Avalon Care Center at Northpointe

Nursing home in Spokane, WA

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address: 9827 North Nevada, Spokane, WA 99218
Phone: (509) 468-7000
Listed under: For-profit
Medicare CCN: 505496
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 2 of 5
Quality measures rating: 4 of 5
Certified beds: 119
Average residents per day: 121
Ownership: For-profit, corporation
Legal business name: Avalon Care Center - Spokane, LLC
Chain: Avalon Health Care (16 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: May 8, 1996
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 505496. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 28, 2026. CMS lists 76 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 8, 2023 to Jun 23, 2026): 29 from complaint inspections, 2 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 23, 2026	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	E Potential for more than minimal harm, pattern
May 28, 2026	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning	B Potential for minimal harm, pattern
May 28, 2026	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights	D Potential for more than minimal harm, isolated
May 28, 2026	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 28, 2026	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 28, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 28, 2026	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 28, 2026	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 28, 2026	Ensure that residents are free from significant medication errors. Pharmacy Service	D Potential for more than minimal harm, isolated
May 28, 2026	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. Resident Rights	E Potential for more than minimal harm, pattern
May 28, 2026	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… Pharmacy Service	E Potential for more than minimal harm, pattern
May 28, 2026	Provide and implement an infection prevention and control program. Infection Control	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 76. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $84,614 in the last three years.

Jan 17, 2025	Fine: $76,336
Aug 26, 2024	Fine: $8,278

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.54 hours
Registered nurse (RN) time per resident per day: 0.68 hours
Nurse aide time per resident per day: 2.01 hours
Total nurse staffing on weekends: 3.05 hours
Nursing staff turnover (yearly): 62%
RN turnover (yearly): 68%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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