Sunshine Health & Rehab
10410 East Ninth Avenue · Spokane, WA · 99206 · 5099263547
37 certified beds For profit - Individual
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 81 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 | 5.02 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.52 | 0.55–0.75 |
| Weekend hours / resident-day | 4.22 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D January 30, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 13, 2026 · Resident Rights
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Potential for harm · E January 30, 2026
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 March 13, 2026 · Resident Rights
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Potential for harm · E January 30, 2026
Ensure each resident receives an accurate assessment.
Corrected March 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 30, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 13, 2026 · Pharmacy Service
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Potential for harm · D January 30, 2026
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 13, 2026 · Administration
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Potential for harm · D January 30, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 13, 2026 · Administration
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Potential for harm · E January 30, 2026
Provide and implement an infection prevention and control program.
Corrected March 13, 2026 · Infection Control
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Potential for harm · D January 30, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 13, 2026 · Environmental
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Potential for harm · D June 16, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected July 25, 2025 · Resident Rights
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Potential for harm · D June 16, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 25, 2025 · Resident Assessment and Care Planning
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No harm found · C June 16, 2025 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 25, 2025 · Administration
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Potential for harm · D October 29, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · F October 29, 2024
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.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · E October 29, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 29, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · E October 29, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · D October 29, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · D October 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 December 20, 2024 · Nutrition and Dietary
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Potential for harm · E October 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 20, 2024 · Nutrition and Dietary
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Potential for harm · F October 29, 2024
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Potential for harm · D October 29, 2024
Implement a program that monitors antibiotic use.
Corrected December 20, 2024 · Infection Control
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Potential for harm · F October 29, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected December 20, 2024 · Infection Control
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Potential for harm · E October 29, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 20, 2024 · Infection Control
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Potential for harm · E October 29, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 20, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505411 · certified since January 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.