ALDERWOOD MANOR – Nursing Home, SPOKANE, Washington
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
11 substantiated complaints
Last cited survey: 13 February 2026 · 100 health and 100 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
Loading map ...
Location
3600 EAST HARTSON AVENUE
SPOKANE, WA 99202
Phone: (509) 535-2071
Compare to WA average
See how this facility compares to the WA state average among rated nursing homes (205 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | WA average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 3 | 3.31 | 5 |
| Health inspection | 2 | 2.84 | 4 |
| Staffing | 3 | 3.48 | 4 |
| Quality measures | 5 | 4.1 | 5 |
| Certified beds | 85 | 94.9 | — |
| Citations on file (health + fire) | 345 | ~21.2 health* | — |
- AURORA VALLEY CARE — 2★ overall
- AVALON CARE CENTER AT NORTHPOINTE — 1★ overall
- NORTH CENTRAL CARE CENTER — 4★ overall
- REGENCY AT NORTHPOINTE — 5★ overall
- ROCKWOOD AT HAWTHORNE — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| PRESTON, FORREST L | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 100.00 | 08/23/1995 |
| PRESTON, FORREST L | ADP OF THE SNF | Individual | - | 08/31/2000 |
| HENRY, TERRY | CORPORATE OFFICER | Individual | - | 08/16/1999 |
| SNOOOK, TERESA MARIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/14/2024 |
| SNOOOK, TERESA MARIE | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/14/2024 |
| FLETCHER, TODD | CORPORATE OFFICER | Individual | - | 11/02/2020 |
| HCF INC | LIMITED PARTNERSHIP INTEREST | Organization | 0.04 | 08/23/1995 |
| HCF INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 08/23/1995 |
| DEVELOPERS INVESTMENT COMPANY INC | LIMITED PARTNERSHIP INTEREST | Organization | 0.04 | 08/23/1995 |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/06/2025 |
| CONSOLIDATED RESOURCES HEALTH CARE FUND I LP | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 03/01/1990 |
| CONSOLIDATED RESOURCES HEALTH CARE FUND I LP | ADP OF THE SNF | Organization | - | 08/31/2000 |
| THURMOND, JOAN E | CORPORATE OFFICER | Individual | - | 09/22/2000 |
| BUTNER, NANCY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 09/16/2018 |
| BUTNER, NANCY | MANAGING CONTROL - GOVERNING BODY | Individual | - | 09/16/2018 |
| CRHC LLC | GENERAL PARTNERSHIP INTEREST | Organization | 4.00 | 01/01/2017 |
| CROSS, CINDY S | CORPORATE OFFICER | Individual | - | 04/21/1994 |
| MORAN, JULIE A | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2023 |
| MORAN, JULIE A | ADP OF THE SNF | Individual | - | 03/24/2025 |
| ALEXANDER, KEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/09/2023 |
| ALEXANDER, KEN | MANAGING CONTROL - GOVERNING BODY | Individual | - | 01/09/2023 |
| ALEXANDER, KEN | ADP OF THE SNF | Individual | - | 03/24/2025 |
| SWANKER, RICHARD | CORPORATE OFFICER | Individual | - | 04/01/2011 |
| - | ADP OF THE SNF | Organization | - | 08/31/2000 |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | 100.00 | 02/05/1990 |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | Organization | - | 03/24/2025 |
| FUND I INVESTMENTS LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 95.92 | 08/23/1995 |
| FUND I INVESTMENTS LIMITED PARTNERSHIP | LIMITED PARTNERSHIP INTEREST | Organization | 95.92 | 08/23/1995 |
| FUND I INVESTMENTS LIMITED PARTNERSHIP | ADP OF THE SNF | Organization | - | 08/31/2000 |
| LAY, LISA M | CORPORATE OFFICER | Individual | - | 02/09/2018 |
| ZIEGLER, JAMES | CORPORATE OFFICER | Individual | - | 08/16/1999 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
200 citations on file · Latest survey: 13 February 2026 · 100 health · 100 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-13 | F887 | E — Minimal harm, pattern | Health | Educate 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. |
| 2026-02-13 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2026-02-13 | F812 | E — Minimal harm, pattern | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2026-02-13 | F761 | E — Minimal harm, pattern | Health | 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 locked compartments, separately locked, compartments for controlled drugs. |
| 2026-02-13 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2026-02-13 | F756 | D — Minimal harm, isolated | Health | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2026-02-13 | F698 | E — Minimal harm, pattern | Health | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2026-02-13 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2026-02-13 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2026-02-13 | F655 | D — Minimal harm, isolated | Health | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| 2026-02-13 | F584 | D — Minimal harm, isolated | Health | 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. |
| 2026-02-13 | F550 | D — Minimal harm, isolated | Health | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2025-09-12 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-09-12 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-09-12 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-10-30 | F921 | D — Minimal harm, isolated | Health | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| 2024-10-30 | F921 | D — Minimal harm, isolated | Health | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| 2024-10-30 | F921 | D — Minimal harm, isolated | Health | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| 2024-10-30 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-10-30 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
- 1
- 2
- 3
- 4
- 5
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-13 | K372 | F — Minimal harm, widespread | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2026-02-13 | K355 | D — Minimal harm, isolated | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2026-02-13 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2026-02-13 | K324 | D — Minimal harm, isolated | Fire Safety | Provide properly protected cooking facilities. |
| 2026-02-13 | K232 | F — Minimal harm, widespread | Fire Safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. |
| 2026-02-13 | K211 | D — Minimal harm, isolated | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2026-02-13 | K100 | F — Minimal harm, widespread | Fire Safety | Meet other general requirements. |
| 2026-02-13 | E30 | F — Minimal harm, widespread | Fire Safety | List the names and contact information of those in the facility. |
| 2026-02-13 | E25 | D — Minimal harm, isolated | Fire Safety | Create arrangements with other facilities to receive patients. |
| 2026-02-13 | K791 | F — Minimal harm, widespread | Fire Safety | Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. |
| 2026-02-13 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2024-10-30 | K362 | F — Minimal harm, widespread | Fire Safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. |
| 2024-10-30 | K363 | D — Minimal harm, isolated | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-10-30 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2024-10-30 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2024-10-30 | K920 | F — Minimal harm, widespread | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-10-30 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2024-10-30 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2024-10-30 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-10-30 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
- 1
- 2
- 3
- 4
- 5
Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 4 |
| Staffing Rating | 3 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.35712 |
| Reported LPN Staffing Hours per Resident per Day | 0.77497 |
| Reported RN Staffing Hours per Resident per Day | 1.01982 |
| Reported Licensed Staffing Hours per Resident per Day | 1.79479 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.96524 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.0882 |
| Casemix CNA Staffing Hours per Resident per Day | 2.14685 |
| Casemix LPN Staffing Hours per Resident per Day | 0.79203 |
| Casemix RN Staffing Hours per Resident per Day | 0.40677 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.34564 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.26663 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.69307 |
| Adjusted RN Staffing Hours per Resident per Day | 0.91204 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.54617 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-10-29 |
Date of Standard Health Survey (Cycle 2) | 2018-08-10 |
Total Number of Health Deficiencies (Cycle 1) | 41 |
Number of Standard Health Deficiencies (Cycle 1) | 33 |
Number of Complaint Health Deficiencies (Cycle 1) | 8 |
Health Deficiency Score (Cycle 1) | 284 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 284 |
Total Number of Health Deficiencies (Cycle 2) | 30 |
Number of Standard Health Deficiencies (Cycle 2) | 23 |
Number of Complaint Health Deficiencies (Cycle 2) | 10 |
Health Deficiency Score (Cycle 2) | 168 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 168 |
Date of Standard Health Survey (Cycle 3) | 2017-07-17 |
Total Number of Health Deficiencies (Cycle 3) | 18 |
Number of Standard Health Deficiencies (Cycle 3) | 15 |
Number of Complaint Health Deficiencies (Cycle 3) | 5 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 120 |
Total Health Score (Cycle 3) | 120 |
Total Weighted Health Survey Score | 120 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 15 |
Number of Substantiated Complaints | 11 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 32214 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.