Spokane, WA

Avalon Care Center At Northpointe

1-star overall rating with 1-star inspections with $84,614 in total fines with 36 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

9827 North Nevada, Spokane, WA

(509) 468-7000

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avalon Health Care

Operator or chain grouping

Approved since

1996-05-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.88 · national 0.68

LPN hours / resident day

1.25

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.43

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

4.25

All reported nurse hours · state 4.39 · national 3.89

Licensed hours

1.82

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.61

Weekend nurse staffing · state 3.79 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.63 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

4.04

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

77%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

69%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,855

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

22.28

Composite VBP score used to determine payment impact.

Payment multiplier

0.9828

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 16.91% · Performance 21.87% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.96

Baseline 6.62% · Performance 6.05% · Measure score 5.96 · Achievement 5.96 · Improvement 3

Total nurse turnover

0

Baseline 54.72% · Performance 70.00% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.95

Baseline 4.20 hours · Performance 3.92 hours · Measure score 2.95 · Achievement 2.95 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.22%
10.72%
0.5 pts better
No Different than the National Rate · Eligible stays 229 · Observed rate 10.04% · Lower 95% interval 7.42%
Discharge to community 55.54%
50.57%
5 pts better
No Different than the National Rate · Eligible stays 244 · Observed rate 50% · Lower 95% interval 49.84%
Medicare spending per beneficiary 0.87
1.02
0.2 pts better
Drug regimen review with follow-up 90.09%
95.27%
5.2 pts worse
Numerator 191 · Denominator 212
Falls with major injury 0.94%
0.77%
0.2 pts worse
Numerator 2 · Denominator 212
Discharge self-care score 32.67%
53.69%
21 pts worse
Numerator 49 · Denominator 150
Discharge mobility score 34%
50.94%
16.9 pts worse
Numerator 51 · Denominator 150
Pressure ulcers or injuries, new or worsened 2.86%
2.29%
0.6 pts worse
Numerator 6 · Denominator 210 · Adjusted rate 2.59%
Healthcare-associated infections requiring hospitalization 6.05%
7.12%
1.1 pts better
No Different than the National Rate · Eligible stays 136 · Observed rate 4.41% · Lower 95% interval 3.5%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 149
Staff flu vaccination coverage 51.04%
42%
9 pts better
Numerator 123 · Denominator 241
Discharge function score 36%
56.45%
20.5 pts worse
Numerator 54 · Denominator 150
Transfer of health information to provider 98.41%
95.95%
2.5 pts better
Numerator 124 · Denominator 126
Transfer of health information to patient 92.86%
96.28%
3.4 pts worse
Numerator 52 · Denominator 56
Resident COVID-19 vaccinations up to date 12.04%
25.2%
13.2 pts worse
Numerator 13 · Denominator 108

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
96.0%
1.1 pts worse
93.4%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 94.8% · Q3 92.6% · Q4 98.2% · 4Q avg 94.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
93.8%
3.5 pts better
95.5%
1.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3%
Percentage of long-stay residents experiencing one or more falls with major injury 6.8%
2.6%
4.2 pts worse
3.3%
3.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.2% · Q3 11.1% · Q4 7.0% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 13.8%
16.3%
2.5 pts better
11.4%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 7.5% · Q3 20.0% · Q4 15.4% · 4Q avg 13.8%
Percentage of long-stay residents who lose too much weight 0.9%
5.8%
4.9 pts better
5.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.7% · 4Q avg 0.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.3%
12.1%
2.8 pts better
19.6%
10.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 6.9% · Q3 9.6% · Q4 7.4% · 4Q avg 9.3%
Percentage of long-stay residents who received an antipsychotic medication 17.0%
15.9%
1.1 pts worse
16.7%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 18.4% · Q3 15.0% · Q4 14.3% · 4Q avg 17.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 18.3%
20.0%
1.7 pts better
16.3%
2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.0%
15.8%
2.8 pts better
14.9%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 10.5% · Q3 11.8% · Q4 5.7% · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2%
1.2%
About the same
1.0%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.1%
1.7%
0.4 pts worse
1.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 3.5% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.3%
23.5%
1.2 pts better
19.8%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 18.1% · Q3 34.8% · Q4 23.9% · 4Q avg 22.3%
Percentage of long-stay residents with pressure ulcers 4.0%
4.7%
0.7 pts better
5.1%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 1.3% · Q3 2.9% · Q4 6.5% · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.8%
87.7%
2.1 pts better
81.7%
8.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 82.3% · Q2 85.0% · Q3 94.7% · Q4 96.8% · 4Q avg 89.8%
Percentage of short-stay residents who had an outpatient emergency department visit 23.4%
13.2%
10.2 pts worse
12.0%
11.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 23.7% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.4%
1.4%
1 pts worse
1.6%
0.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.4% · Q3 3.5% · Q4 1.2% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.1%
82.0%
8.1 pts better
79.7%
10.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.4%
19.9%
7.5 pts worse
23.9%
3.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 27.6% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-07 · Fire 2025-02-07

36 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2023-11-09 · Fire 2023-11-09

26 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2022-07-14 · Fire 2022-07-14

16 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-07

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-07

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-02-26

E · Potential for more than minimal harm 2025-02-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-02-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-26

F · Potential for more than minimal harm 2023-11-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-12

F · Potential for more than minimal harm 2023-11-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-12

F · Potential for more than minimal harm 2023-11-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-12-12

F · Potential for more than minimal harm 2023-11-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-12

F · Potential for more than minimal harm 2023-11-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-12-12

F · Potential for more than minimal harm 2023-11-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-12-12

E · Potential for more than minimal harm 2023-11-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-12-12

