Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
72
54 employees · 18 contractors · 29 on an average day Rockwood South Hill
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Spokane, 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.
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.
Rockwood South Hill
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Spokane, 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.
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.
Rockwood South Hill accepts Medicare and private pay.
Rockwood South Hill in Spokane, Washington, offers independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living provides private living with community services and no daily care, while assisted living helps with daily tasks such as dressing, bathing, and medication management. Memory care is provided in a secured setting with supervision for someone at risk of wandering, and skilled nursing includes licensed nursing care on site around the clock.
Several care levels are available within one community, which may suit a resident whose needs could grow over time without requiring a move elsewhere. Respite care and short term rehabilitation support temporary stays, including when a usual caregiver needs time away or a resident is recovering after an illness or injury.
The community has 90 beds, with total nurse staffing of 6 hours and 10 minutes per resident each day. That figure represents the daily hands on nursing time allocated per resident. Medicare and private pay are accepted; Medicare may cover short term skilled care after a hospital stay, while private pay allows families to pay directly.
A fitness center and wellness programs offer places for exercise and health focused activities, while outdoor spaces give residents areas to spend time outside. Multiple dining venues include casual and fine dining, with menus that change regularly and accommodate various dietary needs. Salon and spa services provide personal care on site.
The area has a Walk Score of 96 out of 100, considered a walker’s paradise where daily errands do not require a car. A resident who no longer drives can handle those errands on foot. Dan DeBoise, RN BSN, serves as director.
Quality ratings
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.
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.
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.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Total nursing care per resident / day
This nursing home is ranked 3rd out of 59 nursing 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.
6h 10m
This nursing home is ranked 3rd out of 59 nursing 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.
6h 10mStandout metric: Registered nurse (RN) is +134% above Washington average
1 of 6 metrics below Washington average
Daily care time per resident, by role
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. 21 total: 17 of the facility's own employees and 4 agency contractors.
21 staff · 8.2-hour shifts
2h 4m
↑ 134% · WA 53mThis facility: 2h 4m per resident per day, 134% above the Washington average of 53m (among Washington facilities reporting a recent figure).
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. 21 total: 17 of the facility's own employees and 4 agency contractors.
21 staff · 8.2-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed 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. 7 total: 5 of the facility's own employees and 2 agency contractors.
7 staff · 7.9-hour shifts
22m
↓ 56% · WA 49mThis facility: 22m per resident per day, 56% below the Washington average of 49m (among Washington facilities reporting a recent figure).
Licensed 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. 7 total: 5 of the facility's own employees and 2 agency contractors.
7 staff · 7.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified 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. All 28 are the facility's own employees; no agency contractors work in this role.
28 staff · 8.1-hour shifts
3h 44m
↑ 39% · WA 2h 41mThis facility: 3h 44m per resident per day, 39% above the Washington average of 2h 41m (among Washington facilities reporting a recent figure).
Certified 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. All 28 are the facility's own employees; no agency contractors work in this role.
28 staff · 8.1-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours 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.
8m
↑ 53% · WA 5mThis facility: 8m per resident per day, 53% above the Washington average of 5m (among Washington facilities reporting a recent figure).
Hours 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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined 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.
RN + LPN + aide · Sat–Sun
5h 27m
↑ 44% · WA 3h 47mThis facility: 5h 27m per resident per day, 44% above the Washington average of 3h 47m (among Washington facilities reporting a recent figure).
Combined 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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered 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.
Sat–Sun
1h 16m
↑ 99% · WA 38mThis facility: 1h 16m per resident per day, 99% above the Washington average of 38m (among Washington facilities reporting a recent figure).
Registered 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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
72
54 employees · 18 contractors · 29 on an average day
Average hours one staff member works on a day they are on shift, across every role.
7.7 h
↓ 4% · WA 8 hThis facility: 7.7 h, 4% below the Washington average of 8 h (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
20,219 staff hours this quarter
See full Washington ranking →91.3% of staff hours were worked by the facility's own employees
Washington average: 93.9% · Contractors this quarter: Registered Nurse (4), Respiratory Therapy Technician (3), Physical Therapy Assistant (3), Speech Language Pathologist (2), Qualified Social Worker (2), Licensed Practical Nurse (2), Physical Therapy Aide (2)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
135
Rank #12 / 69Bed count — State benchmarked This nursing home is ranked 12th out of 69 nursing 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
135
Rank #12 / 69Bed count — State benchmarked This nursing home is ranked 12th out of 69 nursing 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
45 nursing-home beds (CMS) + 90 state-licensed beds.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #10 / 17Years in operation — State benchmarked This nursing home is ranked 10th out of 17 nursing homes we track in Washington for years in operation. Shows how long this facility has been in operation compared to other Washington facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #10 / 17Years in operation — State benchmarked This nursing home is ranked 10th out of 17 nursing homes we track in Washington for years in operation. Shows how long this facility has been in operation compared to other Washington facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
23
years
Walk Score
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #3 / 80Walk Score — State benchmarked This nursing home is ranked 3rd out of 80 nursing 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #3 / 80Walk Score — State benchmarked This nursing home is ranked 3rd out of 80 nursing 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
96
/ 100
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.
