Royal Park Health and RehabilitationCMS ratings, inspections and fines
- Address
- 7411 North Nevada, Spokane, WA 99208
- CCN
- 505379
- Ownership type
- For-profit, limited liability company
- Certified beds
- 164
- Residents per day
- 107
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Royal Park Health and Rehabilitation an overall rating of 3 of 5 stars. The last standard survey was on 5 May 2026. The latest survey cycle has 8 health citations. The median for nursing homes in Washington is 14. CMS lists 4 fines with a total of $111,830 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Washington (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Spokane County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 16 homes in the county, 193 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 5 May 2026 | 8 | 14 |
| Cycle 2 | 17 Jan 2025 | 32 | 17 |
| Cycle 3 | No date | 16 | 13 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 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 | 4 Jun 2026 |
| 5 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 5 Jun 2026 |
| 5 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Jun 2026 |
| 5 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 4 Jun 2026 |
| 5 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 | 4 Jun 2026 |
| 5 May 2026 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 4 Jun 2026 |
| 5 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 Jun 2026 |
| 9 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation (in dispute review) | 23 Sep 2025 |
Survey cycle 2: 32 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jul 2025 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | G | Complaint investigation | 16 Jul 2025 |
| 9 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Jun 2025 |
| 14 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Apr 2025 |
| 14 Apr 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 25 Apr 2025 |
| 17 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Feb 2025 |
| 17 Jan 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 19 Feb 2025 |
| 17 Jan 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 | 19 Feb 2025 |
| 17 Jan 2025 | 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 | Standard survey | 19 Feb 2025 |
| 17 Jan 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 19 Feb 2025 |
| 17 Jan 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. | D | Standard survey | 19 Feb 2025 |
| 17 Jan 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 25 Feb 2025 |
| 17 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Feb 2025 |
| 17 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 25 Feb 2025 |
| 17 Jan 2025 | 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 | Standard survey | 25 Feb 2025 |
| 17 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 25 Feb 2025 |
| 17 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Feb 2025 |
| 17 Jan 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. | F | Standard survey | 25 Feb 2025 |
| 17 Jan 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 25 Feb 2025 |
| 17 Jan 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 25 Feb 2025 |
| 17 Jan 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Feb 2025 |
| 17 Jan 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. | D | Standard survey | 19 Feb 2025 |
| 17 Jan 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 12 Feb 2025 |
| 17 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 25 Feb 2025 |
| 17 Jan 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 | 25 Feb 2025 |
| 17 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 25 Feb 2025 |
| 17 Jan 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 19 Feb 2025 |
| 17 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 25 Feb 2025 |
| 17 Jan 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Complaint investigation | 25 Feb 2025 |
| 13 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 29 Nov 2024 |
| 2 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 9 Sep 2024 |
| 2 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 9 Sep 2024 |
| 2 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 9 Sep 2024 |
Survey cycle 3: 16 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 4 Jun 2024 |
| 13 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 | 4 Jun 2024 |
| 13 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Jun 2024 |
| 7 Mar 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 21 Mar 2024 |
| 7 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 21 Mar 2024 |
| 26 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 15 Feb 2024 |
| 26 Jan 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 15 Feb 2024 |
| 26 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 15 Feb 2024 |
| 4 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Oct 2023 |
| 4 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | 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 | 30 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 9 Jun 2025 | Fine | $14,505 | |
| 14 Apr 2025 | Fine | $34,356 | |
| 2 Aug 2024 | Fine | $54,145 | |
| 26 Jan 2024 | Fine | $8,824 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Washington median | Washington average (CMS) |
|---|---|---|---|
| All nurse staff | 3.82 | 4.10 | 4.37 |
| Registered nurses (RN) | 0.62 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.74 | 0.77 | |
| Nurse aides | 2.46 | 2.66 | |
| All nurse staff, weekends | 3.31 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 50.0%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 61.1%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.9% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.7% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.5% | 14.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Royal Park Health SNF Operations LLC
- Chain
- Evergreen Healthcare Group (44 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Northwest 12 Leased Operations Holdings LLC | Direct ownership interest | 31 Aug 2023 | |
| CH PNW 12 Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Witzcorp PNW 12 LLC | Indirect ownership interest | 31 Aug 2023 | |
| Washington Idaho Property, L.L.C. | 5% or greater security interest | 31 Aug 2023 | |
| Couve Financial Services LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| PNW 12 Opco Management LLC | Operational/managerial control | 31 Aug 2023 | |
| PNW 12 SNF Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Royal Park Health SNF Operations LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Financial Services LLC | Adp of the snf | 1 May 2025 | |
| Couve Healthcare Consulting LLC | Adp of the snf | 1 May 2025 | |
| PNW 12 Opco Management LLC | Adp of the snf | 1 May 2025 | |
| PNW 12 SNF Consulting LLC | Adp of the snf | 1 May 2025 | |
| Royal Park Health SNF Operations LLC | Adp of the snf | 7 Jul 2025 | |
| Washington Idaho Property, L.L.C. | Adp of the snf | 17 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Spokane County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Spokane Falls Care | Spokane | 1 of 5 | 23 | $125,736 | 13 Apr 2026 | |
| Spokane Health & RehabilitationSpecial Focus candidate | Spokane | 1 of 5 | 39 | $137,457 | 24 Apr 2025 | |
| Regency at Northpointe | Spokane | 5 of 5 | 11 | $8,278 | 27 Aug 2024 | |
| Avalon Care Center at Northpointe | Spokane | 2 of 5 | 14 | $84,614 | 28 May 2026 | |
| Emerson Health & Rehabilitation | Spokane | 4 of 5 | 14 | $0 | 28 Jul 2025 | |
| Rockwood South Hill | Spokane | 2 of 5 | 13 | $0 | 23 Mar 2026 | |
| Spokane Veterans Home | Spokane | 5 of 5 | 13 | $0 | 25 Mar 2025 | |
| South Hill Rehabilitation and Care Center | Spokane | 5 of 5 | 12 | $0 | 18 Jun 2025 | |
| Alderwood Manor | Spokane | 3 of 5 | 13 | $0 | 13 Feb 2026 | |
| Sunshine Health & Rehab | Spokane | 4 of 5 | 9 | $0 | 30 Jan 2026 | |
| Aurora Valley Care | Spokane | 2 of 5 | 34 | $93,457 | 15 Sep 2025 | |
| Sullivan Park Care Center | Spokane | 1 of 5 | 33 | $126,188 | 6 Mar 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Royal Park Health and Rehabilitation (CCN 505379). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/royal-park-health-and-rehabilitation-spokane-wa-505379/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Royal Park Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 5 May 2026. It was a standard survey. It gave 7 citations. The standard survey before the last one was on 17 Jan 2025.
- Who operates Royal Park Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Evergreen Healthcare Group. The CMS ownership file names 5 organisations for operational or managerial control. This site does not show the names of persons.
- Is Royal Park Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.