All states › Washington › Spokane › Avalon Care Center at Northpointe
9827 North Nevada Spokane, WA 99218 · Spokane County
All 13 nursing homes in Spokane, WA (12 take Medicaid)
CMS certification number 505496 · See this home on Medicare Care Compare
Is Avalon Care Center at Northpointe 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 Avalon Care Center at Northpointe 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 3.78 hours per resident per day at Avalon Care Center at Northpointe, below the Washington median of 4.15 (US median: 3.72). About 0.72 of those hours are from registered nurses. On weekends it falls to 3.25 hours, 14% below its all-week average. 58.1% of nursing staff left within a year (Washington median 43%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avalon Care Center at Northpointe: Medicare and Medicaid
Avalon Care Center at Northpointe 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 May 28, 2026 and found 11 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 75 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 75 citations at Avalon Care Center at Northpointe across 11 inspection dates, 28 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on February 7, 2025. The most common areas cited were quality of life and care (18) and resident rights (15). The most serious was cited under the CMS rule to "provide enough food/fluids to maintain a resident's health" (tag F0692, level G, February 7, 2025). 5 citations were under CMS's abuse, neglect and exploitation rules.
June 23, 2026 · 1 citation · includes complaint inspection
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
May 28, 2026 · 11 citations
EHonor 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.
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.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 enough food/fluids to maintain a resident's health.
DEnsure that residents are free from significant medication errors.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
September 17, 2025 · 2 citations · includes complaint inspection
DEnsure that residents are free from significant medication errors.
DDesignate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
February 7, 2025 · 34 citations, includes actual harm · includes complaint inspection
GProvide enough food/fluids to maintain a resident's health.
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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
ENotify 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.
EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
EEnsure each resident receives an accurate assessment.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe and appropriate respiratory care for a resident when needed.
EObserve each nurse aide's job performance and give regular training.
EImplement 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.
EEnsure that residents are free from significant medication errors.
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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
DRespond appropriately to all alleged violations.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate foot care.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DKeep all essential equipment working safely.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
December 10, 2024 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 9, 2024 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
October 2, 2024 · 6 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure that residents are free from significant medication errors.
August 26, 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 28, 2024 · 2 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
December 12, 2023 · 1 citation · includes complaint inspection
DProvide timely, quality laboratory services/tests to meet the needs of residents.
November 9, 2023 · 13 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure that residents are free from significant medication errors.
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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
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.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Avalon Care Center at Northpointe
- Inspectors cited the home at the actual-harm level on February 7, 2025 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 June 23, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 58.1% a year. How many of the staff come from agencies?
- 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
2 penalties in the last three years, including $84,614 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 17, 2025 | Fine | $76,336 |
| Aug 26, 2024 | Fine | $8,278 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near Avalon Care Center at Northpointe
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.5 mi
Providence Holy Family Hospital SpokaneEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 28m for patients treated and sent home
- 4.7 mi
- 6.7 mi
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 Avalon Care Center at Northpointe › All nursing homes in Spokane ›
Compare Avalon Care Center at Northpointe with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Regency at Northpointe · Spokane · 5 stars · 0.5 mi
- Spokane Veterans Home · Spokane · 5 stars · 6.6 mi
- South Hill Rehabilitation and Care Center · Spokane · 5 stars · 6.9 mi
- Sunshine Health & Rehab · Spokane · 5 stars · 9.1 mi
Other Avalon Health Care nursing homes in Washington
- Avalon Healthcare Bellingham · Bellingham · 5 stars
- Benson Heights Rehabilitation Center · Kent · 4 stars
- Avalon Care Center Federal Way · Federal Way · 4 stars
- Grays Harbor Health & Rehabilitation Center · Aberdeen · 4 stars
- Avalon Healthcare - Tacoma · Tacoma · 2 stars
- Garden Village · Yakima · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 16 Avalon Health Care 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.