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.
34
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
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.
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.
84
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
StatusOp
CountySpokane
License Number155
CMS Certification Number505033
CCRC accreditationA community type, not an award: CCRCs (also called Life Plan Communities) offer a continuum from independent living through assisted living and skilled nursing on one campus, so residents can stay as needs change - typically with an entrance-fee contract.
Life Plan CommunityA community type, not an award: CCRCs (also called Life Plan Communities) offer a continuum from independent living through assisted living and skilled nursing on one campus, so residents can stay as needs change - typically with an entrance-fee contract.
Profit StatusNonprofit
Short-Term Rehab
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
HousekeepingListed as: Bi-weekly housekeeping
Laundry & Linen
MaintenanceListed as: 24-hour general maintenance and repairs
Utilities IncludedListed as: All basic utilities included
Pets not allowed
Fitness Center
Library
Movie Theater
Beauty Salon
Spa
Business Center
Workshop
Golf Course
Fire Pit
Wi-Fi
Activities
Intergenerational Programs
Ted Talks
Musical Performances
Drawing Workshops
Writing Groups
Book Discussions
Concert and Theater Outings
Movie Screenings
Mystery Trips
Wine Tastings
Yoga and Meditation
Water Aerobics
Tai Chi
Bridge and Mahjong
Cribbage
Guest Speaker Events
Game Nights
Shopping Trips To Downtown Spokane
Bloomsday Race Participation
Tailored Fitness Instruction and Classes
Arts & Crafts
Worship Services
Dining & Nutrition
Sourced directly from the team at Rockwood South Hill.
Dining & Nutrition
Sourced directly from the team at Rockwood South Hill.- Vegetarian options.
- Gluten-free options.
- Bistro / café on site.
- Multiple dining venues.
Room Types
Private Room
Cottage / Villa
Two inspection records, one community. Washington inspects its 90 state-licensed beds; CMS inspects its 45 nursing-home beds.
Inspection History and the Inspection Scorecard below are the state record. CMS Health Inspection History, further down, is the federal record. Each covers only its own beds, visits and dates, so the totals are not meant to match, and nothing is counted twice.
Inspection History
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
Since 2025 · 1 year of data
These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 8 deficiencies 2 inspections
Includes all inspection records for this property, which could include management/ownership changes. 8 deficiencies 2 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2025 vs. Washington state average
Overall vs. WA average
1 Worse
Metrics worse than Washington average:
• Deficiencies per inspection (29% above) 1 Better Metrics better than Washington average:
• Total deficiencies (71% below)
• Deficiencies per inspection (29% above) 1 Better Metrics better than Washington average:
• Total deficiencies (71% below)
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 8 | 28.0 | This facility has 71% fewer total deficiencies than a typical Washington nursing home (8 vs. WA avg 28).↓ 71% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.0 | 3.1 | This facility has 29% more deficiencies per inspection than a typical Washington nursing home (4 vs. WA avg 3.1).↑ 29% worse |
Inspections
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 2 | 9.0 | This facility has had 78% fewer total inspections than the Washington average (2 vs. WA avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 78% fewer |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
4
↓ 55% · WA 8.8This facility: 4, 55% below the Washington average of 8.8 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
46
Rank #29 / 61Health citations — State benchmarked This nursing home is ranked 29th out of 61 nursing 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 8% · WA 49.9This facility: 46, 8% below the Washington average of 49.9 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
11.5
Rank #55 / 61Citations per inspection — State benchmarked This nursing home is ranked 55th out of 61 nursing 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 86% · WA 6.18This facility: 11.5, 86% above the Washington average of 6.18 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
46 of 46 citations corrected
Critical
J–L
0
↓ 100% · WA 0.3This facility: 0, 100% below the Washington average of 0.3 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · WA 1.7This facility: 0, 100% below the Washington average of 1.7 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
46
↓ 3% · WA 47.4This facility: 46, 3% below the Washington average of 47.4 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · WA 0.5This facility: 0, 100% below the Washington average of 0.5 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Mar 23, 2026 · 13 citations, all corrected
Most cited category: Quality of Life & Care, 12 of 46 citations · 10 categories in total
Citations history
Most recent first
Mar 23, 2026
13 citations
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Dec 09, 2024
21 citations
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Oct 16, 2023
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Aug 03, 2023
11 citations
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Top deficiency categories
Share of 46 citations
Quality of Life & Care
12 deficiencies (26%)
Resident Rights
7 deficiencies (15%)
Pharmacy Services
7 deficiencies (15%)
Infection Control
4 deficiencies (9%)
Resident Assessment & Care Planning
4 deficiencies (9%)
Nutrition & Dietary
4 deficiencies (9%)
Nursing & Physician Services
3 deficiencies (7%)
Abuse, Neglect & Exploitation
2 deficiencies (4%)
Environmental
2 deficiencies (4%)
Administration
1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
44 of 46 citations resulted from standard inspections; 1 of 46 resulted from complaint investigations; and 1 of 46 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
