 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."
$10.1M
Net patient incomeNet 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."
-$384.6K
For-profit Operated by a limited liability company.
Net patient revenueNet 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."
$10.1M Rank#39 / 51Net patient revenue — State benchmarkedThis home is ranked 39th out of 51 homes we track in Washington. Shows this facility's net patient revenue compared to the Washington average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet 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."
-$384.6K
Other incomeMoney 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.
$623.3K
Payroll costsStaff 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#45 / 51Payroll costs — State benchmarkedThis home is ranked 45th out of 51 homes we track in Washington. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Washington average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.7M
46.8% of net patient revenue
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#45 / 51Payroll % of net patient revenue — State benchmarkedThis home is ranked 45th out of 51 homes we track in Washington. Shows payroll as a percentage of net patient revenue versus the Washington average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Washington that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything 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).
$5.7M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$10.4M
Certification details
License Number:505114
Rural vs. Urban:Urban
County:Spokane
Type of Control:For-profit — Operated by a limited liability company.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
What does this home offer?
No pets allowed
Building Type: Single-story
Fitness and Recreation
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.
Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 29 days.
Admissions
253 total
Coverage residents most often arrive under.
Medicare23%
Private pay64%
Medicaid13%
Discharges
245 total
Coverage residents most often leave under.
Medicare18%
Private pay41%
Medicaid41%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Managed by Jacqueline Palozzolo
Executive Director
Reviews (1)
Aurora Valley Care Reviews
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 2021
Rating Their Experiences
What do you like most about living here?
Nothing at all
Are there enough caregivers to handle the residents' needs, especially during emergencies?
No
Are the common areas pleasant and comfortable for socializing or relaxing?
No
How do you feel about the level of social interaction available with other residents?
There is rarely any social interaction
How was the units offered in this community?
Sent from hospital
Do you feel safe living in this community?
No
How well do you think the community handles emergencies or unexpected events?
They ignore emergencies to keep the numbers down and to bring as little attention to the facility as possible
How would you rate the quality and variety of the meals? (1-5)
1
Are special diets handled well?
No
Is the dining schedule flexible enough to meet your preferences?
No
Are there any hidden fees or unexpected charges?
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?
Absolutely not
Is there anything you wish you knew before moving in?
I wish we'd looked up the reviews
Places of interest near Aurora Valley Care
1.8 miles from city center Estimated distance in miles from Spokane Valley's city center to Aurora Valley Care'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.
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 TableAL (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.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
Rank badges are statewide: each nursing home is ranked against every WA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for Nursing Home in Washington
Aurora Valley Care is located in Spokane Valley, Washington State. Here are the financial assistance programs available to residents in Washington State.
Covers Part B premiums ($174.70/month)Deductibles ($240/year)Copays (~20%)
VA Aid and Attendance (A&A) and Housebound Benefits
Washington VA Aid and Attendance/Housebound
Age65+ or disabled veteran/spouse
GeneralWA resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025)Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits~$155,356net worth
WA
High veteran use; supports rural/urban needs.
Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs
Senior Citizens Property Tax Exemption
Washington Senior Property Tax Exemption
Age61+ or disabled retiree
GeneralWA resident, homeowner, income-based.
Income Limits (2025)~$45,000-$70,000/yearvaries by county, e.g., King: $70,000
Asset LimitsNot assessed; home value cap varies~$250,000-$400,000
WA
Saves ~$500-$1,500/year; offered statewide.
Benefits
Tax exemption (~$500-$1,500/year depending on county)
Senior Farmers’ Market Nutrition Program (SFMNP)
Washington SFMNP
Age60+
GeneralWA resident, low-income.
Income Limits (2025)~$2,322/month185% FPL
Asset LimitsNot assessed.
WA
Vouchers (~$80/season); serves ~20,000 via AAAs.
Benefits
Vouchers (~$80/season) for produce at farmers’ markets
Frequently Asked Questions about Aurora Valley Care
Is Aurora Valley Care in a walkable area?
Aurora Valley Care has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the occupancy rate at Aurora Valley Care?
Aurora Valley Care's occupancy is 69.8%.
Are pets allowed at Aurora Valley Care?
No, Aurora Valley Care has a no-pet policy.
Does Aurora Valley Care operate as a for-profit or non-profit?
Aurora Valley Care is registered as a for-profit.
What is the overall rating for Aurora Valley Care?
Aurora Valley Care received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Aurora Valley Care have?
Aurora Valley Care has 124 beds.
Are there photos of Aurora Valley Care?
Yes — there are 4 photos of Aurora Valley Care in the photo gallery on this page.