North Central Care Center
N 1812 Wall Street · Spokane, WA · 99205 · 5093286030
99 certified beds For profit - Corporation Chain: Hyatt Family Facilities
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.83 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.46 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D July 28, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · E July 28, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected August 16, 2025 · Resident Rights
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Potential for harm · D July 28, 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 September 5, 2025 · Resident Rights
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Potential for harm · E July 28, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D July 28, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 28, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · E July 28, 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 September 5, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · F July 28, 2025
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.
Corrected September 5, 2025 · Nursing and Physician Services
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Potential for harm · E July 28, 2025
Observe each nurse aide's job performance and give regular training.
Corrected September 5, 2025 · Nursing and Physician Services
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Potential for harm · F July 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 5, 2025 · Nutrition and Dietary
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Potential for harm · F July 28, 2025
Provide and implement an infection prevention and control program.
Corrected September 5, 2025 · Infection Control
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Potential for harm · D July 28, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 5, 2025 · Environmental
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Potential for harm · D March 29, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 7, 2024 · Resident Rights
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Potential for harm · D March 29, 2024
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 7, 2024 · Resident Rights
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Potential for harm · D March 29, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 29, 2024
Assess the resident when there is a significant change in condition
Corrected May 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 29, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 29, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · E March 29, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · E March 29, 2024
Ensure that residents are free from significant medication errors.
Corrected May 7, 2024 · Pharmacy Service
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Potential for harm · D March 29, 2024
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.
Corrected May 7, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 505441 · certified since March 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.