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Nursing Home in Spokane

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.

Ivy Court Skilled Nursing and Rehabilitation

Nursing Home in Spokane

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.

Ivy Court Skilled Nursing and Rehabilitation

Overview of Ivy Court Skilled Nursing and Rehabilitation

Ivy Court, operated by Caldera Care, is a 24-hour skilled nursing and rehabilitation facility that provides the support and nursing care needed by residents. The care home offers a range of services, including physical therapy, speech therapy, nutritional support, occupational therapy, and wellness-focused activities. Ivy Court’s experienced staff deliver quality care while giving residents a serene, safe, and comfortable place to enjoy healing and rest.


The care home provides skilled nursing and rehabilitation services to meet the needs of its residents. Ivy Court’s skilled nursing services include 24-hour care from licensed nurses, medication management, and coordination with physicians and other healthcare providers. The rehabilitation program focuses on helping residents regain their strength, mobility, and independence after an illness, injury, or surgery, with therapy services including physical, occupational, and speech therapy designed to help residents achieve their highest level of function and quality of life.

(208) 667-6486

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.
3/5
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.
3/5
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 56m per day

This home provides 7% less nursing time per resident than the Washington average.

Washington average: 4h 13m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 80

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Washington average: 72.5%
Occupancy rate 90%
Residents per day (avg) 68
Occupancy rate
90%
Residents per day (avg)
68

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

56% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

35% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

9% 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
$10.6M
Profit
$624.5K
Privately-owned community Operated by a business corporation.
Home revenue
$10.6M
Profit
$624.5K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
45.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
Total costs $10.0M
Walk Score
Walk Score: 50 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

2 services
Doctor on Staff
Skilled Nursing

Additional Services

1 service
Short-Term Rehabilitation

Amenities & Lifestyle

18 amenities
State-Of-The-Art Therapy Equipment
On-Site Medical Director
On-Site Wound Care Physician
On-Site Salon/Spa Services
On-Site Religious Services
Pet-Therapy
Wifi Accessibility
Enhanced Dining With Gourmet Menus
Warmly Decorated Private And Semi-Private Rooms
Private Bath With Roll-In Shower
In-Room Free Cable Service With 40" Flat Screen Televisions
Private Phones
In-Room Phones
Comfortable Family/Resident Lounge Areas
Outdoor Courtyard
Outdoor Patio
Manicured Gardens
On-Site Bistro Cafe With Espresso Services
Specific ProgramsServices & Care Options, Gallery, Points of Difference, Amenities, Life Enrichment Programs
Religious ServicesYes

What does this home offer?

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 Ivy Court Skilled Nursing and Rehabilitation

Skilled Nursing

Health Inspection History

Inspections
Total health inspections 3

Washington average 7.8


Last Health inspection on Sep 2024

Total health citations 43

Washington average 48.9

Citations per inspection
14.33

Washington average 6.92


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

32 of 43 citations resulted from standard inspections; and 11 of 43 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 3
76% worse than Washington average

Washington average: 1.7

0 critical citations More info Washington average: 0.3

3 serious citations More info Washington average: 1.7

39 moderate citations More info Washington average: 46.3

1 minor citation More info Washington average: 0.5
Citations history (last 3 years)
Abuse/Neglect serious citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 26, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 26, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 26, 2024
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Sep 26, 2024
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 Apr 2026

Filter by care type
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 (Coeur D'alene)80 90.0% +30%3.93 -46%-5%04314.3368- 50 -$10.1M$4.8M47.7%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 (Spokane Valley)124 53.3% -27%3.54 -50%-16%31065.6580- 72 -$10.8M$4.1M37.7%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--------000.00-- 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)---------000.00-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)---------000.00-- 40 -----

Places of interest near Ivy Court Skilled Nursing and Rehabilitation

Address 31.9 miles from city center Info Estimated distance in miles from Coeur d'Alene's city center to Ivy Court Skilled Nursing and Rehabilitation's address, calculated via Google Maps. — 0.11 miles to nearest hospital (Kootenai Health Foundation)

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Address

Staffing Data (Q2 2025)

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

Total staff 154
Employees 130
Contractors 24
Staff to resident ratio 2.17:1
17% better than Washington average

Washington average ratio: 1.85:1

Avg staff/day 40
Average shift 8.1 hours
0% compared with Washington average

Washington average: 8.1 hours

Total staff hours (quarter) 29,498
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

No contractors work on this role.

