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
SPOKANE, WA · Medicare-certified · 164 beds
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.
Health inspections
Staffing
3.8234 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8234.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to provide appropriate care and services for a resident who needed ostomy care. Cited July 2025 — isolated incident, actual harm.
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.
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.
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.
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.
F-Tag 600 — 42 CFR §483.12 — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal fine of $14,505 was recorded.
A federal fine of $22,315 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $34,356 was recorded.
A federal fine of $54,145 was recorded.
On record with Medicare: 4 fines · $111,830 in total fines.
Federal fine
Jun 9, 2025
Federal fine
Apr 14, 2025
Federal fine
Aug 2, 2024
Federal fine
Jan 26, 2024
Now operated by Royal Park Health & Rehabilitation Center, previously Royal Park Health and Rehabilitation.
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.