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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505024

Spokane Falls Care

107 federal citations on record , and 3 federal enforcement actions totaling $184,090.

Record summary

Federal record · Q1 2026
107
Total citations
83
Last 3 years
6
Actual harm+
3
Federal penalties
$184,090
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care36 Resident Rights17 Medication & Pharmacy14 Abuse & Neglect10 Care Planning10

Most common F-tags at this facility

F6848 F7606 F6105 F6894 F8804

Citation history

107 on record
SurveyF-TagViolationSeveritySource
Nov 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 21, 2025F880Provide and implement an infection prevention and control program.FComplaint
May 13, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
May 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 1, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Apr 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 1, 2025F610Respond appropriately to all alleged violations.DComplaint
Dec 17, 2024F880Provide and implement an infection prevention and control program.FComplaint
Dec 17, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Dec 17, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DComplaint
Dec 17, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 17, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint
Dec 17, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint
Dec 17, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DComplaint
Dec 17, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Dec 17, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Dec 17, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Dec 17, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DComplaint
Dec 17, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Dec 17, 2024F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Dec 17, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Dec 17, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Dec 17, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Dec 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 17, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 17, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Dec 17, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Dec 17, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
Dec 17, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Dec 17, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EComplaint
Dec 17, 2024F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.EComplaint
Dec 17, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EComplaint
Dec 17, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint
Dec 17, 2024F572Give residents a notice of rights, rules, services and charges.EComplaint
Dec 17, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Dec 17, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Dec 17, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Dec 17, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 15, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Nov 15, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint
Nov 15, 2024F610Respond appropriately to all alleged violations.EComplaint
Nov 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 25, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Sep 25, 2024F880Provide and implement an infection prevention and control program.DComplaint
Sep 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Sep 25, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Sep 25, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint
Sep 25, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Apr 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Apr 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 8, 2024F610Respond appropriately to all alleged violations.EComplaint
Jan 3, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Dec 6, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Dec 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 6, 2023F610Respond appropriately to all alleged violations.DComplaint
Nov 2, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Nov 2, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Sep 15, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 15, 2023F610Respond appropriately to all alleged violations.EComplaint
Sep 15, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 3, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Aug 3, 2023F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.FComplaint
Aug 3, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Aug 3, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Aug 3, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Aug 3, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Aug 3, 2023F880Provide and implement an infection prevention and control program.DStandard
Aug 3, 2023F760Ensure that residents are free from significant medication errors.DStandard
Aug 3, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Aug 3, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Aug 3, 2023F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Aug 3, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 3, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Aug 3, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 3, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Aug 3, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 3, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Aug 3, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 18, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint
May 5, 2023F760Ensure that residents are free from significant medication errors.GComplaint
Apr 20, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Apr 20, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Apr 20, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Apr 20, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Feb 28, 2020F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 28, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 28, 2020F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Feb 28, 2020F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DStandard
Feb 28, 2020F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Feb 28, 2020F760Ensure that residents are free from significant medication errors.DStandard
Feb 28, 2020F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Feb 28, 2020F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Feb 28, 2020F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Feb 28, 2020F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Feb 28, 2020F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Feb 28, 2020F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Feb 28, 2020F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $184,090 .

DateTypeFinePayment denial
Mar 8, 2024Fine$14,050—
Nov 2, 2023Fine$111,686—
Apr 20, 2023Fine$58,354—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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