4/5
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.
4/5
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.
Located in Spokane, Washington, Royal Park Retirement Center is a premier senior living community offering a range of housing options to meet the needs and preferences of residents. With a focus on quality, comfort, and care, Royal Park Retirement Center provides a retirement experience fit for royalty.
For those seeking extra assistance, Wedgewood Plaza offers pet-friendly assisted living apartments. Here, residents can enjoy the support they need while maintaining their independence in a safe and welcoming environment.
The assisted living options at Wedgewood Plaza include studio, one-bedroom, and two-bedroom apartments, each thoughtfully designed to meet the unique needs of residents. With personalized support services, including assistance with daily living activities, residents can rest assured that their well-being is a top priority. Billing for support services is based on individual usage, ensuring a tailored and cost-effective approach to care.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 28th out of 90 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
|
24m per day | ▼ 57% State avg: 54m per day · National avg: 41m per day |
|
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.
|
1h 4m per day | ▲ 35% State avg: 48m per day · National avg: 52m per day |
|
Nurse Aide
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.
|
2h 53m per day | ▲ 8% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
|
4h 1m per day | ■ Avg State avg: 3h 57m per day · National avg: 3h 27m per day |
|
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.
|
2m per day | ▼ 72% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
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.
|
10m per day | ▼ 74% State avg: 39m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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.
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.
Deficiencies
|
This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
|
5 | 31 | This facility has 84% fewer total deficiencies than a typical Washington assisted living residence (5 vs. WA avg 31).↓ 84% better |
|
Deficiencies per year
Average deficiencies per year since 2024.
|
2.5 | 15.5 | This facility has 84% fewer deficiencies per year than a typical Washington assisted living residence (2.5 vs. WA avg 15.5).↓ 84% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
|
5 | 3.4 | This facility has 47% more deficiencies per inspection than a typical Washington assisted living residence (5 vs. WA avg 3.4).↑ 47% worse |
Inspections
|
This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
|
1 | 9 | This facility has 89% fewer total inspections than a typical Washington assisted living residence (1 vs. WA avg 9).↓ 89% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Washington average 7.8
Last Health inspection on Sep 2025
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 16 citations resulted from standard inspections; 4 of 16 resulted from complaint investigations; and 2 of 16 came from combined inspections (standard and complaint).
100% better than Washington average
Washington average: 0.3
100% better than Washington average
Washington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Washington average
0% compared with Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Assists with medical care and medications.
16 total: 14 full-time employees and 2 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Helps with daily care and mobility.
61 total: 45 full-time employees and 16 contractors.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,735 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 16 | 61 | 17,588 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 14 | 2 | 16 | 5,323 | 92 | 100% | 10.2 |
| Registered Nurse | 7 | 0 | 7 | 1,203 | 90 | 98% | 7.5 |
| RN Director of Nursing | 3 | 0 | 3 | 1,195 | 80 | 87% | 8.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 748 | 86 | 93% | 7.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 711 | 67 | 73% | 7.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 710 | 63 | 68% | 7.8 |
| Dietitian | 1 | 0 | 1 | 558 | 65 | 71% | 8.6 |
| Dental Services Staff | 2 | 0 | 2 | 516 | 54 | 59% | 6.4 |
| Nurse Practitioner | 1 | 0 | 1 | 490 | 59 | 64% | 8.3 |
| Qualified Social Worker | 0 | 1 | 1 | 472 | 59 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 438 | 56 | 61% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 421 | 60 | 65% | 7 |
| Physical Therapy Assistant | 0 | 5 | 5 | 216 | 52 | 57% | 3.9 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 159 | 56 | 61% | 2.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 151 | 20 | 22% | 7.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 60 | 16 | 17% | 3.7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 40 | 46 | 50% | 0.8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
90% lower than Washington average
Washington average: $82K
46% fewer fines than Washington average
Washington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington average
Washington average: 0.3
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.9
12% better than Washington average
Washington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
8% better than Washington average
Washington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
13.1%
20% better than Washington average
Washington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
21.1%
In line with Washington average
Washington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.3%
In line with Washington average
Washington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Washington average
Washington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
2.9%
41% better than Washington average
Washington average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Washington average
Washington average: 1.7%
Percent of long-stay residents who lose too much weight
7.3%
25% worse than Washington average
Washington average: 5.8%
Percent of long-stay residents who have depressive symptoms
5.6%
66% better than Washington average
Washington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
11.8%
18% better than Washington average
Washington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
In line with Washington average
Washington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Washington average
Washington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.6%
5% better than Washington average
Washington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
33% worse than Washington average
Washington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
13% better than Washington average
Washington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
67% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
61
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Royal Park Retirement Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #53 / 94Payroll — State benchmarkedThis home is ranked 53rd out of 94 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #65 / 94Payroll % — State benchmarkedThis home is ranked 65th out of 94 homes in Washington. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: 2-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (67% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5.8 miles from city center
Estimated distance in miles from Spokane's city center to Royal Park Retirement Center's address, calculated via Google Maps.
— 0.71 miles to nearest hospital (Fresenius Medical Care at Providence Holy Family Hospital-Icu)
Add your location
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
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|
|
|
|
|
|
|
|
|---|---|---|---|---|---|---|---|
| Royal Park Retirement Center |
AL
NH
IL
|
Spokane (Shiloh Hills) | - |
100
Facility
100
WA AVG
82
Rank
#93 / 366
| A+ |
66
Facility
66
WA AVG
51
Rank
#183 / 628
| Studio / 1 Bed / 2 Bed |
| Rockwood South Hill |
AL
IL
MC
NH
|
Spokane (Downtown Spokane) | - |
90
Facility
90
WA AVG
82
Rank
#134 / 366
| - |
96
Facility
96
WA AVG
51
Rank
#15 / 628
| - |
| Spokane Veterans Home |
AL
NH
|
Spokane (East Central) | - |
100
Facility
100
WA AVG
82
Rank
#93 / 366
| - |
77
Facility
77
WA AVG
51
Rank
#97 / 628
| - |
Royal Park Retirement Center is located in Spokane, Washington.
Here are the financial assistance programs available to residents in Washington.
Royal Park Retirement Center is in the Shiloh Hills neighborhood of Spokane.
Royal Park Retirement Center has a walk score of 66. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to WA state health department records, Royal Park Retirement Center's license number is 2671.
According to WA state health department records, Royal Park Retirement Center's license expires on December 31, 2026.
Royal Park Retirement Center's occupancy is 63.5%.
Royal Park Retirement Center is registered as a for-profit in WA.
Royal Park Retirement Center has 100 beds.
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