Elder Care Record

Washington › Spokane County › Spokane

Spokane Falls Care

6021 North Lidgerwood, Spokane, WA 99207

CCN 505024 · For-profit, limited liability company · 100 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.

Spokane Falls Care is a For-profit, limited liability company nursing home in Spokane, Washington, certified for 100 beds and caring for about 85 residents a day.

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

Inspectors recorded 102 health deficiencies across the three most recent survey cycles (23, 47, 32 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 102.0 per 100 beds, more than the state median of 50.0.

CMS lists 2 penalties in the period covered: fines totalling $126K.

Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Washington median of 4.1; nursing staff turnover is 60.7%.

102health deficiencies, 3 survey cycles3 at actual harm or worse
$126Kfines listed by CMS2 penalties in period
3.6nurse hours per resident per daystate median 4.1
85%occupancy (residents ÷ beds)85 residents a day

Compared with county, state and nation

MeasureThis facilitySpokane Co. medianWashington medianUS average
Overall star rating1333.0
Health citations, 3 cycles102524628.7
Citations per 100 beds102.069.450.026.8
Total nurse hours per resident day3.64.04.13.9
RN hours per resident day0.50.80.90.7
Nursing staff turnover60.7%51.4%43.2%45.8%
Fines listed$125,736$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)23
Cycle 247
Cycle 332

Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Apr 2026, 17 Dec 2024.

