GoodStanding

Nursing home report

North Central Care Center

Registered name: Emerson Health & Rehabilitation

SPOKANE, WA · Medicare-certified · 99 beds

In good standing
For-profit
Data as of September 1, 2026
4 of 5 overall

North Central Care Center in Spokane, WA has a 4 out of 5 star overall rating, with strong quality measures (5/5) and staffing (4/5), though its health inspection rating is lower at 3/5. Reported nurse staffing is 3.92 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.9219 hrs/resident/day

Quality measures

Last inspection: July 28, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9219.

Staffing detail

Registered nurses
0.76
Licensed practical nurses
0.67
Nurse aides
2.48
Weekend nursing
3.52

Hours per resident per day.

Total staff turnover: 50%
Registered nurse turnover: 36%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

23.9%16.7%Improving

Residents with a fall causing major injury

1.4%3.4%Worsening

Residents with pressure ulcers (bedsores)

4.4%7.4%Worsening

Residents with a urinary tract infection

0%1.7%Worsening

Residents who lost too much weight

19.1%15.5%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

19.7%27.3%Worsening

Residents whose ability to walk got worse

20.4%24.4%Worsening

Long-stay residents on antianxiety or sleep medication

7.4%3.4%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

22.6%18.5%Improving

Residents with depressive symptoms

9.4%20.4%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—100%—

Long-stay residents given the pneumonia vaccine

100%96.6%Worsening

Short-stay residents given the seasonal flu vaccine

—96%—

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

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 July 2025 — 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 have enough qualified staff to properly provide food and nutrition services. Cited February 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 801 — 42 CFR §483.60 — S/S: F

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Ownership
For profit - Corporation
Occupancy
85.3 residents on an average day (86% of 99 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.