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.
Owned by Carol Dikes, Sunshine Health and Rehabilitation is a single-story nursing home in the Dishman neighborhood of Spokane Valley, Washington. It offers a full range of care: nursing home, assisted living, memory care, and home care, giving families multiple paths for support as needs change over time. The 37-bed facility is nearly full, with 90.7 percent occupancy. The average stay duration is 25 days, pointing to a community built around short-term recovery instead of long-term residence. The surrounding area scores 28 for walkability, so most errands and outings demand a car.
Central to daily life here is rehabilitation. A physical therapist is on staff, a physician is available on-site, and nursing staff work 24/7. Total nursing care is about 4 hours 54 minutes per resident day, with registered nurses contributing roughly 1 hour 31 minutes and nurse aides covering about 2 hours 47 minutes of that time. Care transcends short-term rehab. Behavioral health services exist through a mental health service worker on staff, memory care and assisted living support occupants with longer-term needs, and dental services are provided on-site. Individualized care plans guide daily support, including three meals a day, housekeeping, laundry, and a regular activity program. Medicare and private pay are accepted to give families two established routes to afford care.
Families assessing a short-term rehab stay may want to interrogate how the clinical team coordinates between physical therapy, nursing, and physician care to bolster a smooth return home.
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 7th out of 79 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.
|
1h 31m per day | ▲ 72% 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.
|
44m per day | ▼ 11% 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 47m per day | ▲ 3% 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.
|
4h 13m per day | ▲ 12% 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.
|
31m per day | ▲ 516% 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.
|
43m per day | ▲ 13% State avg: 38m per day · National avg: 29m per day |
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.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
30% more staff per resident than Washington average
9% worse 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.
All 17 RN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Assists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Helps with daily care and mobility.
All 30 CNA Staff are full-time employees. No contractors work on this role.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
67 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 0 | 30 | 8,443 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 12 | 0 | 12 | 2,209 | 92 | 100% | 7.5 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,160 | 79 | 86% | 7.1 |
| Registered Nurse | 17 | 0 | 17 | 2,043 | 92 | 100% | 7.4 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,559 | 78 | 85% | 8.3 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,093 | 80 | 87% | 7.8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 918 | 75 | 82% | 7.2 |
| Qualified Social Worker | 1 | 0 | 1 | 504 | 65 | 71% | 7.8 |
| Administrator | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 475 | 65 | 71% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 422 | 61 | 66% | 6.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 417 | 57 | 62% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 408 | 59 | 64% | 6.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 383 | 51 | 55% | 7.5 |
| Speech Language Pathologist | 2 | 0 | 2 | 155 | 29 | 32% | 5.2 |
| Medical Director | 0 | 1 | 1 | 67 | 38 | 41% | 1.8 |
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
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.
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
99.0%
12% better than Washington average
Washington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
49% better than Washington average
Washington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
17% better than Washington average
Washington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.9%
35% better than Washington average
Washington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
23% better than Washington average
Washington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
62% better than Washington average
Washington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.7%
In line with Washington average
Washington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
71.0%
40% better than Washington average
Washington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
61% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
36
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 Sunshine Health and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
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 #77 / 83Payroll — State benchmarkedThis home is ranked 77th out of 83 homes in Washington for Payroll. 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.Facilities with the same value for a metric share the same rank. 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 #43 / 83Payroll % — State benchmarkedThis home is ranked 43rd out of 83 homes in Washington for Payroll %. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 51–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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).
No pets allowed
Building Type: Single-story
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (61% of admissions), and a typical Medicare stay runs around 18 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.1 miles from city center
Estimated distance in miles from Spokane Valley's city center to Sunshine Health and Rehabilitation's address, calculated via Google Maps.
Add your location
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
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|---|---|---|---|---|---|---|---|
| Regency at Northpointe |
AL
NH
RC
SNF
|
Spokane (Shiloh Hills) | - |
120
Facility
120
WA AVG
81
Rank
#46 / 357
| - |
37
Facility
37
WA AVG
51
Rank
#425 / 626
| - |
| Spokane Veterans Home |
AL
NH
|
Spokane (East Central) | - |
100
Facility
100
WA AVG
81
Rank
#91 / 357
| - |
77
Facility
77
WA AVG
51
Rank
#97 / 626
| - |
| Sunshine Health and Rehabilitation |
AL
NH
HC
MC
SNF
|
Spokane Valley (Dishman) | - |
37
Facility
37
WA AVG
81
Rank
#326 / 357
| - |
28
Facility
28
WA AVG
51
Rank
#486 / 626
| - |
| Rockwood South Hill |
AL
IL
MC
NH
SNF
|
Spokane (Downtown Spokane) | - |
90
Facility
90
WA AVG
81
Rank
#129 / 357
| - |
96
Facility
96
WA AVG
51
Rank
#15 / 626
| - |
| Aurora Valley Care |
AL
NH
SNF
|
Spokane Valley | - |
124
Facility
124
WA AVG
81
Rank
#40 / 357
| - |
72
Facility
72
WA AVG
51
Rank
#132 / 626
| - |
Sunshine Health and Rehabilitation is located in Spokane Valley, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Sunshine Health and Rehabilitation is in the Dishman neighborhood.
Sunshine Health and Rehabilitation has a walk score of 28. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Sunshine Health and Rehabilitation's occupancy is 90.7%.
Sunshine Health and Rehabilitation is registered as a for-profit.
Yes — there is 1 photo of Sunshine Health and Rehabilitation in the photo gallery on this page.
Sunshine Health and Rehabilitation is located at 10410 E 9Th Ave Bldg A, Spokane Valley, WA 99206.
(509) 926-3547 will put you in contact with the team at Sunshine Health and Rehabilitation.
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