Washington › Spokane County › Spokane
Avalon Care Center At Northpointe
9827 North Nevada, Spokane, WA 99218
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.
Avalon Care Center At Northpointe, in Spokane, Washington, is certified for 119 beds under for-profit, corporation ownership and belongs to the Avalon Health Care chain.
CMS gives it 2 of 5 stars overall, below the Washington median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 76 health deficiencies across the three most recent survey cycles (14, 45, 17 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 63.9 per 100 beds, more than the state median of 50.0.
CMS lists 2 penalties in the period covered: fines totalling $85K.
Reported nurse staffing is 3.5 hours per resident per day (0.7 RN), close to the Washington median of 4.1; nursing staff turnover is 62.0%.
76health deficiencies, 3 survey cycles2 at actual harm or worse
$85Kfines listed by CMS2 penalties in period
3.5nurse hours per resident per daystate median 4.1
102%occupancy (residents ÷ beds)121 residents a day
Compared with county, state and nation
| Measure | This facility | Spokane Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 76 | 52 | 46 | 28.7 |
| Citations per 100 beds | 63.9 | 69.4 | 50.0 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.0 | 4.1 | 3.9 |
| RN hours per resident day | 0.7 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | 62.0% | 51.4% | 43.2% | 45.8% |
| Fines listed | $84,614 | $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
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 May 2026, 7 Feb 2025.
Severity mix: G ×2 D ×48 E ×24 F ×1 B ×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 date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Jun 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 30 Jun 2026 |
| 28 May 2026 | F0584 | 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. | E | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0761 | 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. | E | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 30 Jun 2026 |
| 28 May 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 30 Jun 2026 |
| 17 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 3 Oct 2025 |
| 17 Sep 2025 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | D | Complaint investigation | 3 Oct 2025 |
| 7 Feb 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0625 | 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. | E | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 1 Apr 2025 |
| 7 Feb 2025 | F0761 | 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. | E | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0584 | 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. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0622 | 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. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 26 Mar 2025 |
| 7 Feb 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 26 Mar 2025 |
| 7 Feb 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 26 Mar 2025 |
| 10 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Jan 2025 |
| 10 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Jan 2025 |
| 9 Oct 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 9 Oct 2024 |
| 2 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 Oct 2024 |
| 2 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 29 Oct 2024 |
| 2 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Oct 2024 |
| 2 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 29 Oct 2024 |
| 2 Oct 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 29 Oct 2024 |
| 2 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 29 Oct 2024 |
| 26 Aug 2024 | F0585 | 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. | E | Complaint investigation | 17 Sep 2024 |
| 26 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 18 Sep 2024 |
| 28 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 18 Jun 2024 |
| 28 May 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 18 Jun 2024 |
| 12 Dec 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 3 Jan 2024 |
| 9 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0578 | Honor 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. | D | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Dec 2023 |
| 9 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0761 | 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. | D | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 20 Dec 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Dec 2023 |
| 8 Aug 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 25 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Jan 2025 | Fine | $76,336 | |
| 26 Aug 2024 | Fine | $8,278 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 62.0%, RNs 68.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.8% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.2% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | 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, corporation. Legal business name: Avalon Care Center - Spokane, Llc. Chain: Avalon Health Care (16 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Avalon Care LLC | 5% or greater indirect ownership interest | 100% | 11/26/2003 |
| Avalon Health Care Inc | Operational/managerial control | NOT APPLICABLE | 12/01/2003 |
| Avalon Health Care Management Inc | Operational/managerial control | NOT APPLICABLE | 12/01/2003 |
| Deloitte Tax LLP | Operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| Eide Bailly LLP | Operational/managerial control | NOT APPLICABLE | 01/01/2021 |
| Hhc Holdco LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| Omnicare LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| Reliant Pro Rehab LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| Avalon Health Care Inc | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Avalon Health Care Management Inc | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Deloitte Tax LLP | Adp of the snf | NOT APPLICABLE | 06/05/2025 |
| Eide Bailly LLP | Adp of the snf | NOT APPLICABLE | 06/05/2025 |
| Hhc Holdco LLC | Adp of the snf | NOT APPLICABLE | 06/05/2025 |
| Omnicare LLC | Adp of the snf | NOT APPLICABLE | 06/05/2025 |
| Reliant Pro Rehab LLC | Adp of the snf | NOT APPLICABLE | 06/05/2025 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Regency At Northpointe | Spokane | 120 | 5 | 4 | 4 | 15 | 12.5 | $8K | 9 May 2025 |
| South Hill Rehabilitation and Care Center | Spokane | 113 | 5 | 4 | 3 | 30 | 26.5 | — | 5 Dec 2025 |
| Spokane Veterans Home | Spokane | 100 | 5 | 4 | 5 | 47 | 47.0 | — | 20 Feb 2026 |
| Emerson Health & Rehabilitation | Spokane | 99 | 4 | 3 | 4 | 39 | 39.4 | — | 28 Jul 2025 |
| Sunshine Health & Rehab | Spokane | 37 | 4 | 3 | 4 | 32 | 86.5 | — | 30 Jan 2026 |
| Alderwood Manor | Spokane | 85 | 3 | 2 | 4 | 59 | 69.4 | — | 13 Feb 2026 |
| Cheney Care Center | Cheney | 54 | 3 | 3 | 4 | 50 | 92.6 | — | 29 May 2026 |
| Lakeland Village Nursing Facilityabuse icon | Medical Lake | 93 | 3 | 2 | 5 | 26 | 28.0 | — | 4 May 2026 |
All 16 facilities in Spokane County
Questions and answers
How many deficiencies has Avalon Care Center At Northpointe been cited for?
76 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Avalon Care Center At Northpointe been fined?
Yes. CMS lists fines totalling $85K in the period covered.
How does staffing at Avalon Care Center At Northpointe compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Avalon Care Center At Northpointe?
It is part of the Avalon Health Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Avalon Care LLC, Avalon Health Care Inc and Avalon Health Care Management Inc. Individual owners and managers are not listed on this site.
When was Avalon Care Center At Northpointe last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jun 2026; the most recent standard health survey was 28 May 2026.
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.