Avalon Care Center at Northpointe
9827 North Nevada · Spokane, WA · 99218 · 5094687000
119 certified beds For profit - Corporation Chain: Avalon Health Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $84,614 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
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
$84,614 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.72 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 2 · $84,614 |
Inspection citations (75 in the current record)
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Potential for harm · D September 17, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 3, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2025 · found via complaint
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected October 3, 2025 · Nursing and Physician Services
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Actual harm · G February 7, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 26, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 26, 2025 · Resident Rights
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Potential for harm · D February 7, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 26, 2025 · Resident Rights
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Potential for harm · D February 7, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 26, 2025 · Resident Rights
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Potential for harm · D February 7, 2025
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 March 26, 2025 · Resident Rights
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Potential for harm · D February 7, 2025
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.
Corrected March 26, 2025 · Resident Rights
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Potential for harm · E February 7, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 7, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 7, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 26, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 2025
Provide appropriate foot care.
Corrected March 26, 2025 · Quality of Life and Care
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Potential for harm · E February 7, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 26, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 26, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 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 March 26, 2025 · Nursing and Physician Services
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Potential for harm · E February 7, 2025
Observe each nurse aide's job performance and give regular training.
Corrected March 26, 2025 · Nursing and Physician Services
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Potential for harm · D February 7, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 26, 2025 · Pharmacy Service
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Potential for harm · E February 7, 2025
Ensure that residents are free from significant medication errors.
Corrected April 1, 2025 · Pharmacy Service
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Potential for harm · E February 7, 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 March 26, 2025 · Pharmacy Service
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Potential for harm · E February 7, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 26, 2025 · Nutrition and Dietary
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Potential for harm · F February 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 26, 2025 · Nutrition and Dietary
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Potential for harm · E February 7, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected March 26, 2025 · Administration
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Potential for harm · E February 7, 2025
Provide and implement an infection prevention and control program.
Corrected March 26, 2025 · Infection Control
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Potential for harm · D February 7, 2025
Keep all essential equipment working safely.
Corrected March 26, 2025 · Environmental
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Potential for harm · D February 7, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 26, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 17, 2025 | Fine | $76,336 |
| August 26, 2024 | Fine | $8,278 |
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 505496 · certified since May 8, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.