Federal inspection record · CMS data as of October 1, 2026
Rockwood South Hill
East 2903 25th Avenue, Spokane, WA · (509) 536-6650
- Certified beds
- 45
- Residents per day
- 34
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- January 1, 1967
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Rockwood South Hill carries 126 inspection points. That is fewer than 29% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
46 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care12E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service7E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- E
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.
- D
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.
Resident Rights7D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
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.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning4E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident when there is a significant change in condition
Nursing and Physician Services3D
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Environmental2D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspection history
2026-03-23
13 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-12-09
21 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-08-03
12 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 43 min of nursing staff time a day, 1 h 55 min of it from a registered nurse.
This home
5 h 43 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 77% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.2 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.7 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better | 97.3% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts worse | 93.8% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts worse | 5.4% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.9 pts better | 0.0% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 5.5% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts better | 10.4% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6 pts better | 9.0% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened24.1 pts worse | 39.7% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased26.7 pts worse | 40.5% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.4 pts worse | 4.2% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 1.9% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.5 pts worse | 31.1% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 3.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 94.5% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10.8 pts better | 2.2% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.6 pts worse | 3.9% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.1 pts better | 87.5% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts worse | 22.8% | 19.7% | 23.4% |
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Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bafus, Chris | Corporate Director · Individual | 0% | 1 facilities |
| Barber, John | Corporate Director · Individual | 0% | 2 facilities |
| Bishop, Leigh | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Bishop, Leigh | Adp Of The SNF · Individual | 0% | 3 facilities |
| Block, Jonell | Corporate Director · Individual | 0% | 1 facilities |
| Bornhoft, Elizabeth | Corporate Director · Individual | 0% | 1 facilities |
| Collette, Stephen | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Conaty, Patricia | Corporate Director · Individual | 0% | 1 facilities |
| De Imus, Carlos | Corporate Director · Individual | 0% | 1 facilities |
| Deboise, Daniel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Deboise, Daniel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Demott, Andrew | Corporate Director · Individual | 0% | 1 facilities |
| Denholm, William | Corporate Director · Individual | 0% | 1 facilities |
| Droppers, James | Corporate Director · Individual | 0% | 1 facilities |
| Gorton, Andrew | Corporate Officer · Individual | 0% | 1 facilities |
| Inpatient Consultants Of California Inc | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Inpatient Consultants Of California Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Itskos, Demitri | Corporate Director · Individual | 0% | 1 facilities |
| Johnson, Tom | Corporate Director · Individual | 0% | 1 facilities |
| Koszczewski, Catherine | Corporate Director · Individual | 0% | 1 facilities |
| Long, Debra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Maxwell, James | Corporate Officer · Individual | 0% | 1 facilities |
| Maxwell, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miranda, Sheila | Corporate Director · Individual | 0% | 1 facilities |
| Thomas, Patrick | Corporate Director · Individual | 0% | 1 facilities |
| Wells, Charles | Corporate Director · Individual | 0% | 1 facilities |
| Wells, Charles | Corporate Officer · Individual | 0% | 1 facilities |
| Wells, Charles | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wells, Charles | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wetmore, David | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
35 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness10F
- F
Conduct testing and exercise requirements.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Install corridor and hallway doors that block smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Egress4F
- F
Have properly located and lighted "Exit" signs.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Have properly located and lighted "Exit" signs.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
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