Severity mix: G ×3 D ×68 E ×27 F ×4

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
18 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation (under dispute review)8 Jul 2026
13 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation27 May 2026
13 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation27 May 2026
13 Apr 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey27 May 2026
13 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation27 May 2026
13 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation27 May 2026
13 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.DComplaint investigation27 May 2026
13 Apr 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation27 May 2026
13 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation27 May 2026
13 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey27 May 2026
13 Apr 2026F0679Provide activities to meet all resident's needs.DStandard survey27 May 2026
13 Apr 2026F0687Provide appropriate foot care.DStandard survey27 May 2026
13 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation27 May 2026
13 Apr 2026F0730Observe each nurse aide's job performance and give regular training.DStandard survey27 May 2026
13 Apr 2026F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation27 May 2026
13 Apr 2026F0761Ensure 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.DComplaint investigation27 May 2026
13 Apr 2026F0803Ensure 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 survey27 May 2026
13 Apr 2026F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey27 May 2026
13 Apr 2026F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard survey27 May 2026
4 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 Apr 2026
4 Mar 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation15 Apr 2026
18 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation27 Nov 2025
21 Aug 2025F0880Provide and implement an infection prevention and control program.FComplaint investigation17 Sep 2025
13 May 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation10 Jun 2025
13 May 2025F0758Implement 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.DComplaint investigation10 Jun 2025
1 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation8 May 2025
1 Apr 2025F0610Respond appropriately to all alleged violations.DComplaint investigation8 May 2025
1 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 May 2025
1 Apr 2025F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation8 May 2025
17 Dec 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation22 Jan 2025
17 Dec 2024F0572Give residents a notice of rights, rules, services and charges.EComplaint investigation22 Jan 2025
17 Dec 2024F0578Honor 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.EComplaint investigation22 Jan 2025
17 Dec 2024F0620Not 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.EComplaint investigation22 Jan 2025
17 Dec 2024F0625Notify 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.EComplaint investigation22 Jan 2025
17 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation22 Jan 2025
17 Dec 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint investigation22 Jan 2025
17 Dec 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation22 Jan 2025
17 Dec 2024F0760Ensure that residents are free from significant medication errors.EComplaint investigation22 Jan 2025
17 Dec 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint investigation22 Jan 2025
17 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation22 Jan 2025
17 Dec 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation22 Jan 2025
17 Dec 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation22 Jan 2025
17 Dec 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation22 Jan 2025
17 Dec 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint investigation22 Jan 2025
17 Dec 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation22 Jan 2025
17 Dec 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation22 Jan 2025
17 Dec 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation22 Jan 2025
17 Dec 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation22 Jan 2025
17 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 Jan 2025
17 Dec 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 investigation22 Jan 2025
17 Dec 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint investigation22 Jan 2025
17 Dec 2024F0699Provide care or services that was trauma informed and/or culturally competent.DComplaint investigation22 Jan 2025
17 Dec 2024F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DComplaint investigation22 Jan 2025
17 Dec 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation22 Jan 2025
17 Dec 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.DComplaint investigation22 Jan 2025
17 Dec 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.DComplaint investigation22 Jan 2025
17 Dec 2024F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint investigation22 Jan 2025
17 Dec 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation22 Jan 2025
17 Dec 2024F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DComplaint investigation22 Jan 2025
17 Dec 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.DComplaint investigation22 Jan 2025
15 Nov 2024F0610Respond appropriately to all alleged violations.EComplaint investigation29 Nov 2024
15 Nov 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint investigation29 Nov 2024
15 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation29 Nov 2024
15 Nov 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation29 Nov 2024
25 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation8 Nov 2024
25 Sep 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.EComplaint investigation8 Nov 2024
25 Sep 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.EComplaint investigation8 Nov 2024
25 Sep 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation8 Nov 2024
25 Sep 2024F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation8 Nov 2024
25 Sep 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation8 Nov 2024
16 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation2 May 2024
16 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation2 May 2024
8 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation20 Feb 2024
8 Mar 2024F0610Respond appropriately to all alleged violations.EComplaint investigation27 Mar 2024
8 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation20 Feb 2024
3 Jan 2024F0760Ensure that residents are free from significant medication errors.EComplaint investigation11 Jan 2024
6 Dec 2023F0610Respond appropriately to all alleged violations.DComplaint investigation28 Dec 2023
6 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation28 Dec 2023
6 Dec 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation28 Dec 2023
2 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation29 Nov 2023
2 Nov 2023F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation29 Nov 2023
15 Sep 2023F0610Respond appropriately to all alleged violations.EComplaint investigation4 Oct 2023
15 Sep 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation4 Oct 2023
15 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation4 Oct 2023
3 Aug 2023F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.FComplaint investigation13 Sep 2023
3 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation13 Sep 2023
3 Aug 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation13 Sep 2023
3 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey13 Sep 2023
3 Aug 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey13 Sep 2023
3 Aug 2023F0585Honor 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.DStandard survey13 Sep 2023
3 Aug 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey13 Sep 2023
3 Aug 2023F0685Assist a resident in gaining access to vision and hearing services.DComplaint investigation13 Sep 2023
3 Aug 2023F0688Provide 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.DStandard survey13 Sep 2023
3 Aug 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Sep 2023
3 Aug 2023F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey13 Sep 2023
3 Aug 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Sep 2023
3 Aug 2023F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey13 Sep 2023
3 Aug 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey13 Sep 2023
3 Aug 2023F0760Ensure that residents are free from significant medication errors.DStandard survey13 Sep 2023
3 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation13 Sep 2023
3 Aug 2023F0880Provide and implement an infection prevention and control program.DStandard survey13 Sep 2023
3 Aug 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey13 Sep 2023

Penalties

DateTypeAmountDetail
8 Mar 2024Fine$14,050
2 Nov 2023Fine$111,686

Staffing

Total nursing3.55 h
Nurse aides2.19 h
LPN0.85 h
RN0.51 h
Weekend total3.06 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 60.7%, RNs 90.9%; 3 administrators 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 Stay14.8%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.4%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.0%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.9%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.2%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.9%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay27.2%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: Spokane Falls 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
6021 N Lidgerwood Propco LLC5% or greater mortgage interestNOT APPLICABLE05/21/2025
6021 N Lidgerwood 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 Spokane Falls 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 Spokane Falls Care been fined?

Yes. CMS lists fines totalling $126K in the period covered.

How does staffing at Spokane Falls Care compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.

Who operates Spokane Falls 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 Spokane Falls Care last inspected?

The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 13 Apr 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.