The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ALDERWOOD MANOR
SPOKANE, WA · Medicare-certified · 85 beds
In good standing
For-profitChain member
3 of 5 overall
ALDERWOOD MANOR (Spokane, WA) has an overall 3 out of 5 stars, with a 2-star health inspection rating, 3-star staffing, and 5-star quality measures. It reported 3.97 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent citations included accident hazards/supervision, pressure ulcer care, and infection prevention and control.
Facility ratings
Health inspections
Staffing
3.9652 hrs/resident/day
Quality measures
Last inspection: February 13, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9652.
Staffing detail
- Registered nurses
- 1.02
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.17
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.7%Worsening
Residents with a fall causing major injury
2%Steady
Residents with pressure ulcers (bedsores)
6.9%Improving
Residents with a urinary tract infection
1%Worsening
Residents who lost too much weight
8.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.6%Improving
Residents whose ability to walk got worse
5.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
27.8%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
22.4%Improving
Residents with depressive symptoms
22.4%Improving
Long-stay residents given the seasonal flu vaccine
81.6%Steady
Long-stay residents given the pneumonia vaccine
89%Worsening
Short-stay residents given the seasonal flu vaccine
80.3%Steady
Short-stay residents given the pneumonia vaccine
79.3%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 22 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $32,214 in total fines.
- $32,214
Federal fine
May 18, 2023
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of LIFE CARE CENTERS OF AMERICA · 194 homes · 3.5 stars avg
- Occupancy
- 62 residents on an average day (73% of 85 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.