ElderGrade
A

87.4/100

Excellent

Spokane Veterans Home

222 East Fifth, Spokane, WA 99202

CMS 5/5 stars #1 of 16 in Spokane County (509) 344-5770
Certified beds
100
Occupancy
97%
Ownership
Government
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.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

25.4/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4.6 for 30 total citations against a national median of 17

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.04 total nurse hours per resident per day (national median 3.77)
  • 1.39 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 35% of nursing staff left in the last year

Resident outcomes

15/15

The 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

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.02 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.39 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.63 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 34.80%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 48 citations

Last standard health inspection: March 25, 2025 (1 year ago).

D Feb 20, 2026 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

E Mar 25, 2025 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Mar 25, 2025 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

E Mar 25, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Mar 25, 2025 F0561

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

No actual harm, potential for more than minimal harm

D Mar 25, 2025 F0578

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

No actual harm, potential for more than minimal harm

D Mar 25, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Mar 25, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
GILBERT, SOLOMON Individual MANAGING CONTROL - GOVERNING BODY
MURRAY, DANIEL Individual MANAGING CONTROL - GOVERNING BODY
PUENTE, DAVID Individual MANAGING CONTROL - GOVERNING BODY
WESTHOFF, TERRANCE Individual MANAGING CONTROL - GOVERNING BODY
WASHINGTON STATE DEPARTMENT OF VETE Organization OPERATIONAL/MANAGERIAL CONTROL
MICHAELS, MARK Individual OPERATIONAL/MANAGERIAL CONTROL
MORAN, JULIE Individual OPERATIONAL/MANAGERIAL CONTROL
PUENTE, DAVID Individual OPERATIONAL/MANAGERIAL CONTROL
WESTHOFF, TERRANCE Individual OPERATIONAL/MANAGERIAL CONTROL
MICHAELS, MARK Individual ADP OF THE SNF
MORAN, JULIE Individual ADP OF THE SNF
WASHINGTON STATE DEPARTMENT OF VETE Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Spokane Veterans Home

What is the ElderGrade for Spokane Veterans Home? +

Spokane Veterans Home holds an ElderGrade of A (87.4 out of 100), which we describe as "excellent". 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 Spokane Veterans Home? +

Residents receive an average of 4.02 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Spokane Veterans Home been cited for harming residents? +

Yes. 1 of the 48 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Spokane Veterans Home accept Medicaid? +

Yes, Spokane Veterans Home 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.