E · Potential for more than minimal harm 2023-11-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-12

F · Potential for more than minimal harm 2022-07-14

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-14

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-14

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-14

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-08-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-17

F841 · Nursing and Physician Services Deficiencies

Health

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Corrected 2025-10-03

G · Actual harm 2025-02-07

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-03-26

F · Potential for more than minimal harm 2025-02-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-01

E · Potential for more than minimal harm 2025-02-07

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-07

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-03-26

D · Potential for more than minimal harm 2024-12-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-01-07

D · Potential for more than minimal harm 2024-10-09

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-10-09

G · Actual harm 2024-10-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-10-02

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-10-02

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-10-02

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-10-02

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-10-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-08-26

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-09-17

D · Potential for more than minimal harm 2024-08-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-05-28

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-06-18

D · Potential for more than minimal harm 2024-05-28

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-06-18

D · Potential for more than minimal harm 2023-12-12

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-01-03

E · Potential for more than minimal harm 2023-11-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-12-20

E · Potential for more than minimal harm 2023-11-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-12-20

E · Potential for more than minimal harm 2023-11-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-08-08

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-06-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-23

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-23

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-06-21

E · Potential for more than minimal harm 2022-07-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-08-16

E · Potential for more than minimal harm 2022-07-14

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2022-08-16

E · Potential for more than minimal harm 2022-07-14

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2022-08-16

E · Potential for more than minimal harm 2022-07-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-09-07

D · Potential for more than minimal harm 2022-07-14

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2022-08-16

D · Potential for more than minimal harm 2022-07-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-08-16

D · Potential for more than minimal harm 2022-07-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-08-16

D · Potential for more than minimal harm 2022-07-14

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-08-16

D · Potential for more than minimal harm 2022-07-14

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-08-16

D · Potential for more than minimal harm 2022-07-14

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2022-08-16

Penalties and ownership

What sits behind the stars

$76,336 2025-01-17

Fine

Fine · fine $76,336

Fine

$8,278 2024-08-26

Fine

Fine · fine $8,278

Fine

Ownership

Avalon Of Washington LLC

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2004-07-20
Avalon Care LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2003-11-26
Avalon Health Care Management, Inc.

Operational/Managerial Control · Organization

0% 13 facilities 2003-12-01
Avalon Health Care, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2003-12-01
Avalon Health Care, Inc.

Operational/Managerial Control · Organization

0% 13 facilities 2003-12-01
Avalon Holding, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2003-08-26
Berg, Tracy

Operational/Managerial Control · Individual

0% 2 facilities 2024-12-01
Borisevich, Maria

Operational/Managerial Control · Individual

0% 9 facilities 2024-01-08
Borisevich, Maria

Corporate Officer · Individual

0% 9 facilities 2024-01-08
Dangerfield, David

Corporate Director · Individual

0% 13 facilities 2007-04-05
Deloitte Tax Llp

Operational/Managerial Control · Organization

0% 2 facilities 2020-01-01
Eide Bailly Llp

Operational/Managerial Control · Organization

0% 9 facilities 2021-01-01
Hash, Alan

Operational/Managerial Control · Individual

0% 14 facilities 2017-08-15
Hash, Alan

Corporate Officer · Individual

0% 14 facilities 2017-08-15
Hhc Holdco LLC

Operational/Managerial Control · Organization

0% 2 facilities 2021-07-01
Hyrum A Kirton Individual Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-10-01
K-Team LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-10-01
Kirton, Byron

5% Or Greater Indirect Ownership Interest · Individual

0% 10 facilities 2025-10-01
Kirton, Byron

Corporate Director · Individual

0% 10 facilities 2024-08-27
Kirton, Charles

Operational/Managerial Control · Individual

0% 10 facilities 2012-10-23
Kirton, Charles

Corporate Director · Individual

0% 10 facilities 2003-12-01
Kirton, Charles

Corporate Officer · Individual

0% 10 facilities 2012-10-23
Kirton, Hyrum

5% Or Greater Indirect Ownership Interest · Individual

0% 13 facilities 2025-10-01
Kirton, Hyrum

Operational/Managerial Control · Individual

0% 13 facilities 2022-03-29
Kirton, Hyrum

Corporate Director · Individual

0% 13 facilities 2018-03-22
Kirton, Hyrum

Corporate Officer · Individual

0% 13 facilities 2022-03-29
Kirton, Spencer

5% Or Greater Indirect Ownership Interest · Individual

0% 9 facilities 2025-10-01
Kirton, Spencer

Corporate Director · Individual

0% 9 facilities 2024-08-27
Newell, Brittney

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-14
Newman, Rita

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-15
Omnicare LLC

Operational/Managerial Control · Organization

0% 2 facilities 2023-05-01
Reliant Pro Rehab LLC

Operational/Managerial Control · Organization

0% 65 facilities 2019-04-01
Smith, Nicole

Operational/Managerial Control · Individual

0% 11 facilities 2023-03-01
Smith, Nicole

Corporate Officer · Individual

0% 11 facilities 2023-03-01
Spencer K Kirton Individual Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-10-01
The Byron A Kirton Individual Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-10-01
Woltil, Robert

Corporate Director · Individual

0% 13 facilities 2012-05-23

Nearby options

Other facilities in reach

#1

Regency At Northpointe

Spokane, WA

5-star overall rating with 4-star inspections with $12,735 in total fines with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$12,735
#2

Royal Park Health and Rehabilitation

Spokane, WA

1-star overall rating with 1-star inspections with $97,325 in total fines with 28 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$97,325
#3

Spokane Falls Care

Spokane, WA

1-star overall rating with 1-star inspections with $184,090 in total fines with 39 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$184,090

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