1/5
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.
1/5
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.
A premier senior living community based on North Lidgerwood Street, Spokane, WA, Spokane Falls Care offers short-term rehab, long-term skilled nursing, and therapy services. Providing care for 64 years, the community promises the highest standard of care and assistance. With a team of dedicated and friendly professionals, seniors and their families keep their peace of mind knowing they are well-respected.
Spokane Falls Center values seniors’ independence, lending support only when necessary and wanted. Moreover, personalized care plans are crafted to ensure seniors’ specific needs and preferences are taken care of. The community provides the help seniors need and empowers them to live their lives confidently and age gracefully with the utmost care and assistance from Spokane Falls Center.
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 24th 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.
| 27m per day | ▼ 49% State avg: 53m 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.
| 57m per day | ▲ 15% State avg: 49m 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 22m per day | ▼ 12% State avg: 2h 41m per day · National avg: 2h 21m 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.
| 3h 21m per day | ▼ 11% State avg: 3h 47m per day · National avg: 3h 26m 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.
| 4m per day | ▼ 12% State avg: 5m 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.
| 11m per day | ▼ 71% State avg: 38m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% more staff per resident than Washington average
6% better than Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
15 total: 8 full-time employees and 7 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
30 total: 10 full-time employees and 20 contractors.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
56 total: 42 full-time employees and 14 contractors.
56
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,208 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 42 | 14 | 56 | 17,001 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 10 | 20 | 30 | 5,728 | 92 | 100% | 9.7 |
| Registered Nurse | 8 | 7 | 15 | 1,699 | 89 | 97% | 8.9 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,127 | 67 | 73% | 7.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,034 | 69 | 75% | 8.3 |
| RN Director of Nursing | 3 | 0 | 3 | 1,019 | 72 | 78% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 793 | 83 | 90% | 7.5 |
| Occupational Therapy Aide | 3 | 1 | 4 | 755 | 62 | 67% | 6.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 632 | 67 | 73% | 7.2 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 528 | 69 | 75% | 5.9 |
| Dietitian | 1 | 0 | 1 | 515 | 65 | 71% | 7.9 |
| Speech Language Pathologist | 3 | 1 | 4 | 510 | 63 | 68% | 7.3 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 416 | 52 | 57% | 8 |
| Qualified Social Worker | 1 | 1 | 2 | 414 | 65 | 71% | 6.2 |
| Physical Therapy Assistant | 4 | 1 | 5 | 412 | 66 | 72% | 4.8 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 43 | 9 | 10% | 4.8 |
| Medical Director | 0 | 1 | 1 | 24 | 12 | 13% | 2 |
Includes penalties issued in 2023-2024
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)
125% higher than Washington averageWashington average: $82K
62% more fines than Washington averageWashington 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 averageWashington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 2, 2023Last updated: Jan 2026
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.
4.4
56% better than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.4
45% better than Washington averageWashington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
6.5%
61% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
5.1%
77% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
7% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
56% worse than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
4.1%
16% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
0.9%
48% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
2.5%
58% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
11.1%
31% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
22.1%
53% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
5% better than Washington averageWashington average: 93.8%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
11% better than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
132% worse than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
18% better than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.2%
57% worse than Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.1%
8% better than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.3%
27% worse than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.0%
9% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
71Residents 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 Spokane Falls Care 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 #63 / 94Payroll — State benchmarkedThis home is ranked 63rd 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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 #56 / 94Payroll % — State benchmarkedThis home is ranked 56th 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in 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: Private Rooms
Building Type: Single-story
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.7 miles from city center
Estimated distance in miles from Spokane's city center to Spokane Falls Care's address, calculated via Google Maps.
