Cycle 1
Health 2024-10-29 · Fire 2024-10-29
16 health deficiencies
Top issue: Infection Control (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Spokane, WA
Sunshine Health & Rehab
3-star overall rating with 3-star inspections with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
10410 East Ninth Avenue, Spokane, WA
(509) 926-3547
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
37
Certified beds
Average residents
35
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
572
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
67.30
Composite VBP score used to determine payment impact.
Payment multiplier
1.0209
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 15.68% · Performance 16.62% · Measure score 10 · Achievement 10 · Improvement 0
Healthcare-associated infections
9.49
Baseline 4.46% · Performance 5.00% · Measure score 9.49 · Achievement 9.49 · Improvement 0
Total nurse turnover
7.42
Baseline 39.39% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 3.67
Adjusted total nurse staffing
0
Baseline 4.63 hours · Performance 2.7 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.27% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 584 · Observed rate 7.88% · Lower 95% interval 7.69% |
| Discharge to community | 70.98% |
50.57%
20.4 pts better
|
Better than the National Rate · Eligible stays 538 · Observed rate 68.96% · Lower 95% interval 67.94% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 345 · Denominator 345 |
| Falls with major injury | 0.29% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 345 |
| Discharge self-care score | 53.67% |
53.69%
About the same
|
Numerator 168 · Denominator 313 |
| Discharge mobility score | 54.95% |
50.94%
4 pts better
|
Numerator 172 · Denominator 313 |
| Pressure ulcers or injuries, new or worsened | 0.58% |
2.29%
1.7 pts better
|
Numerator 2 · Denominator 345 · Adjusted rate 0.71% |
| Healthcare-associated infections requiring hospitalization | 5% |
7.12%
2.1 pts better
|
Better than the National Rate · Eligible stays 337 · Observed rate 2.97% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 2.82% |
8.2%
5.4 pts worse
|
Numerator 2 · Denominator 71 |
| Staff flu vaccination coverage | 51.43% |
42%
9.4 pts better
|
Numerator 36 · Denominator 70 |
| Discharge function score | 66.45% |
56.45%
10 pts better
|
Numerator 208 · Denominator 313 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 220 · Denominator 220 |
| Transfer of health information to patient | 99.04% |
96.28%
2.8 pts better
|
Numerator 103 · Denominator 104 |
| Resident COVID-19 vaccinations up to date | 27.51% |
25.2%
2.3 pts better
|
Numerator 52 · Denominator 189 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
87.7%
11.4 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.7% · Q2 99.4% · Q3 98.5% · Q4 98.8% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
13.2%
3.1 pts better
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 9.0% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.4%
0.9 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.4% · Q3 0.4% · Q4 0.4% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.8% |
82.0%
13.8 pts better
|
79.7%
16.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.9% |
19.9%
7 pts better
|
23.9%
11 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 10.7% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-08 · Fire 2023-06-08
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Cycle 3
Health 2021-05-14 · Fire 2021-05-14
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-29
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-11-27
F · Potential for more than minimal harm
2024-10-29
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-27
F · Potential for more than minimal harm
2024-10-29
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-27
F · Potential for more than minimal harm
2024-10-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-27
F · Potential for more than minimal harm
2024-10-29
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-11-27
E · Potential for more than minimal harm
2024-10-29
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-10-29
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-10-29
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-27
F · Potential for more than minimal harm
2023-06-08
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-07-13
F · Potential for more than minimal harm
2023-06-08
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-07-13
F · Potential for more than minimal harm
2023-06-08
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-07-13
F · Potential for more than minimal harm
2023-06-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-13
F · Potential for more than minimal harm
2023-06-08
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-07-13
E · Potential for more than minimal harm
2023-06-08
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-07-13
D · Potential for more than minimal harm
2023-06-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-13
F · Potential for more than minimal harm
2021-05-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-05-26
F · Potential for more than minimal harm
2021-05-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-05-26
F · Potential for more than minimal harm
2021-05-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-05-26
E · Potential for more than minimal harm
2021-05-14
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-05-26
E · Potential for more than minimal harm
2021-05-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-05-26
E · Potential for more than minimal harm
2021-05-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-05-26
E · Potential for more than minimal harm
2021-05-14
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-05-26
D · Potential for more than minimal harm
2021-05-14
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2021-05-26
D · Potential for more than minimal harm
2021-05-14
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-05-26
D · Potential for more than minimal harm
2021-05-14
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-05-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-16
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-16
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-25
C · Minimal harm
2025-06-16
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-07-25
F · Potential for more than minimal harm
2024-10-29
F620 · Resident Rights Deficiencies
Health
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.
Corrected 2024-12-20
F · Potential for more than minimal harm
2024-10-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
F · Potential for more than minimal harm
2024-10-29
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-12-20
E · Potential for more than minimal harm
2024-10-29
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 2024-12-20
E · Potential for more than minimal harm
2024-10-29
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 2024-12-20
E · Potential for more than minimal harm
2024-10-29
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-20
E · Potential for more than minimal harm
2024-10-29
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 2024-12-20
E · Potential for more than minimal harm
2024-10-29
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-12-20
E · Potential for more than minimal harm
2024-10-29
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-10-29
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-10-29
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-10-29
F801 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-10-29
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-06-07
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 2024-07-11
D · Potential for more than minimal harm
2024-06-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-11
D · Potential for more than minimal harm
2024-01-26
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-01
E · Potential for more than minimal harm
2023-06-08
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 2023-07-21
E · Potential for more than minimal harm
2023-06-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-21
D · Potential for more than minimal harm
2023-06-08
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-21
D · Potential for more than minimal harm
2023-06-08
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-07-21
E · Potential for more than minimal harm
2021-05-14
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2021-06-30
E · Potential for more than minimal harm
2021-05-14
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2021-06-30
E · Potential for more than minimal harm
2021-05-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-30
D · Potential for more than minimal harm
2021-05-14
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 2021-06-30
D · Potential for more than minimal harm
2021-05-14
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-06-30
D · Potential for more than minimal harm
2021-05-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-06-30
D · Potential for more than minimal harm
2021-05-14
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 2021-06-30
D · Potential for more than minimal harm
2021-05-14
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 2021-06-30
Penalties and ownership
What sits behind the stars
Ownership
Dikes, Nathan
5% Or Greater Direct Ownership Interest · Individual
Dikes, Carol
5% Or Greater Direct Ownership Interest · Individual
Dikes, David
5% Or Greater Direct Ownership Interest · Individual
Rhoads, Patrick
5% Or Greater Direct Ownership Interest · Individual
Dikes, Carol
Corporate Director · Individual
Dikes, David
Corporate Director · Individual
Dikes, Jennifer
Corporate Director · Individual
Dikes, Nathan
Corporate Director · Individual
Dikes, Nathan
W-2 Managing Employee · Individual
Rhoads, Patrick
Corporate Director · Individual
Rhoads, Patrick
W-2 Managing Employee · Individual
Rhoads, Sherri
Corporate Director · Individual
Ulrich, William
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Aurora Valley Care
Spokane, WA
1-star overall rating with 1-star inspections with $94,747 in total fines with 32 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Sullivan Park Care Center
Spokane, WA
2-star overall rating with 2-star inspections with $126,188 in total fines with 32 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#3
Alderwood Manor
Spokane, WA
3-star overall rating with 2-star inspections with $32,214 in total fines with 23 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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