Elder Care Record

Washington › Spokane County › Spokane

Aurora Valley Care

414 S University Rd, Spokane, WA 99206

CCN 505114 · For-profit, limited liability company · 124 certified beds · chain Caldera Care

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Aurora Valley Care is a For-profit, limited liability company nursing home in Spokane, Washington, certified for 124 beds and caring for about 87 residents a day.

CMS gives it 2 of 5 stars overall, below the Washington median of 3; the health inspection rating is 1, staffing 4 and quality measures 5.

Inspectors recorded 102 health deficiencies across the three most recent survey cycles (34, 36, 32 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 82.3 per 100 beds, more than the state median of 50.0.

CMS lists 1 penalty in the period covered: fines totalling $93K.

Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Washington median of 4.1; nursing staff turnover is 57.1%.

102health deficiencies, 3 survey cycles3 at actual harm or worse
$93Kfines listed by CMS1 penalty in period
3.7nurse hours per resident per daystate median 4.1
70%occupancy (residents ÷ beds)87 residents a day

Compared with county, state and nation

MeasureThis facilitySpokane Co. medianWashington medianUS average
Overall star rating2333.0
Health citations, 3 cycles102524628.7
Citations per 100 beds82.369.450.026.8
Total nurse hours per resident day3.74.04.13.9
RN hours per resident day0.60.80.90.7
Nursing staff turnover57.1%51.4%43.2%45.8%
Fines listed$93,457$8,278$17,388—

County and state figures are medians across facilities (16 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)34
Cycle 236
Cycle 332

Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Sep 2025, 27 Jun 2024.

Severity mix: G ×3 D ×62 E ×30 F ×6 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
27 May 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation17 Jun 2026
1 Apr 2026F0584Honor 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.EComplaint investigation1 May 2026
1 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation1 May 2026
15 Sep 2025F0584Honor 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.FComplaint investigation15 Oct 2025
15 Sep 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey15 Oct 2025
15 Sep 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey15 Oct 2025
15 Sep 2025F0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.FStandard survey1 Dec 2025
15 Sep 2025F0880Provide and implement an infection prevention and control program.FStandard survey15 Oct 2025
15 Sep 2025F0572Give residents a notice of rights, rules, services and charges.EStandard survey15 Oct 2025
15 Sep 2025F0574The resident has the right to receive notices in a format and a language he or she understands.EStandard survey15 Oct 2025
15 Sep 2025F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard survey15 Oct 2025
15 Sep 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey15 Oct 2025
15 Sep 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey15 Oct 2025
15 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation15 Oct 2025
15 Sep 2025F0688Provide 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.EStandard survey15 Oct 2025
15 Sep 2025F0760Ensure that residents are free from significant medication errors.EStandard survey15 Oct 2025
15 Sep 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey15 Oct 2025
15 Sep 2025F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard survey15 Oct 2025
15 Sep 2025F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard survey15 Oct 2025
15 Sep 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey15 Oct 2025
15 Sep 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey15 Oct 2025
15 Sep 2025F0687Provide appropriate foot care.DStandard survey15 Oct 2025
15 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Oct 2025
15 Sep 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey15 Oct 2025
15 Sep 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey15 Oct 2025
15 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey15 Oct 2025
15 Sep 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey15 Oct 2025
15 Sep 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey15 Oct 2025
15 Sep 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey15 Oct 2025
15 Sep 2025F0761Ensure 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.DStandard survey15 Oct 2025
15 Sep 2025F0791Provide or obtain dental services for each resident.DStandard survey15 Oct 2025
15 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey15 Oct 2025
15 Sep 2025F0837Establish 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.DStandard survey15 Oct 2025
15 Sep 2025F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey15 Oct 2025
10 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation2 Apr 2025
21 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation19 Mar 2025
21 Feb 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation19 Mar 2025
21 Feb 2025F0791Provide or obtain dental services for each resident.DComplaint investigation19 Mar 2025
30 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Jan 2025
16 Dec 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation15 Jan 2025
16 Dec 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 Jan 2025
30 Oct 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation22 Nov 2024
30 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation22 Nov 2024
12 Sep 2024F0660Plan the resident's discharge to meet the resident's goals and needs.EComplaint investigation9 Oct 2024
12 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation9 Oct 2024
12 Sep 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation9 Oct 2024
27 Jun 2024F0791Provide or obtain dental services for each resident.GStandard survey24 Jul 2024
27 Jun 2024F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard survey24 Jul 2024
27 Jun 2024F0760Ensure that residents are free from significant medication errors.EStandard survey24 Jul 2024
27 Jun 2024F0880Provide and implement an infection prevention and control program.EStandard survey24 Jul 2024
27 Jun 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey24 Jul 2024
27 Jun 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey24 Jul 2024
27 Jun 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey24 Jul 2024
27 Jun 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey24 Jul 2024
27 Jun 2024F0584Honor 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.DStandard survey24 Jul 2024
27 Jun 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey24 Jul 2024
27 Jun 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey24 Jul 2024
27 Jun 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation24 Jul 2024
27 Jun 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 Jul 2024
27 Jun 2024F0679Provide activities to meet all resident's needs.DStandard survey24 Jul 2024
27 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Jul 2024
27 Jun 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey24 Jul 2024
27 Jun 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey24 Jul 2024
27 Jun 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey24 Jul 2024
27 Jun 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey24 Jul 2024
27 Jun 2024F0761Ensure 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.DStandard survey24 Jul 2024
27 Jun 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard survey24 Jul 2024
27 Jun 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey24 Jul 2024
27 Jun 2024F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DStandard survey24 Jul 2024
27 Jun 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey24 Jul 2024
12 Jun 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation5 Jul 2024
12 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation5 Jul 2024
12 Jun 2024F0699Provide care or services that was trauma informed and/or culturally competent.DComplaint investigation5 Jul 2024
12 Jun 2024F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint investigation5 Jul 2024
9 May 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation24 May 2024
9 May 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation24 May 2024
10 Apr 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation10 Apr 2024
10 Apr 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.CComplaint investigation10 Apr 2024
7 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Mar 2024
16 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation5 Mar 2024
11 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation31 Jan 2024
12 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation8 Nov 2023
5 Sep 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation4 Oct 2023
20 Jan 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey1 Mar 2023
20 Jan 2023F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard survey1 Mar 2023
20 Jan 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey1 Mar 2023
20 Jan 2023F0610Respond appropriately to all alleged violations.EStandard survey1 Mar 2023
20 Jan 2023F0641Ensure each resident receives an accurate assessment.EStandard survey1 Mar 2023
20 Jan 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey1 Mar 2023
20 Jan 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey1 Mar 2023
20 Jan 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey1 Mar 2023
20 Jan 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey1 Mar 2023
20 Jan 2023F0880Provide and implement an infection prevention and control program.EStandard survey1 Mar 2023
20 Jan 2023F0881Implement a program that monitors antibiotic use.EStandard survey1 Mar 2023
20 Jan 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey1 Mar 2023
20 Jan 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey1 Mar 2023
20 Jan 2023F0685Assist a resident in gaining access to vision and hearing services.DStandard survey1 Mar 2023
20 Jan 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey1 Mar 2023
20 Jan 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey1 Mar 2023
20 Jan 2023F0761Ensure 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.DStandard survey1 Mar 2023
20 Jan 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard survey1 Mar 2023
20 Jan 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey1 Mar 2023

