GoodStanding

Nursing home report

Royal Park Health and Rehabilitation

SPOKANE, WA · Medicare-certified · 164 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall

Royal Park Health and Rehabilitation in Spokane has an overall 3-star rating, with a 2-star health inspection score, 3-star staffing, and 5-star quality measures. It also has a recent federal penalty and $103,006 in fines over the last 24 months, and reported nurse staffing is 3.82 hours per resident per day versus the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.8234 hrs/resident/day

Quality measures

Last inspection: May 5, 2026Penalties, last 24 months: $103,006recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8234.

Staffing detail

Registered nurses
0.62
Licensed practical nurses
0.74
Nurse aides
2.46
Weekend nursing
3.31

Hours per resident per day.

Total staff turnover: 50%
Registered nurse turnover: 61%

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

12.7%4.8%Improving

Residents with a fall causing major injury

1.3%1.3%No change

Residents with pressure ulcers (bedsores)

1.1%4.2%Worsening

Residents with a urinary tract infection

1.3%0%Improving

Residents who lost too much weight

4.3%6.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

32.4%11.7%Improving

Residents whose ability to walk got worse

25.1%17.3%Improving

Long-stay residents on antianxiety or sleep medication

11.4%11.3%No change

Short-stay residents newly given an antipsychotic

2%1.3%Improving

Residents with a long-term catheter

1.3%0%Improving

Residents with new or worsening incontinence

32.3%21.9%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

97%99.1%Improving

What the inspectors found

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

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

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $14,505 was recorded.

  7. PENALTY

    A federal fine of $22,315 was recorded.

  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  9. PENALTY

    A federal fine of $34,356 was recorded.

  10. PENALTY

    A federal fine of $54,145 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $111,830 in total fines.

  • Federal fine

    Jun 9, 2025

    $14,505
  • Federal fine

    Apr 14, 2025

    $34,356
  • Federal fine

    Aug 2, 2024

    $54,145
  • Federal fine

    Jan 26, 2024

    $8,824

Operator & ownership

Recent ownership change · Aug 31, 2023

Now operated by Royal Park Health & Rehabilitation Center, previously Royal Park Health and Rehabilitation.

Ownership
For profit - Limited Liability company
Chain
Part of EVERGREEN HEALTHCARE GROUP · 44 homes · 2.5 stars avg
Occupancy
106.6 residents on an average day (65% 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.