Federal inspection record · CMS data as of October 1, 2026
Sunshine Health & Rehab
10410 East Ninth Avenue, Spokane, WA · (509) 926-3547
- Certified beds
- 37
- Residents per day
- 32
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1992
1
How this home got 5 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.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Sunshine Health & Rehab carries 72 inspection points. That is fewer than 62% 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
32 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
Infection Control6F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Resident Rights5F
- 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
Ensure that residents are fully informed and understand their health status, care and treatments.
- F
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning5E
- E
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service4E
- E
Ensure medication error rates are not 5 percent or greater.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Administration3D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Quality of Life and Care3E
- 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 appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1E
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Inspection history
2026-01-30
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2024-10-29
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2023-06-08
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 15 min of nursing staff time a day, 1 h 47 min of it from a registered nurse.
This home
5 h 15 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 55% 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. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.9 pts better | 98.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better | 10.5% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.6 pts better | 98.0% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts better | 15.6% | 19.7% | 23.4% |
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Who owns and runs it
23 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 |
| Blanchard, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Blanchard, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dikes, Carol | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Dikes, Carol | Corporate Director · Individual | 0% | 1 facilities |
| Dikes, David | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Dikes, David | Corporate Director · Individual | 0% | 1 facilities |
| Dikes, Jennifer | Corporate Director · Individual | 0% | 1 facilities |
| Dikes, Nathan | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Dikes, Nathan | Corporate Director · Individual | 0% | 1 facilities |
| Dikes, Nathan | Corporate Officer · Individual | 0% | 1 facilities |
| Dikes, Nathan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dresback, Jonathan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dresback, Jonathan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fleming, Matt | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rhoads, Patrick | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Rhoads, Patrick | Corporate Director · Individual | 0% | 1 facilities |
| Rhoads, Sherri | Corporate Director · Individual | 0% | 1 facilities |
| Warman, Melanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Warman, Melanie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wolfrum, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wolfrum, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness5F
- F
Address patient/client population and determine types of services needed.
- F
Address subsistence needs for staff and patients.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- E
Establish policies and procedures including evacuation.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems2F
- E
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.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Aurora Valley Care
Spokane, WA · Caldera Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 53 min
- Fines
- $93,457
-
Sullivan Park Care Center
Spokane, WA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $126,188
-
Alderwood Manor
Spokane, WA · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 9 min
- Fines
- $0