Nursing homes across Spokane County, Washington, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Spokane Veterans Home runs on state money and 100 certified beds, and the numbers put it in decent shape. Nurse staffing sits at 4.02 hours per resident day, about 4% above the national average, though weekends run roughly 10% thinner than weekdays, worth asking about if your family visits then. Staff turnover is 34.8%, well under the national 45.8%, which matters because consistent caregivers notice changes sooner. The inspection record is where it gets more mixed: 48 deficiencies on file, including one at harm or jeopardy level and four tied to abuse, with the last inspection in March 2025. High star ratings across inspections and quality measures don't erase those specifics.
Sunshine Health & Rehab runs on a small 37-bed footprint in Spokane, and the nurse staffing here sits well above what most homes provide, nearly 5 hours per resident day against a national average closer to 3.9. Weekends do thin out by about 19% compared to weekdays, so ask how coverage looks on a Saturday. The inspection record carries 32 deficiencies, one tied to abuse, though none reached the harm or jeopardy level, and the most recent survey was in January 2026, so the picture is current. Quality measures score at the top of CMS's scale, which is notable given that volume of citations.
Rockwood South Hill runs about 4.83 nurse hours per resident day, roughly a quarter more than the national average of 3.86, that's the strongest part of its record. Weekend staffing dips about 12% below its own weekday level, so ask how that plays out on Sundays. The inspection history is more mixed: 49 deficiencies on the current record, none of them at the harm or jeopardy level, though two are abuse-related. The last inspection was December 2024, so the picture is fairly current. As a church-related nonprofit with 45 beds, it's small and mission-driven, but 49 deficiencies is a lot of paperwork for a building this size.
Alderwood Manor runs a for-profit partnership with 85 beds in Spokane, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average of 3.86. That headline number has a soft spot, though: weekends drop about 22% below the home's own weekday staffing, and annual turnover is 51.4%, higher than the 45.8% national figure. The stronger concern is the record itself. Fifty-nine deficiencies, including three at harm or jeopardy level and four tied to abuse, with a February 2026 inspection date and a 2-out-of-5 health inspection rating. Quality measures look strong at 5 out of 5, but that paperwork score doesn't erase what surveyors actually found.
North Central Care Center runs 99 certified beds in Spokane under corporate for-profit ownership, and its nurse staffing sits slightly above the national average, 3.92 hours per resident day, though weekends drop about 10% below its own weekday levels, so coverage does thin out when families tend to visit. Annual turnover hits 50%, higher than the 45.8% national figure, which means the people caring for your relative are more likely than average to be new or on their way out. The current record carries 39 deficiencies, none at harm or jeopardy level but one tied to abuse, and the last inspection was July 2025. Quality measures score well; the inspection history is where the caution lies.
Regency At Northpointe runs 4.72 nurse hours per resident day, about 22% above the national average, and that staffing shows in its four-out-of-five staffing stars. Weekends are thinner, though, running roughly 20% below the home's own weekday levels, so care can feel different on a Saturday. Turnover sits at 47%, just above the national 45.8%. Inspections earn four stars, with the most recent visit in August 2024, but the record holds 15 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine.
South Hill runs a leaner ship than most on weekdays, 4.63 nurse hours per resident day, roughly a fifth more than the national average, but that cushion thins out on weekends, when staffing drops about 21% below its own weekday pace. It's a for-profit LLC, and 63.5% of its nursing staff turned over in the past year, well above the 45.8% national figure. Inspectors were last in on June 18, 2025, and the home carries 30 deficiencies, including two tied to abuse, though none rose to the level of actual harm or jeopardy. Strong marks on quality measures and inspections sit alongside the turnover and weekend dip, worth asking about directly.
Cheney Care Center runs on a nonprofit model with 54 beds, and its staffing is the standout: 4.93 nurse hours per resident day, roughly 28% above the national average. That helps explain the four-star staffing rating, and turnover at 38.8% sits below the national 45.8%. Weekend hours dip about 10% from weekday levels, which is common but worth knowing if you're visiting Saturdays. The caution is in the record: 50 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in August 2025. A three-star inspection and three-star quality rating land in the middle. Strong hands-on care, but the compliance history is the thing to ask about directly.
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.
Aurora Valley Care runs 105 deficiencies on its current record, three of them at the harm or jeopardy level and nine tied to abuse, a load that says something about how day-to-day care is supervised. Staffing sits at 3.71 hours per resident day, a bit under the national average, and it thins out further on weekends when coverage drops roughly 15% below its own weekday level. Annual turnover of 57.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The five-star quality measure score reflects reported care outcomes, but the one-star inspection rating and a $93,457 fine tell a different story.
Sullivan Park runs about 92 deficiencies on its current record, including two at the harm level and eight tied to abuse, that's a lot of paper for a 125-bed building, and it's the main reason the state's last look at the place came in March 2025 with a 2-star inspection result. Nurse staffing sits at 3.68 hours per resident day, a bit under the national average, and it thins out further on weekends, down roughly 14% from weekday coverage. With 52.3% annual turnover, nearly half the nursing staff is replaced every year, which makes consistent care hard to hold onto. Two fines totaling $126,188 round out the picture.
Spokane Falls Care runs 100 beds under for-profit LLC ownership, and the direct-care staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends running about 14% thinner than weekdays. Annual turnover hits 60.7% against a national 45.8%, meaning most of the people caring for residents are new to the building. The inspection record is where things get serious: 102 deficiencies on file, three at harm or jeopardy level and ten tied to abuse, plus two fines totaling $125,736. The last inspection was April 2026. Quality measures score well at 4 stars, but that sits against 1-star health inspections and 2-star staffing.
Avalon Care Center At Northpointe runs 119 certified beds on Spokane's north side under corporate for-profit ownership, and the numbers show real strain. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 14% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover hit 62% last year against a national 45.8%, which means many of the people caring for residents are still learning the building.
The inspection record is the harder read: 74 deficiencies on file, including two at the harm level and four tied to abuse, with $84,614 in fines and a February 2025 inspection. The quality measure rating is strong, but that reflects charted clinical outcomes, not day-to-day consistency.
Lakeland Village runs on state funding and employs nurses at a rate nearly triple the national average, 11.12 hours per resident day against 3.86. Weekend coverage dips only slightly, about 7% below weekdays, and turnover sits at 32.6%, well under the 45.8% national figure. That's genuinely strong staffing. The problem is what inspections keep finding: 26 deficiencies on the current record, including one at the harm or jeopardy level and 10 tied to abuse. Its last inspection was October 27, 2025, so the picture is current, not stale. High nurse hours don't cancel out harm-level findings, a C grade reflects a home where the caregiving capacity is real but the safety record isn't.
Spokane Valley Health and Rehabilitation of Cascad runs 97 certified beds as a for-profit LLC, and its record shows why families should look closely before committing. The staffing score sits at the bottom of the federal scale, and the quality measure rating is just as low, meaning the day-to-day care metrics that matter most land well below what CMS considers average. Inspectors have cited 52 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with four fines totaling $27,034. The most recent inspection was November 2025, so the picture is current. With that volume of citations and thin staffing, you'd want to ask hard questions about who's on the floor overnight.
Spokane Health & Rehabilitation runs 125 certified beds under for-profit LLC ownership, and the staffing numbers tell a story. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. Annual turnover of 64.4% against a national 45.8% means the aides and nurses caring for your family member are, more often than not, new to the building.
The inspection record is the harder truth. Ninety-eight deficiencies, including six at the harm or jeopardy level and eight tied to abuse, with three fines totaling $137,457. CMS has placed this home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes.