ALDERWOOD MANOR
3600 EAST HARTSON AVENUE, SPOKANE, WA 99202 · CCN 505257
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 85
- Avg residents/day
- 62.7
- Phone
- 5095352071
Inspection history vs Washington & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Washington avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-30 | 23 | 17.0 | 9.5 | +6.0 worse |
| 2 | 2023-07-07 | 21 | 17.2 | 9.8 | +3.8 worse |
| 3 | 2019-10-29 | 38 | 15.5 | 9.3 | +22.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 10 |
| Resident assessment and care planning | 2 |
| Resident rights | 5 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.93 | 53.7% |
| RN staffing (reported) | 1.06 | 53.3% |
| Total nurse staffing (adjusted) | 3.17 | — |
Fines & penalties
- Total fines
- $32,214
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- LIFE CARE CENTERS OF AMERICA
- Facilities in chain
- 194
- Chain avg overall
- 3.50 / 5
Inspection citations (82)3 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-12 · Health · corrected 2025-10-17
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0584Honor 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.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0625Notify 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.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0688Provide 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.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0761Ensure 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.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-10-30 · Health · corrected 2024-12-06
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-26 · Health · corrected 2024-07-26
Actual harm
- EF0585Honor 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.2024-06-12 · Health · corrected 2024-07-12
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-06-12 · Health · corrected 2024-07-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-06 · Health · corrected 2024-03-06
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-16 · Health · corrected 2023-12-22
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-09-18 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0584Honor 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.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-07 · Health · corrected 2023-08-18
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-07 · Health · corrected 2023-08-18
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0761Ensure 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.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-07-07 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-13 · Health · corrected 2023-07-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-05-18 · Health · corrected 2023-06-28
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0555Honor the resident's right to choose his or her attending physician.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0578Honor 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.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0732Post nurse staffing information every day.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0758Implement 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.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0761Ensure 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.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2019-10-29 · Health · corrected 2019-12-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PRESTON, FORREST | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 1995-08-23 |
| FUND I INVESTMENTS LIMITED PARTNERSHIP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 96% | 1995-08-23 |
| DEVELOPERS INVESTMENT COMPANY INC | Organization | LIMITED PARTNERSHIP INTEREST | — | 1995-08-23 |
| FUND I INVESTMENTS LIMITED PARTNERSHIP | Organization | LIMITED PARTNERSHIP INTEREST | — | 1995-08-23 |
| HCF INC | Organization | LIMITED PARTNERSHIP INTEREST | — | 1995-08-23 |
| CONSOLIDATED RESOURCES HEALTH CARE FUND I LP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1990-03-01 |
| HCF INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1995-08-23 |
| LIFE CARE CENTERS OF AMERICA, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1990-02-05 |
| ALEXANDER, KEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-09 |
| BUTNER, NANCY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-16 |
| MORAN, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| PRESTON, AUBREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-06 |
| SNOOOK, TERESA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-14 |
| CROSS, CINDY | Individual | CORPORATE OFFICER | — | 1994-04-21 |
| FLETCHER, TODD | Individual | CORPORATE OFFICER | — | 2020-11-02 |
| HENRY, TERRY | Individual | CORPORATE OFFICER | — | 1999-08-16 |
| LAY, LISA | Individual | CORPORATE OFFICER | — | 2018-02-09 |
| SWANKER, RICHARD | Individual | CORPORATE OFFICER | — | 2011-04-01 |
| THURMOND, JOAN | Individual | CORPORATE OFFICER | — | 2000-09-22 |
| ZIEGLER, JAMES | Individual | CORPORATE OFFICER | — | 1999-08-16 |
| CRHC LLC | Organization | GENERAL PARTNERSHIP INTEREST | — | 2017-01-01 |
Other facilities in SPOKANE
| Name | Overall | Beds |
|---|---|---|
| REGENCY AT NORTHPOINTE | ★★★★★ | 120 |
| SPOKANE VETERANS HOME | ★★★★★ | 100 |
| NORTH CENTRAL CARE CENTER | ★★★★☆ | 99 |
| TOUCHMARK ON SOUTH HILL NURSING | ★★★★☆ | 57 |
| SUNSHINE HEALTH & REHAB | ★★★☆☆ | 37 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.