Penalties

DateTypeAmountDetail
9 May 2024Fine$93,457

Staffing

Total nursing3.71 h
Nurse aides2.19 h
LPN0.9 h
RN0.62 h
Weekend total3.14 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 57.1%, RNs 12.5%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.8%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.1%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.2%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.4%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.1%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.1%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.4%14.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Aurora Valley Care Llc. Chain: Caldera Care (6 facilities).

OrganisationRole in the CMS recordInterestSince
Kh7 Healthcare Holdings, LLC5% or greater direct ownership interest100%05/21/2025
Kh7 Hh Cdw5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/21/2025
Kh7 Ops LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/21/2025
414 S University Propco LLC5% or greater mortgage interestNOT APPLICABLE05/21/2025
414 S University Propco LLCAdp of the snfNOT APPLICABLE05/21/2025
Kh7 Propco Holdings LLCAdp of the snfNOT APPLICABLE05/21/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Spokane County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Regency At NorthpointeSpokane1205441512.5$8K9 May 2025
South Hill Rehabilitation and Care CenterSpokane1135433026.5—5 Dec 2025
Spokane Veterans HomeSpokane1005454747.0—20 Feb 2026
Emerson Health & RehabilitationSpokane994343939.4—28 Jul 2025
Sunshine Health & RehabSpokane374343286.5—30 Jan 2026
Alderwood ManorSpokane853245969.4—13 Feb 2026
Cheney Care CenterCheney543345092.6—29 May 2026
Lakeland Village Nursing Facilityabuse iconMedical Lake933252628.0—4 May 2026

All 16 facilities in Spokane County

Questions and answers

How many deficiencies has Aurora Valley Care been cited for?

102 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.

Has Aurora Valley Care been fined?

Yes. CMS lists fines totalling $93K in the period covered.

How does staffing at Aurora Valley Care compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.

Who operates Aurora Valley Care?

It is part of the Caldera Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kh7 Healthcare Holdings, LLC, Kh7 Hh Cdw and Kh7 Ops LLC. Individual owners and managers are not listed on this site.

When was Aurora Valley Care last inspected?

The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 15 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.