WA avg $80KWashington average: $80,436. Average among the 116 Washington facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
WA avg 1.89Washington average: 1.89. Average among the 116 Washington facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
WA avg 0.25Washington average: 0.25. Average among the 116 Washington facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Washington average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 44% · WA 3.6This facility: 2.0, 44% below the WA average of 3.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 10% · WA 3.6This facility: 4.0, 10% above the WA average of 3.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
18.8
Score · lower is better
↑ 128% · WA 8.2This facility: 18.8, 128% above the WA average of 8.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
37.1
Score · lower is better
↑ 118% · WA 17.0This facility: 37.1, 118% above the WA average of 17.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 6 worse, 3 near WA average
8 short-stay measures: 3 better, 1 worse, 1 near WA average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
40.5%
↑ 194% · WA 13.8This facility: 40.5, 194% above the WA average of 13.8 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
40.5%
↑ 194% · WA 13.8This facility: 40.5, 194% above the WA average of 13.8 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
39.7%
↑ 154% · WA 15.6This facility: 39.7, 154% above the WA average of 15.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
39.7%
↑ 154% · WA 15.6This facility: 39.7, 154% above the WA average of 15.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.1%
↑ 44% · WA 21.6This facility: 31.1, 44% above the WA average of 21.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.1%
↑ 44% · WA 21.6This facility: 31.1, 44% above the WA average of 21.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.9%
↑ 14% · WA 1.7This facility: 1.9, 14% above the WA average of 1.7 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.9%
↑ 14% · WA 1.7This facility: 1.9, 14% above the WA average of 1.7 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
↑ 108% · WA 2.6This facility: 5.4, 108% above the WA average of 2.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
↑ 108% · WA 2.6This facility: 5.4, 108% above the WA average of 2.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 28% · WA 4.4This facility: 3.1, 28% below the WA average of 4.4 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 28% · WA 4.4This facility: 3.1, 28% below the WA average of 4.4 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.5%
↓ 2% · WA 5.6This facility: 5.5, 2% below the WA average of 5.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.5%
↓ 2% · WA 5.6This facility: 5.5, 2% below the WA average of 5.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · WA 17.9This facility: 0.0, 100% below the WA average of 17.9 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · WA 17.9This facility: 0.0, 100% below the WA average of 17.9 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
9.0%
↓ 40% · WA 15.0This facility: 9.0, 40% below the WA average of 15.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
9.0%
↓ 40% · WA 15.0This facility: 9.0, 40% below the WA average of 15.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
↑ 1% · WA 96.2This facility: 97.3, 1% above the WA average of 96.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
↑ 1% · WA 96.2This facility: 97.3, 1% above the WA average of 96.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
↓ 1% · WA 94.3This facility: 93.8, 1% below the WA average of 94.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
↓ 1% · WA 94.3This facility: 93.8, 1% below the WA average of 94.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.39
↑ 73% · WA 1.38This facility: 2.39, 73% above the WA average of 1.38 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.39
↑ 73% · WA 1.38This facility: 2.39, 73% above the WA average of 1.38 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.85
↓ 44% · WA 1.51This facility: 0.85, 44% below the WA average of 1.51 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.85
↓ 44% · WA 1.51This facility: 0.85, 44% below the WA average of 1.51 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
↓ 25% · US 53.7This facility: 40.0, 25% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
↓ 25% · US 53.7This facility: 40.0, 25% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
57.8%
↑ 14% · US 50.6This facility: 57.8, 14% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
57.8%
↑ 14% · US 50.6This facility: 57.8, 14% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
↑ 210% · WA 1.3This facility: 3.9, 210% above the WA average of 1.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
↑ 210% · WA 1.3This facility: 3.9, 210% above the WA average of 1.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
↑ 6% · WA 88.7This facility: 94.5, 6% above the WA average of 88.7 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
↑ 6% · WA 88.7This facility: 94.5, 6% above the WA average of 88.7 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
↑ 4% · WA 84.4This facility: 87.5, 4% above the WA average of 84.4 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
↑ 4% · WA 84.4This facility: 87.5, 4% above the WA average of 84.4 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.8%
↓ 16% · WA 19.9This facility: 16.8, 16% below the WA average of 19.9 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.8%
↓ 16% · WA 19.9This facility: 16.8, 16% below the WA average of 19.9 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
7.4%
↓ 44% · WA 13.2This facility: 7.4, 44% below the WA average of 13.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
7.4%
↓ 44% · WA 13.2This facility: 7.4, 44% below the WA average of 13.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Rockwood South Hill’s finances from its CMS cost report for the fiscal year ending May 2025, compared with 60 Washington nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY May 2025
Is it financially stable?
