Royal Park Health and Rehabilitation
7411 North Nevada · Spokane, WA · 99208 · 5094892273
164 certified beds For profit - Limited Liability company Chain: Evergreen Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $110,816 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
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
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.
$110,816 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 3.36 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 4 · $119,640 |
Inspection citations (55 in the current record)
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Potential for harm · D September 9, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 23, 2025 · Pharmacy Service
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Actual harm · G July 16, 2025 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected July 16, 2025 · Quality of Life and Care
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Potential for harm · D June 9, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 26, 2025 · Quality of Life and Care
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Actual harm · G April 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
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Actual harm · G April 14, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 19, 2025 · Resident Rights
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Potential for harm · D January 17, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 19, 2025 · Resident Rights
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Potential for harm · D January 17, 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 February 19, 2025 · Resident Rights
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Potential for harm · E January 17, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 19, 2025 · Resident Rights
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Potential for harm · D January 17, 2025
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.
Corrected February 19, 2025 · Resident Rights
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Potential for harm · D January 17, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 25, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 25, 2025 · Quality of Life and Care
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Potential for harm · E January 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 25, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 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 February 25, 2025 · Quality of Life and Care
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Potential for harm · E January 17, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected February 25, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 25, 2025 · Quality of Life and Care
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Potential for harm · F January 17, 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 February 25, 2025 · Nursing and Physician Services
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Potential for harm · E January 17, 2025
Observe each nurse aide's job performance and give regular training.
Corrected February 25, 2025 · Nursing and Physician Services
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Potential for harm · D January 17, 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 February 25, 2025 · Pharmacy Service
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Potential for harm · D January 17, 2025
Ensure that residents are free from significant medication errors.
Corrected February 25, 2025 · Pharmacy Service
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Potential for harm · D January 17, 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 February 19, 2025 · Pharmacy Service
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Potential for harm · D January 17, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected February 12, 2025 · Nutrition and Dietary
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Potential for harm · E January 17, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 25, 2025 · Nutrition and Dietary
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Potential for harm · F January 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 25, 2025 · Nutrition and Dietary
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Potential for harm · D January 17, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected February 19, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 9, 2025 | Fine | $22,315 |
| April 14, 2025 | Fine | $34,356 |
| August 2, 2024 | Fine | $54,145 |
| January 26, 2024 | Fine | $8,824 |
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 505379 · certified since June 6, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.