Total staff
87
Employees
86
Contractors
1
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Sunshine Health and Rehabilitation
Nursing Home, Assisted Living & Memory Care · Spokane, WA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Sunshine Health and Rehabilitation
Nursing Home, Assisted Living & Memory Care · Spokane, WA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Sunshine Health and Rehabilitation accepts Medicare and private pay.
Nestled in the neighborhood of Spokane, WA, Sunshine Health Facilities is a trusted senior living community, offering enhanced assisted living and memory care services. Residents needing support with recovery are offered the care and assistance they need with rehabilitation services provided by a skilled and compassionate recovery team. Meanwhile, those living with mental illnesses are provided with excellent behavioral health services to help them live full and productive lives despite their afflictions.
Committed to creating a supportive environment for healing, the community provides residents with personalized care plans that cater to their specific needs, complemented with round the clock care and a doctor on-site. An array of vibrant activities are offered all year round to help residents stay active and engaged. Various conveniences, such as housekeeping, laundry, and three delicious meals daily are offered to make residents’ living experience as comfortable and convenient as possible.
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 hours breakdown
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.
Total nursing care / resident
This home is ranked 7th out of 89 homes in Washington. 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.
This home is ranked 7th out of 89 homes in Washington. 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.
4h 54m per day
Rank #7 / 89Nurse hours — State benchmarkedThis home is ranked 7th out of 89 homes in Washington. Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 89 Washington SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Washington avg
+16%
Standout metric
Total Nursing (Weekend) is +6% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 0m per day | ▲ 6% State avg: 3h 47m per day · National avg: 3h 26m per day |
Types of Care at Sunshine Health and Rehabilitation
Assisted Living
Memory Care
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
90.7%
Rank #6 / 94Occupancy rate — State benchmarkedThis home is ranked 6th out of 94 homes in Washington. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 94. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
25 days
Occupancy rate
90.7%
Rank #6 / 94Occupancy rate — State benchmarkedThis home is ranked 6th out of 94 homes in Washington. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 94. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
25 days
Walk Score: 28 / 100 Rank #78 / 95Walk Score — State benchmarkedThis home is ranked 78th out of 95 homes in Washington. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Washington SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.42:1
30% better than Washington average
Avg staff/day
32
Average shift
7.4 hours
9% worse than Washington average
Total staff hours (quarter)
21,734
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
30
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.3%
67 contractor hours this quarter
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
30 Certified Nursing Assistant
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
6 Clinical Nurse Specialist
% of Days
86%
17 Registered Nurse
% of Days
100%
5 Respiratory Therapy Technician
% of Days
85%
4 Physical Therapy Aide
% of Days
87%
3 Physical Therapy Assistant
% of Days
82%
1 Qualified Social Worker
% of Days
71%
1 Administrator
% of Days
70%
1 Other Dietary Services Staff
% of Days
71%
1 Nurse Practitioner
% of Days
66%
1 Mental Health Service Worker
% of Days
62%
1 Dental Services Staff
% of Days
64%
1 Occupational Therapy Aide
% of Days
55%
2 Speech Language Pathologist
% of Days
32%
1 Medical Director
% of Days
41%
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
12% better than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
49% better than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
17% better than Washington averageWashington average: 82.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.9%
35% better than Washington averageWashington average: 19.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
23% better than Washington averageWashington average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
62% better than Washington averageWashington average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
53.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.7%
In line with Washington averageWashington average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
71.0%
Rate of successful return to home or community from a skilled nursing facility.
71.0%
40% 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.
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
39% of new residents, often for short stays.
Typical stay
19 days
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
36
Medicare
33
91.7% of residents
Medicaid
1
2.8% of residents
Private pay or other
2
5.6% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Sunshine Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
90.7%
↑ 43.3pp vs 2022
Net Income
-$111.3K
↑ ~$663.4K vs 2022
Total Payroll
$4.1M
↓ ~$1.3M vs 2022
Profit Margin
-1.3%
↑ 10.9pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$8.8M
Operating loss
-$111.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$8.8M Rank #78 / 93Revenue — State benchmarkedThis home is ranked 78th out of 93 homes in Washington. Shows this facility's annual revenue compared to the Washington SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$111.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #78 / 93Payroll — State benchmarkedThis home is ranked 78th out of 93 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #78 / 93Payroll — State benchmarkedThis home is ranked 78th out of 93 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.9M
What does this home offer?
Building Type: Single-story
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Sunshine Health and Rehabilitation
3.6 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.
— 2.07 miles to nearest hospital (Inland Imaging)
Calculate Travel Distance to Sunshine Health and Rehabilitation
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Financial Assistance for
Nursing Home in Washington
Sunshine Health and Rehabilitation is located in Spokane Valley, Washington.
Here are the financial assistance programs available to residents in Washington.
Compare Nursing Home around Spokane
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Filter by care type
| Sunshine Health and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Spokane Valley (Dishman) | 37 | 90.7% | +25% | 4.90 | +42% | +16% | $0 | 32 | 4.6 | - | 34 | 28 | Carol Dikes | $8.8M | $4.1M | 46.8% | 505411 | ||||
| Aurora Valley Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
N Nursing | Spokane Valley | 124 | 53.3% | -27% | 3.54 | -50% | -16% | $162.2k | 106 | 5.6 | 5 | 80 | 72 | - | $11.4M | $4.7M | 41.3% | 505114 |
Frequently Asked Questions about Sunshine Health and Rehabilitation
What neighborhood is Sunshine Health and Rehabilitation in?
Sunshine Health and Rehabilitation is in the Dishman neighborhood.
Is Sunshine Health and Rehabilitation in a walkable area?
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.
What is the address of Sunshine Health and Rehabilitation?
Sunshine Health and Rehabilitation is located at 10410 E 9th Ave Bldg A, Spokane Valley, WA 99206, United States.
What is the phone number of Sunshine Health and Rehabilitation?
(509) 926-3547 will put you in contact with the team at Sunshine Health and Rehabilitation.
Is Sunshine Health and Rehabilitation Medicare or Medicaid certified?
Yes — Sunshine Health and Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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