Losing money on care, and more than last year
−32.6% operating margin
−1.7 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($7.7M) trims the net loss to −$0.5M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Washington homes
69.1% payroll share of revenue
WA average 64.4%Rank #11 / 60Payroll % of net patient revenue — State benchmarked This nursing home is ranked 11th out of 60 nursing homes we track in Washington for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.1M while revenue fell $0.1M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Washington homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | WA median | Compared with WA homesRank in WA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $24.7M | −$0.1M | Trend 20182025 | WA median $13.7M | Rank in WA Rank #9 / 60Net patient revenue — State benchmarked This nursing home is ranked 9th out of 60 nursing homes we track in Washington for net patient revenue. 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 86% of homes | Above WA median Higher net patient revenue than 86% of WA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $32.7M | +$0.3M | Trend 20182025 | WA median $14.1M | Rank in WA Rank #9 / 60Operating expenses — State benchmarked This nursing home is ranked 9th out of 60 nursing homes we track in Washington for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Washington homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 86% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$8.0M | −$0.4M | Trend 20182025 | WA median −$0.2M | Rank in WA Rank #57 / 60Net patient income — State benchmarked This nursing home is ranked 57th out of 60 nursing homes we track in Washington for net patient income. Shows net patient revenue minus operating expenses, compared with other Washington homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 5% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −32.6% | −1.7 pts | Trend 20182025 | WA median −1.7% | Rank in WA Rank #58 / 60Operating margin — State benchmarked This nursing home is ranked 58th out of 60 nursing homes we track in Washington for operating margin. Shows net patient income as a share of net patient revenue, compared with other Washington homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 3% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $7.7M | — | Trend — | WA median $0.0M | Rank in WA Rank #5 / 58Other income — State benchmarked This nursing home is ranked 5th out of 58 nursing homes we track in Washington for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Washington homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.5M | −$7.5M | Trend — | WA median −$0.0M | Rank in WA Rank #44 / 60Net income — State benchmarked This nursing home is ranked 44th out of 60 nursing homes we track in Washington for net income. Shows the bottom line after other income, compared with other Washington homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 27% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most Washington homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | WA median | Compared with WA homesRank in WA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $17.1M | +$1.1M | Trend 20182025 | WA median $8.4M | Rank in WA Rank #6 / 60Payroll costs — State benchmarked This nursing home is ranked 6th out of 60 nursing homes we track in Washington for payroll costs. 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 92% of homes | Top 8% in WA by size Higher payroll than 92% of WA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 69.1% | +4.8 pts | Trend 20182025 | WA median 58.9% | Rank in WA Rank #11 / 60Payroll % of net patient revenue — State benchmarked This nursing home is ranked 11th out of 60 nursing homes we track in Washington for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 83% of homes | 4.7 pts over WA average The WA average is 64.4% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · WA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Washington payroll average.
