Quick answers
- Where is Spokane Falls Care?
- 6021 North Lidgerwood, Spokane, WA 99207, in Spokane County, Washington.
- What is the phone number of Spokane Falls Care?
- (509) 489-3323, as listed by Medicare (CMS).
- What is the Medicare star rating of Spokane Falls Care?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Spokane Falls Care been fined?
- Medicare lists 2 fines totaling $125,736.
- What did inspectors find at Spokane Falls Care?
- In its last three inspection cycles (August 3, 2023 to August 18, 2026), Medicare lists 100 health citations; the most serious was level G. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 3, 2023 to August 18, 2026), Spokane Falls Care had 100 health citations; the most serious was level G (actual harm to residents). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $125,736 in total (2 fines, the latest on March 8, 2024). Nurse staffing is 3.63 hours per resident per day; the Washington average is 4.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 13, 2026 — 23 health citations
Inspections in this cycle: November 18, 2025 (complaint investigation); March 4, 2026 (complaint investigation); April 13, 2026 (complaint investigation); April 13, 2026 (standard health inspection); June 18, 2026 (complaint investigation); August 18, 2026 (complaint investigation).
Show 23 citations (levels A to F, no actual harm)
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0584 Level D
“Honor 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.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0687 Level D
“Provide appropriate foot care.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0730 Level D
“Observe each nurse aide's job performance and give regular training.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“Ensure 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.”
F0803 Level D
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0847 Level D
“Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Previous cycle: December 17, 2024 — 42 health citations
Inspections in this cycle: November 15, 2024 (complaint investigation); December 17, 2024 (complaint investigation); December 17, 2024 (standard health inspection); April 1, 2025 (complaint investigation); May 13, 2025 (complaint investigation); August 21, 2025 (complaint investigation).
Show 42 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0572 Level E
“Give residents a notice of rights, rules, services and charges.”
F0578 Level E
“Honor 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.”
F0620 Level E
“Not 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.”
F0625 Level E
“Notify 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.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0698 Level E
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0726 Level E
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0835 Level E
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0727 Level E
“Have 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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0758 Level D
“Implement 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.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0576 Level D
“Ensure residents have reasonable access to and privacy in their use of communication methods.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0661 Level D
“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0693 Level D
“Ensure 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.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0742 Level D
“Provide 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.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0761 Level D
“Ensure 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.”
F0801 Level D
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0807 Level D
“Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0847 Level D
“Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.”
F0849 Level D
“Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Earlier cycle: August 3, 2023 — 35 health citations
Inspections in this cycle: August 3, 2023 (standard health inspection); November 2, 2023 (complaint investigation); December 6, 2023 (complaint investigation); January 3, 2024 (complaint investigation); March 8, 2024 (complaint investigation); April 16, 2024 (complaint investigation); September 25, 2024 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 22 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0807 Level F
“Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.”
F0584 Level E
“Honor 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.”
F0761 Level E
“Ensure 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.”
F0919 Level E
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0726 Level D
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0585 Level D
“Honor 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.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
10 more citations of lower seriousness are not listed here. See all of them on Medicare Care Compare.
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (44)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0007 Level F
“Address patient/client population and determine types of services needed.”
E0015 Level F
“Address subsistence needs for staff and patients.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0161 Level E
“Use approved construction type or materials.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
E0007 Level F
“Address patient/client population and determine types of services needed.”
E0020 Level F
“Establish policies and procedures including evacuation.”
E0032 Level F
“Provide primary/alternate means for communication.”
E0035 Level F
“Provide family notifications of emergency plan.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0362 Level D
“Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0007 Level F
“Address patient/client population and determine types of services needed.”
E0030 Level F
“List the names and contact information of those in the facility.”
E0032 Level F
“Provide primary/alternate means for communication.”
E0037 Level F
“Establish staff and initial training requirements.”
K0100 Level F
“Meet other general requirements.”
K0223 Level F
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level F
“Install corridor and hallway doors that block smoke.”
K0374 Level F
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
4 more fire safety citations are not listed here.
Fines and payment denials
Total fines over about the last three years: $125,736 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| March 8, 2024 | Fine | $14,050 |
| November 2, 2023 | Fine | $111,686 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Washington | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.49 | 0.99 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.84 | 0.74 | 0.86 |
| Nurse aide hours per resident per day | 2.30 | 2.68 | 2.35 |
| Total nurse staff hours per resident per day | 3.63 | 4.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.09 | 3.82 | 3.43 |
| RN hours per resident per day on the weekend | 0.29 | 0.71 | 0.48 |
| Nursing staff turnover (per year) | 53.6% | 43.9% | 45.3% |
| RN turnover (per year) | 81.8% | 43.8% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 6 nursing homes: Caldera Care.
Legal business name: Spokane Falls Care LLC.
Owners and managers Medicare lists (5)
| Name | Role | Share | Since |
|---|---|---|---|
| KH7 Healthcare Holdings, LLC | Direct owner | 100% | May 21, 2025 |
| KH7 HH CDW | Indirect owner | — | May 21, 2025 |
| KH7 Ops LLC | Indirect owner | — | May 21, 2025 |
| Oscherowitz, Raphael | Indirect owner | — | May 21, 2025 |
| Wolmark, Chaim | Indirect owner | — | May 21, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 100 |
| Average residents per day | 85.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Caldera Care |
| Legal business name | Spokane Falls Care LLC |
| First approved by Medicare/Medicaid | 1967-01-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 6021 North Lidgerwood, Spokane, WA 99207 |
| County | Spokane County |
| State | Washington |
| Phone | (509) 489‑3323 |
| CMS Certification Number | 505024 |
| Name in Medicare records | SPOKANE FALLS CARE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Spokane Health & Rehabilitation0.3 mi · Spokane, WA · 1 of 5 stars
- Royal Park Health and Rehabilitation1.0 mi · Spokane, WA · 3 of 5 stars
- Emerson Health & Rehabilitation1.8 mi · Spokane, WA · 3 of 5 stars
- Rockwood South Hill1.9 mi · Spokane, WA · 2 of 5 stars
- Regency at Northpointe2.5 mi · Spokane, WA · 5 of 5 stars
Nearest hospital emergency rooms
- Providence Holy Family Hospital0.3 mi · Spokane, WA · Acute Care Hospital
- Spokane VA Medical Center3.1 mi · Spokane, WA · Federal/VA Acute Care Hospital
- Multicare Valley Hospital8.6 mi · Spokane Valley, WA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13