Federal inspection record · CMS data as of October 1, 2026
Royal Park Health and Rehabilitation
7411 North Nevada, Spokane, WA · (509) 489-2273
- Certified beds
- 164
- Residents per day
- 104
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 6, 1991
1
How this home got 3 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.
-
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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Royal Park Health and Rehabilitation carries 111 inspection points. That is fewer than 36% 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
56 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.
Harm and immediate-jeopardy citations (7)
-
G
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care14E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights9E
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- 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.
- 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 dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service8E
- E
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.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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 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.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure that residents are free from significant medication errors.
Nutrition and Dietary5F
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- D
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Infection Control4F
- F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services2F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Observe each nurse aide's job performance and give regular training.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Administration1D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-05-05
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-01-17
30 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
2023-10-04
19 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h of nursing staff time a day, 38 min of it from a registered nurse.
This home
4 h
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 44% 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
Fines and payment denials
$111,830 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-09 | Fine | $14,505 |
| 2025-04-14 | Fine | $34,356 |
| 2024-08-02 | Fine | $54,145 |
| 2024-01-26 | Fine | $8,824 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better | 99.7% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts better | 95.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.4% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.2 pts better | 0.7% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 6.3% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.8 pts better | 8.7% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.1 pts better | 3.9% | 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 worsened7.5 pts worse | 23.1% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts worse | 14.3% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.7% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts better | 20.2% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.8 pts better | 98.5% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts worse | 14.1% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25 pts worse | 59.4% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.4 pts better | 11.3% | 19.7% | 23.4% |
·
Who owns and runs it
33 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 |
|---|---|---|---|
| Bishop, Leigh | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Bishop, Leigh | Adp Of The SNF · Individual | 0% | 3 facilities |
| Ch Pnw 12 Holdings LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Couve Financial Services LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Adp Of The SNF · Organization | 0% | 41 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Curry, Danielle | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Curry, Danielle | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Curry, Danielle | Adp Of The SNF · Individual | 0% | 3 facilities |
| Harrison, Micaela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Harrison, Micaela | Adp Of The SNF · Individual | 0% | 1 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Mcgaughey, Meagan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcgaughey, Meagan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Odenthal, Jason | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Odenthal, Jason | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Odenthal, Jason | Adp Of The SNF · Individual | 0% | 18 facilities |
| Pacific Northwest 12 Leased Operations Holdings LLC | Direct Ownership Interest · Organization | 0% | 8 facilities |
| Pnw 12 Opco Management LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Pnw 12 Opco Management LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Pnw 12 SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Pnw 12 SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Royal Park Health SNF Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Royal Park Health SNF Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Washington Idaho Property, L.l.c. | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Washington Idaho Property, L.l.c. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Witzcorp Pnw 12 LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness6F
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish policies and procedures including evacuation.
- F
List the names and contact information of those in the facility.
- 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.
Gas, Vacuum, and Electrical Systems5F
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Have proper medical gas storage and administration areas.
Services2F
- F
Have elevators that firefighters can control in the event of a fire.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Construction1E
- E
Use approved construction type or materials.
Egress1E
- E
Have properly located and lighted "Exit" signs.
·
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-
Spokane Health & Rehabilitation
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-
Regency At Northpointe
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