All states › Washington › Spokane › Spokane Falls Care
6021 North Lidgerwood Spokane, WA 99207 · Spokane County
All 13 nursing homes in Spokane, WA (12 take Medicaid)
CMS certification number 505024 · See this home on Medicare Care Compare
Is Spokane Falls Care 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 Spokane Falls Care as of October 2026.
CMS rates it 1 out of 5 stars overall, below 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 3.63 hours per resident per day at Spokane Falls Care, below the Washington median of 4.15 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 3.09 hours, 15% below its all-week average. 53.6% 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. 2 administrators left in the past year.
About this nursing home
Paying for care at Spokane Falls Care: Medicare and Medicaid
Spokane Falls Care 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 April 13, 2026 and found 8 deficiencies, plus 15 from complaint inspections in the same period. In total, inspectors issued 100 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 100 citations at Spokane Falls Care across 17 inspection dates, 74 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on March 8, 2024. The most common areas cited were quality of life and care (32) and pharmacy service (15). 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, March 8, 2024). 9 citations were under CMS's abuse, neglect and exploitation rules.
August 18, 2026 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
June 18, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 13, 2026 · 18 citations · includes complaint inspection
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DProvide appropriate foot care.
DProvide safe and appropriate respiratory care for a resident when needed.
DObserve each nurse aide's job performance and give regular training.
DEnsure medication error rates are not 5 percent or greater.
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.
DEnsure 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.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
March 4, 2026 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that residents are free from significant medication errors.
November 18, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 21, 2025 · 1 citation · includes complaint inspection
FProvide and implement an infection prevention and control program.
May 13, 2025 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DImplement 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.
April 1, 2025 · 4 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DRespond appropriately to all alleged violations.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
December 17, 2024 · 31 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
EGive residents a notice of rights, rules, services and charges.
EHonor 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.
ENot 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.
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.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EEnsure that residents are free from significant medication errors.
EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DAllow residents to self-administer drugs if determined clinically appropriate.
DReasonably accommodate the needs and preferences of each resident.
DEnsure residents have reasonable access to and privacy in their use of communication methods.
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
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 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.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide 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.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
November 15, 2024 · 4 citations · includes complaint inspection
ERespond appropriately to all alleged violations.
EHave 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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure that residents are free from significant medication errors.
September 25, 2024 · 6 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide and implement an infection prevention and control program.
April 16, 2024 · 2 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 8, 2024 · 3 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.
ERespond appropriately to all alleged violations.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
January 3, 2024 · 1 citation · includes complaint inspection
EEnsure that residents are free from significant medication errors.
December 6, 2023 · 3 citations · includes complaint inspection
DRespond appropriately to all alleged violations.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
November 2, 2023 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide safe, appropriate pain management for a resident who requires such services.
August 3, 2023 · 18 citations
FEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DPASARR screening for Mental disorders or Intellectual Disabilities
DAssist a resident in gaining access to vision and hearing services.
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.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DTry 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.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure that residents are free from significant medication errors.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of Spokane Falls Care
- Inspectors cited the home at the actual-harm level on March 8, 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 June 18, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 53.6% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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 $125,736 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 8, 2024 | Fine | $14,050 |
| Nov 2, 2023 | Fine | $111,686 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Spokane Falls Care
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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0.1 mi
Providence Holy Family Hospital SpokaneEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 28m for patients treated and sent home
- 3.2 mi
- 4.1 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 Spokane Falls Care › All nursing homes in Spokane ›
Compare Spokane Falls Care with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Regency at Northpointe · Spokane · 5 stars · 2.5 mi
- Spokane Veterans Home · Spokane · 5 stars · 4.1 mi
- South Hill Rehabilitation and Care Center · Spokane · 5 stars · 4.4 mi
- Sunshine Health & Rehab · Spokane · 5 stars · 7.8 mi
Other Caldera Care nursing homes in Washington
- Three Rivers Care · Centralia · 5 stars
- Puget Sound Care · Olympia · 4 stars
- Willapa Harbor Care · Raymond · 4 stars
- Fir Lane Care · Shelton · 2 stars
- Aurora Valley Care · Spokane · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Caldera 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.