The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SPOKANE FALLS CARE
SPOKANE, WA · Medicare-certified · 100 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
SPOKANE FALLS CARE has a 1 out of 5 overall star rating, with a 1-star health inspection rating and a 2-star staffing rating. It reports 3.55 nursing hours per resident per day versus the 4.1-hour federal benchmark, $0 in fines over the last 24 months, and recent inspection concerns about accident prevention, following care orders, and pain management.
Facility ratings
Health inspections
Staffing
3.5529 hrs/resident/day
Quality measures
Last inspection: April 13, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5529.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.19
- Weekend nursing
- 3.06
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 91%
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
22.5%29.4%Worsening
Residents with a fall causing major injury
0%3.1%Worsening
Residents with pressure ulcers (bedsores)
7.6%8.5%Worsening
Residents with a urinary tract infection
0%1.5%Worsening
Residents who lost too much weight
0%3.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.7%21.3%Worsening
Residents whose ability to walk got worse
4%11.6%Worsening
Long-stay residents on antianxiety or sleep medication
11.1%8.2%Improving
Short-stay residents newly given an antipsychotic
6%0%Improving
Residents with a long-term catheter
1.8%2.4%Worsening
Residents with new or worsening incontinence
21.2%27.9%Worsening
Residents with depressive symptoms
20.4%3.3%Improving
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
—98.5%—
Long-stay residents given the pneumonia vaccine
96.6%86.2%Worsening
Short-stay residents given the seasonal flu vaccine
—97.1%—
Short-stay residents given the pneumonia vaccine
98.1%82.2%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2023 — 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 and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 10 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $125,736 in total fines.
- $14,050
Federal fine
Mar 8, 2024
- $111,686
Federal fine
Nov 2, 2023
Operator & ownership
Recent ownership change · May 21, 2025
Now operated by Spokane Falls Care LLC, previously Franklin Hills Health - Spokane, LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CALDERA CARE · 7 homes · 2.7 stars avg
- Occupancy
- 84.5 residents on an average day (84% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.