All states › Washington › Spokane › Alderwood Manor
3600 East Hartson Avenue Spokane, WA 99202 · Spokane County
All 13 nursing homes in Spokane, WA (12 take Medicaid)
CMS certification number 505257 · See this home on Medicare Care Compare
Is Alderwood Manor a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Alderwood Manor as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Washington average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.15 hours per resident per day at Alderwood Manor, about the same as the Washington median of 4.15 (US median: 3.72). About 1.31 of those hours are from registered nurses. On weekends it falls to 3.52 hours, 15% below its all-week average. Ask how weekends are staffed. 50.7% of nursing staff left within a year (Washington median 43%).
About this nursing home
Paying for care at Alderwood Manor: Medicare and Medicaid
Alderwood Manor is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Washington's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 13, 2026 and found 12 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 60 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 60 citations at Alderwood Manor across 9 inspection dates, 8 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on July 26, 2024. The most common areas cited were quality of life and care (20) and resident rights (11). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 26, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
July 22, 2026 · 2 citations · includes complaint inspection
DRespond appropriately to all alleged violations.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
February 13, 2026 · 12 citations
FProvide and implement an infection prevention and control program.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEducate 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor 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.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure medication error rates are not 5 percent or greater.
September 12, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 30, 2024 · 22 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure that residents are fully informed and understand their health status, care and treatments.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure 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.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify 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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide 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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide and implement an infection prevention and control program.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
July 26, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 12, 2024 · 2 citations · includes complaint inspection
EHonor 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.
ERespond appropriately to all alleged violations.
February 6, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
November 16, 2023 · 1 citation · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
July 7, 2023 · 18 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure that residents are free from significant medication errors.
DEnsure 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.
Questions to ask on a tour of Alderwood Manor
- Inspectors cited the home at the actual-harm level on July 26, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 22, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
Add this rating badge to your websiteFree. Shows Alderwood Manor's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Alderwood Manor
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
2.5 mi
Providence Sacred Heart Medical Center SpokaneEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 36m for patients treated and sent home
- 2.5 mi
-
3.0 mi
Deaconess Medical Center SpokaneEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 0m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Alderwood Manor › All nursing homes in Spokane ›
Compare Alderwood Manor with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Spokane Veterans Home · Spokane · 5 stars · 2.3 mi
- South Hill Rehabilitation and Care Center · Spokane · 5 stars · 2.3 mi
- Sunshine Health & Rehab · Spokane · 5 stars · 4.2 mi
- Regency at Northpointe · Spokane · 5 stars · 6.8 mi
Other Life Care Centers of America nursing homes in Washington
- Garden Terrace Healthcare Center of Federal Way · Federal Way · 5 stars
- Life Care Center of South Hill · Puyallup · 5 stars
- Cottesmore of Life Care · Gig Harbor · 5 stars
- Life Care Center of Port Orchard · Port Orchard · 5 stars
- Life Care Center of Port Townsend · Port Townsend · 5 stars
- Life Care Center of Skagit Valley · Sedro Woolley · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 194 Life Care Centers of America nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.