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. 8.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 60
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

2.4%

697 contractor hours this quarter

Certified Nursing Assistant: 14 Licensed Practical Nurse: 5 Medical Director: 2 Occupational Therapy Assistant: 2 Administrator: 1
Staff by category
Certified Nursing Assistant46146012,05891100%8.1
Licensed Practical Nurse185235,17891100%8.9
Nurse Aide in Training140143,10691100%8.2
Registered Nurse100102,6689099%9.9
Clinical Nurse Specialist100101,4627380%7.9
Dental Services Staff2026516875%7.7
RN Director of Nursing2026164549%7.6
Administrator2136156571%8.2
Speech Language Pathologist5055826774%6.8
Nurse Practitioner2025206571%8
Other Dietary Services Staff2023443033%7.7
Respiratory Therapy Technician3033215763%5.3
Mental Health Service Worker1013203640%8.9
Dietitian1012933741%7.9
Physical Therapy Assistant4042836268%4.5
Physical Therapy Aide2022033336%6.2
Physical Therapist1011233134%4
Qualified Social Worker303652426%2.7
Occupational Therapy Aide2026389%7.9
Occupational Therapy Assistant0221933%6.3
Medical Director0227910%0.7
60 Certified Nursing Assistant
% of Days 100%
23 Licensed Practical Nurse
% of Days 100%
14 Nurse Aide in Training
% of Days 100%
10 Registered Nurse
% of Days 99%
10 Clinical Nurse Specialist
% of Days 80%
2 Dental Services Staff
% of Days 75%
2 RN Director of Nursing
% of Days 49%
3 Administrator
% of Days 71%
5 Speech Language Pathologist
% of Days 74%
2 Nurse Practitioner
% of Days 71%
2 Other Dietary Services Staff
% of Days 33%
3 Respiratory Therapy Technician
% of Days 63%
1 Mental Health Service Worker
% of Days 40%
1 Dietitian
% of Days 41%
4 Physical Therapy Assistant
% of Days 68%
2 Physical Therapy Aide
% of Days 36%
1 Physical Therapist
% of Days 34%
3 Qualified Social Worker
% of Days 26%
2 Occupational Therapy Aide
% of Days 9%
2 Occupational Therapy Assistant
% of Days 3%
2 Medical Director
% of Days 10%

Facility Characteristics

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

Total residents 71
Medicare
14
19.7% of residents
Medicaid
52
73.2% of residents
Private pay or other
5
7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, 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. 6.3
34% better than Washington average

Washington average: 9.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.3
37% better than Washington average

Washington average: 19.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.2%
63% better than Washington average

Washington average: 16.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.5%
57% better than Washington average

Washington average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.3%
In line with Washington average

Washington average: 22.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.7%
68% worse than Washington average

Washington average: 2.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.0%
65% worse than Washington average

Washington average: 3.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.1%
7% worse than Washington average

Washington average: 2.0%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.3%
12% worse than Washington average

Washington average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 41.7%
227% worse than Washington average

Washington average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.3%
5% worse than Washington average

Washington average: 18.3%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
In line with Washington average

Washington average: 97.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Washington average

Washington average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.6%
In line with Washington average

Washington average: 89.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 4.6%
206% worse than Washington average

Washington average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 82.4%
5% worse than Washington average

Washington average: 86.5%

Guides for Better Senior Living

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Financial Aid for Washington Seniors

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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.