Aurora Valley Care
414 S University Rd · Spokane, WA · 99206 · 5099244650
124 certified beds For profit - Limited Liability company Chain: Caldera Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.46 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 1 · $93,457 |
Inspection citations (105 in the current record)
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Potential for harm · E April 1, 2026 · found via complaint
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.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D April 1, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 1, 2026 · Pharmacy Service
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Potential for harm · D September 15, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · E September 15, 2025
Give residents a notice of rights, rules, services and charges.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · E September 15, 2025
The resident has the right to receive notices in a format and a language he or she understands.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · E September 15, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · E September 15, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · D September 15, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 15, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 15, 2025
Provide appropriate foot care.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · E September 15, 2025
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.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · F September 15, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 15, 2025 · Nursing and Physician Services
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Potential for harm · D September 15, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 15, 2025 · Pharmacy Service
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Potential for harm · E September 15, 2025
Ensure that residents are free from significant medication errors.
Corrected October 15, 2025 · Pharmacy Service
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Potential for harm · D September 15, 2025
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.
Corrected October 15, 2025 · Pharmacy Service
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Potential for harm · D September 15, 2025
Provide or obtain dental services for each resident.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 15, 2025 · Nutrition and Dietary
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Potential for harm · F September 15, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 15, 2025 · Administration
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Potential for harm · D September 15, 2025
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected October 15, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2024 | Fine | $93,457 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505114 · certified since January 6, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.