86.1/100
Excellent
10410 East Ninth Avenue, Spokane, WA 99206
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours 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.
Last standard health inspection: January 30, 2026 (6 months ago).
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| DIKES, NATHAN | Individual | W-2 MANAGING EMPLOYEE | — |
| RHOADS, PATRICK | Individual | W-2 MANAGING EMPLOYEE | — |
| DIKES, CAROL | Individual | CORPORATE DIRECTOR | — |
| DIKES, DAVID | Individual | CORPORATE DIRECTOR | — |
| DIKES, JENNIFER | Individual | CORPORATE DIRECTOR | — |
| DIKES, NATHAN | Individual | CORPORATE DIRECTOR | — |
| RHOADS, PATRICK | Individual | CORPORATE DIRECTOR | — |
| RHOADS, SHERRI | Individual | CORPORATE DIRECTOR | — |
| ULRICH, WILLIAM | Individual | CORPORATE OFFICER | — |
| DIKES, NATHAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| DIKES, CAROL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| DIKES, DAVID | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Sunshine Health & Rehab holds an ElderGrade of A (86.1 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.
Residents receive an average of 4.99 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 32 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Sunshine Health & Rehab 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.