% of net patient revenue
Payroll share Operating margin WA payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $17.1M | $17.9M | $19.8M | $20.1M | $20.8M | $23.1M | $24.8M | $24.7M |
| Operating expenses | $27.4M | $27.4M | $28.5M | $29.6M | $31.3M | $31.4M | $32.4M | $32.7M |
| Net patient income | −$10.3M | −$9.4M | −$8.7M | −$9.5M | −$10.5M | −$8.4M | −$7.7M | −$8.0M |
| Operating margin | −60.6% | −52.6% | −43.7% | −47.4% | −50.4% | −36.4% | −30.9% | −32.6% |
| Net income | −$4.4M | −$5.2M | −$3.8M | $3.1M | −$4.3M | −$7.2M | $7.0M | −$0.5M |
| Payroll costs | $10.3M | $11.0M | $11.4M | $11.9M | $12.9M | $14.1M | $15.9M | $17.1M |
| Payroll share of revenue | 60.4% | 61.1% | 57.5% | 59.1% | 61.9% | 61.0% | 64.3% | 69.1% |
| Beds | 45 | 45 | 45 | 45 | 45 | 45 | 45 | 45 |
| Gross revenue | $17.8M | $18.7M | $20.4M | $20.4M | $21.2M | $23.5M | $25.4M | $25.7M |
| Salaries | $9.0M | $9.0M | $9.4M | $9.8M | $10.8M | $12.1M | $13.9M | $14.9M |
| Wage-related costs | $1.3M | $1.9M | $1.9M | $2.0M | $2.1M | $2.0M | $2.1M | $2.2M |
| Contract labor | $0.4M | $0.5M | $0.8M | $0.9M | $1.0M | $1.0M | $0.9M | $0.5M |
| Other operating costs | $17.1M | $16.4M | $17.1M | $17.7M | $18.4M | $17.4M | $16.5M | $15.7M |
| Net patient revenue per day | $1,438 | $1,575 | $1,620 | $1,907 | $2,247 | $1,946 | $1,934 | $2,187 |
| Cost per day | $2,309 | $2,403 | $2,328 | $2,811 | $3,380 | $2,654 | $2,531 | $2,900 |
| Average length of stay | 76.5 days | 74.4 days | 97.0 days | 92.3 days | 56.8 days | 64.4 days | 83.2 days | 84.3 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Arriving
137 admissions · FY2025
Residents admitted during the year.
Medicare
55 · 40%
Medicaid
0 · 0%
Private pay & other
82 · 60%
Leaving
134 discharges · FY2025
Residents discharged during the year.
Medicare
34 · 25%
Medicaid
0 · 0%
Private pay & other
100 · 75%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Rockwood South Hill
0.0 miles from city center
Estimated distance in miles from Spokane's city center to Rockwood South Hill'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.
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.
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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
77.5%
Rank
#4 / 56 | +26% | 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
77.5%
Rank
#32 / 56 | -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
77.5%
Rank
#20 / 56 | +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
77.5%
Rank
#42 / 56 | -10% | 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 | ||||
| Rockwood South Hill | NH AL IL MC SNF | Spokane | 135
Facility
135
WA AVG
103
Rank
#12 / 69 | - | - | 6.16
Facility
6.16
WA AVG
4.41
Rank
#3 / 59 | +91% | +40% | $0
Facility
$0
WA AVG
$82.6k
Rank
#1 / 61 | 46
Facility
46
WA AVG
49.9
Rank
#29 / 61 | 11.5
Facility
11.5
WA AVG
6.2
Rank
#55 / 61 | - | 34 | A+ |
96
Facility
96
WA AVG
51
Rank
#3 / 80 | Chris Bafus | $24.7MFiscal year ending 05/2025
Facility
$24.7MFiscal year ending 05/2025
WA AVG
$16.6M
Rank
#9 / 60 | $17.1MFiscal year ending 05/2025
Facility
$17.1MFiscal year ending 05/2025
WA AVG
$10.1M
Rank
#6 / 60 | 69.1%Fiscal year ending 05/2025
Facility
69.1%Fiscal year ending 05/2025
WA AVG
64.4%
Rank
#11 / 60 | 505033 |
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 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Washington
Rockwood South Hill is located in SPOKANE, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Know before you visit
Frequently Asked Questions about Rockwood South Hill
Quick answers from public records and the community's own listing.01 Is Rockwood South Hill in a walkable area?
Rockwood South Hill has a walk score of 96. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
02 What is the license number of Rockwood South Hill?
According to WA state health department records, Rockwood South Hill's license number is 155.
03 What is the occupancy rate at Rockwood South Hill?
Rockwood South Hill's occupancy is 68.8%.
04 How long has Rockwood South Hill been in business?
Rockwood South Hill has been operating for approximately 23 years, based on available licensing and registration records.
05 Are pets allowed at Rockwood South Hill?
No, Rockwood South Hill has a no-pet policy.
06 Does Rockwood South Hill operate as a for-profit or non-profit?
Rockwood South Hill is registered as a non-profit in WA.
07 What is the overall rating for Rockwood South Hill?
Rockwood South Hill 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.
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