AVALON CARE CENTER AT NORTHPOINTE
9827 NORTH NEVADA, SPOKANE, WA 99218 · CCN 505496
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 119
- Avg residents/day
- 91.9
- Phone
- 5094687000
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 | 2025-02-07 | 36 | 17.0 | 9.5 | +19.0 worse |
| 2 | 2023-11-09 | 26 | 17.2 | 9.8 | +8.8 worse |
| 3 | 2022-07-14 | 16 | 15.5 | 9.3 | +0.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 3 |
| Resident rights | 8 |
| Nutrition and dietary | 2 |
| Pharmacy service | 5 |
| Environmental | 3 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.25 | 69.0% |
| RN staffing (reported) | 0.58 | 77.3% |
| Total nurse staffing (adjusted) | 4.04 | — |
Fines & penalties
- Total fines
- $84,614
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- AVALON HEALTH CARE
- Facilities in chain
- 13
- Chain avg overall
- 3.60 / 5
Inspection citations (78)2 actual harm
- DF0760Ensure that residents are free from significant medication errors.2025-09-17 · Health · corrected 2025-10-03
Potential for more than minimal harm
- DF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2025-09-17 · Health · corrected 2025-10-03
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-02-07 · Health · corrected 2025-03-26
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.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-02-07 · Health · corrected 2025-03-26
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.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0625Notify 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.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2025-02-07 · Health · corrected 2025-03-26
Actual harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0758Implement 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.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-02-07 · Health · corrected 2025-04-01
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.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-02-07 · Health · corrected 2025-03-26
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.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-02-07 · Health · corrected 2025-03-26
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.2025-02-07 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-10 · Health · corrected 2025-01-08
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-10 · Health · corrected 2025-01-07
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-10-09 · Health · corrected 2024-10-09
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-02 · Health · corrected 2024-10-29
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-02 · Health · corrected 2024-10-29
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.2024-10-02 · Health · corrected 2024-10-29
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.2024-10-02 · Health · corrected 2024-10-29
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-10-02 · Health · corrected 2024-10-29
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-10-02 · Health · corrected 2024-10-29
Potential for more than minimal 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.2024-08-26 · Health · corrected 2024-09-17
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.2024-08-26 · Health · corrected 2024-09-18
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-28 · Health · corrected 2024-06-18
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.2024-05-28 · Health · corrected 2024-06-18
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-12-12 · Health · corrected 2024-01-03
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.2023-11-09 · Health · corrected 2023-12-20
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.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2023-11-09 · Health · corrected 2023-12-20
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.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-11-09 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-08 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-12 · Health · corrected 2023-06-28
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-05-23 · Health · corrected 2023-06-21
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-23 · Health · corrected 2023-06-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-23 · Health · corrected 2023-06-21
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.2022-07-14 · Health · corrected 2022-08-16
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-14 · Health · corrected 2022-08-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-07-14 · Health · corrected 2022-08-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-07-14 · Health · corrected 2022-08-16
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-07-14 · Health · corrected 2022-08-16
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2022-07-14 · Health · corrected 2022-08-16
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.2022-07-14 · Health · corrected 2022-08-16
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-07-14 · Health · corrected 2022-08-16
Potential for more than minimal harm
- DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2022-07-14 · Health · corrected 2022-08-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-07-14 · Health · corrected 2022-09-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AVALON OF WASHINGTON LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2004-07-20 |
| AVALON CARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-11-26 |
| AVALON HEALTH CARE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-12-01 |
| AVALON HOLDING, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-08-26 |
| HYRUM A KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| K-TEAM LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| SPENCER K KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| THE BYRON A KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, BYRON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, HYRUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, SPENCER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| AVALON HEALTH CARE MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-12-01 |
| AVALON HEALTH CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-12-01 |
| DELOITTE TAX LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 |
| EIDE BAILLY LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| HHC HOLDCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 |
| OMNICARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| RELIANT PRO REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| BERG, TRACY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 |
| BORISEVICH, MARIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-08 |
| HASH, ALAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-15 |
| KIRTON, CHARLES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-10-23 |
| KIRTON, HYRUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-29 |
| NEWELL, BRITTNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-14 |
| NEWMAN, RITA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-15 |
| SMITH, NICOLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 |
| DANGERFIELD, DAVID | Individual | CORPORATE DIRECTOR | — | 2007-04-05 |
| KIRTON, BYRON | Individual | CORPORATE DIRECTOR | — | 2024-08-27 |
| KIRTON, CHARLES | Individual | CORPORATE DIRECTOR | — | 2003-12-01 |
| KIRTON, HYRUM | Individual | CORPORATE DIRECTOR | — | 2018-03-22 |
| KIRTON, SPENCER | Individual | CORPORATE DIRECTOR | — | 2024-08-27 |
| WOLTIL, ROBERT | Individual | CORPORATE DIRECTOR | — | 2012-05-23 |
| BORISEVICH, MARIA | Individual | CORPORATE OFFICER | — | 2024-01-08 |
| HASH, ALAN | Individual | CORPORATE OFFICER | — | 2017-08-15 |
| KIRTON, CHARLES | Individual | CORPORATE OFFICER | — | 2012-10-23 |
| KIRTON, HYRUM | Individual | CORPORATE OFFICER | — | 2022-03-29 |
| SMITH, NICOLE | Individual | CORPORATE OFFICER | — | 2023-03-01 |
Other facilities in SPOKANE
| Name | Overall | Beds |
|---|---|---|
| REGENCY AT NORTHPOINTE | ★★★★★ | 120 |
| SPOKANE VETERANS HOME | ★★★★★ | 100 |
| TOUCHMARK ON SOUTH HILL NURSING | ★★★★☆ | 57 |
| NORTH CENTRAL CARE CENTER | ★★★★☆ | 99 |
| 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.