Spokane Health & Rehabilitation
A nursing home in Spokane, Washington 99205
North 6025 Assembly, Spokane, Washington 99205. (509) 326-8282.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 38 health citations at the latest inspection cycle Washington average: 15.7
- 3.84 nurse hours per resident per day Washington average: 4.42
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
38 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Apr 24, 2025.
Most serious in three years: immediate jeopardy to health or safety (L), at a standard and complaint inspection on Apr 24, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
87 citations in 14 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (L). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 87 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 54 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 5, 2026: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 8, 2025: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 25, 2025: complaint inspection1 citation
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Apr 24, 2025: standard inspection33 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Allow residents to self-administer drugs if determined clinically appropriate.
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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.
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Provide information about how to apply for and use Medicare and Medicaid benefits.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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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.
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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.
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Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide appropriate care/assistance for a resident with a prosthesis.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Observe each nurse aide’s job performance and give regular training.
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Post nurse staffing information every day.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Keep all essential equipment working safely.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Apr 24, 2025: standard and complaint inspection4 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Give residents a notice of rights, rules, services and charges.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Apr 3, 2025: complaint inspection2 citations
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Mar 25, 2025: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 10, 2025: complaint inspection5 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Respond appropriately to all alleged violations.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 23, 2025: complaint inspection3 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide enough food/fluids to maintain a resident’s health.
Nov 18, 2024: complaint inspection2 citations
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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.
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Provide and implement an infection prevention and control program.
Oct 8, 2024: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
Aug 29, 2024: complaint inspection3 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
Jul 25, 2024: complaint inspection5 citations
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Implement a program that monitors antibiotic use.
May 29, 2024: complaint inspection6 citations
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure that residents are free from significant medication errors.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
-
Provide and implement an infection prevention and control program.
Jan 19, 2024: standard and complaint inspection15 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide enough food/fluids to maintain a resident’s health.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Provide safe, appropriate dialysis care/services for a resident who requires such services.
-
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
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Provide and implement an infection prevention and control program.
Dec 20, 2023: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 19, 1988.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 125 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $137,457 in all.
- 1 Medicare payment denial in the last three years.
- 54 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 25, 2025 | Fine | $38,786 |
| Jan 23, 2025 | Medicare payment denial | Not given |
| Jan 23, 2025 | Fine | $54,581 |
| Dec 20, 2023 | Fine | $44,090 |
Who does the caring?
3.84 nurse hours per resident per day
The Washington average is 4.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Washington average |
|---|---|---|
| Nurse hours per resident per day | 3.84 | 4.42 |
| Of which registered nurses | 0.69 | 0.99 |
| At weekends | 3.47 | 3.82 |
| Nursing staff turnover | 60.8% | 43.9% |
| Registered nurse turnover | 50% | 43.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Wash 6 SNF Operations Holdings LLC owns 100% directly since Feb 8, 2023.
- 6 owners or officers are people: Steven A Schwartz (corporate officer, 100%); Steven A Schwartz (runs it (operational or managerial control), 100%); Shimon Idels (corporate officer, 100%); Shimon Idels (runs it (operational or managerial control), 100%); Daniel A Gottesman (other role (CMS gives no detail)); Heather Bennet-Idels (other role (CMS gives no detail), 0%).
- Part of Hill Valley Healthcare (43 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Winston SNF Operations Manager LLC | Other role (CMS gives no detail) | 100% | Feb 8, 2023 |
| Wash 6 SNF Operations Holdings LLC | Owns 5% or more directly | 100% | Feb 8, 2023 |
| Sabrina 1818 Holdings LLC | Owns 5% or more through other companies | 48.75% | Feb 8, 2023 |
| Lion 26 Holdings LLC | Owns 5% or more through other companies | 48.75% | Feb 8, 2023 |
| Saessy Irrevocable Trust | Owns 5% or more through other companies | 46% | Feb 8, 2023 |
| Tatiriq Irrevocable Trust | Owns 5% or more through other companies | 46% | Feb 8, 2023 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Washington average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 7.9 miles, this one had the 1st most health citations at the latest inspection cycle (38; the middle value was 13).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Spokane Health & Rehabilitation This nursing home | 38 | |
| Spokane Falls Care | 0.3 | 23 |
| Royal Park Health and Rehabilitation | 1.3 | 7 |
| Rockwood South Hill | 1.6 | 13 |
| Emerson Health & Rehabilitation | 1.6 | 14 |
| Regency at Northpointe | 2.8 | 0 |
| Avalon Care Center at Northpointe | 2.8 | 12 |
| Spokane Veterans Home | 3.8 | 13 |
| South Hill Rehabilitation and Care Center | 4.1 | 12 |
| Alderwood Manor | 4.6 | 14 |
| Sunshine Health & Rehab | 7.7 | 9 |
| Aurora Valley Care | 7.9 | 34 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.