The home failed to provide appropriate care and services for a resident who needed ostomy care. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 691 — 42 CFR §483.25 — S/S: G
Nursing home report
Royal Park Health and Rehabilitation
SPOKANE, WA · Medicare-certified · 164 beds
Needs attention
For-profitChain member
1 of 5 overall
Royal Park Health and Rehabilitation has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It also has a recent federal penalty, $110,816 in fines over the last 24 months, and reported nurse staffing of 3.81 hours per resident day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.814 hrs/resident/day
Quality measures
Last inspection: September 9, 2025Penalties, last 24 months: $110,816recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.814.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.36
- Weekend nursing
- 3.36
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 53%
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
7.8%3.4%Improving
Residents with a fall causing major injury
1.4%2.9%Worsening
Residents with pressure ulcers (bedsores)
0%2.2%Worsening
Residents with a urinary tract infection
4.2%0%Improving
Residents who lost too much weight
1.4%1.8%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.4%24.5%Worsening
Residents whose ability to walk got worse
15.1%28.1%Worsening
Long-stay residents on antianxiety or sleep medication
13%7.1%Improving
Short-stay residents newly given an antipsychotic
2.3%1.3%Improving
Residents with a long-term catheter
3.3%0%Improving
Residents with new or worsening incontinence
25%19.5%Improving
Residents with depressive symptoms
0%0%No change
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
—95.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—83.7%—
Short-stay residents given the pneumonia vaccine
94%97.7%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $22,315 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $34,356 was recorded.
- PENALTY
A federal fine of $54,145 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $119,640 in total fines.
- $22,315
Federal fine
Jun 9, 2025
- $34,356
Federal fine
Apr 14, 2025
- $54,145
Federal fine
Aug 2, 2024
- $8,824
Federal fine
Jan 26, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 103 residents on an average day (63% of 164 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.