76/100
Above average
Royal Park Health And Rehabilitation
7411 North Nevada, Spokane, WA 99208
- Certified beds
- 164
- Occupancy
- 65%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$111,830 in federal fines
CMS has fined this facility across 4 penalty action(s).
Our read on Royal Park Health And Rehabilitation
Royal Park runs 164 beds in Spokane under for-profit LLC ownership, and the staffing numbers sit right at the edge: 3.82 nurse hours per resident day, just under the national average, with weekends about 14% thinner than weekdays and half the staff turning over each year. The bigger issue is the inspection record, 56 deficiencies, seven serious enough to involve harm or jeopardy, three tied to abuse, and four fines adding up to $111,830. A recent inspection date of May 2026 means the record is current, not stale. The quality measure scores look strong, but those come from resident assessments, while the harm-level findings and abuse citations come from what surveyors actually saw on site.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
20/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.85 total nurse hours per resident per day (national median 3.77)
- →0.62 RN hours per resident per day
- →Weekend staffing drops 14% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →50% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
2/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$111,830 in federal fines across 4 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 5, 2026 (6 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of EVERGREEN HEALTHCARE GROUP, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Royal Park Health And Rehabilitation
What is the ElderGrade for Royal Park Health And Rehabilitation? +
Royal Park Health And Rehabilitation holds an ElderGrade of B (76 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Royal Park Health And Rehabilitation? +
Residents receive an average of 3.82 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Royal Park Health And Rehabilitation been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Royal Park Health And Rehabilitation accept Medicaid? +
Yes, Royal Park Health And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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