— 0.22 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.
| Regency at Northpointe | NH RC | Spokane (Shiloh Hills) | 120
Facility
120
WA AVG
82
Rank
#46 / 366 |
74.0%
Facility
74.0%
WA AVG
72.5%
Rank
#162 / 310 | +2% | 3.83
Facility
3.83
WA AVG
4.22
Rank
#61 / 90 | -41% | -9% | $8.3k
Facility
$8.3k
WA AVG
$87.7k
Rank
#35 / 92 | 15
Facility
15
WA AVG
48.9
Rank
#4 / 92 | 3.8
Facility
3.8
WA AVG
6.9
Rank
#10 / 92 | 1 | 90 | - |
37
Facility
37
WA AVG
51
Rank
#427 / 628 | Tod Dunfield | $16.2M
Facility
$16.2M
WA AVG
$13.2M
Rank
#28 / 94 | $8.8M
Facility
$8.8M
WA AVG
$5.7M
Rank
#24 / 94 | 54.4%
Facility
54.4%
WA AVG
45.5%
Rank
#38 / 94 | 505369 | ||||
| Rockwood South Hill | NH AL IL MC | Spokane (Downtown Spokane) | 90
Facility
90
WA AVG
82
Rank
#134 / 366 |
77.8%
Facility
77.8%
WA AVG
72.5%
Rank
#133 / 310 | +7% | 5.77
Facility
5.77
WA AVG
4.22
Rank
#4 / 90 | +104% | +37% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 92 | 48
Facility
48
WA AVG
48.9
Rank
#45 / 92 | 12.0
Facility
12.0
WA AVG
6.9
Rank
#83 / 92 | - | 35 | - |
96
Facility
96
WA AVG
51
Rank
#15 / 628 | Chris Bafus | $24.8M
Facility
$24.8M
WA AVG
$13.2M
Rank
#6 / 94 | $15.9M
Facility
$15.9M
WA AVG
$5.7M
Rank
#6 / 94 | 64.3%
Facility
64.3%
WA AVG
45.5%
Rank
#67 / 94 | 505033 | ||||
| Aurora Valley Care | NH | Spokane Valley | 124
Facility
124
WA AVG
82
Rank
#40 / 366 |
53.3%
Facility
53.3%
WA AVG
72.5%
Rank
#274 / 310 | -27% | 3.54
Facility
3.54
WA AVG
4.22
Rank
#77 / 90 | -53% | -16% | $93.5k
Facility
$93.5k
WA AVG
$87.7k
Rank
#69 / 92 | 106
Facility
106
WA AVG
48.9
Rank
#88 / 92 | 5.6
Facility
5.6
WA AVG
6.9
Rank
#34 / 92 | 5 | 77 | - |
72
Facility
72
WA AVG
51
Rank
#132 / 628 | - | $10.1M
Facility
$10.1M
WA AVG
$13.2M
Rank
#70 / 94 | $4.7M
Facility
$4.7M
WA AVG
$5.7M
Rank
#73 / 94 | 46.8%
Facility
46.8%
WA AVG
45.5%
Rank
#71 / 94 | 505114 | ||||
| Spokane Falls Care | NH | Spokane (Nevada Heights) | 100
Facility
100
WA AVG
82
Rank
#93 / 366 |
70.5%
Facility
70.5%
WA AVG
72.5%
Rank
#196 / 310 | -3% | 4.42
Facility
4.42
WA AVG
4.22
Rank
#24 / 90 | -27% | +5% | $125.7k
Facility
$125.7k
WA AVG
$87.7k
Rank
#74 / 92 | 106
Facility
106
WA AVG
48.9
Rank
#88 / 92 | 6.2
Facility
6.2
WA AVG
6.9
Rank
#43 / 92 | 6 | 78 | - |
76
Facility
76
WA AVG
51
Rank
#107 / 628 | Navdeep Dhaliwal | $10.9M
Facility
$10.9M
WA AVG
$13.2M
Rank
#63 / 94 | $5.7M
Facility
$5.7M
WA AVG
$5.7M
Rank
#63 / 94 | 51.8%
Facility
51.8%
WA AVG
45.5%
Rank
#56 / 94 | 505024 |
Spokane Falls Care is located in Spokane, Washington.
Here are the financial assistance programs available to residents in Washington.
Spokane Falls Care is in the Nevada Heights neighborhood.
Spokane Falls Care has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Spokane Falls Care's occupancy is 70.5%.
Yes — there are 5 photos of Spokane Falls Care in the photo gallery on this page.
(509) 489-3323 will put you in contact with the team at Spokane Falls Care.
Yes — Spokane Falls Care is a CMS-certified provider of Medicare and Medicaid.
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