Sunshine Health & Rehab

Nursing Home · Spokane, WA

CMS overall rating 4/5 For profit - Individual

CMS certification number505411

Contact & location

10410 East Ninth Avenue
Spokane, WA 99206
Spokane County
Phone
(509) 926-3547
ZIP code
99206 – all care providers

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Facility details

Certified beds
37
Residents per day
32.3 (87% occupied)
Ownership
For profit - Individual
Legal name
Sunshine Health Facilities, INC
Medicare certified since
January 1, 1992
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 4/5
State avg 3.2
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.6
Quality measures★★★★★ 5/5
State avg 4.0
Long-stay qualityNot rated
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.99 (state 4.37 · U.S. 3.86)
Registered nurses (RN)
1.64 (state 0.94 · U.S. 0.69)
Licensed practical nurses
0.70 (state 0.77 · U.S. 0.86)
Nurse aides
2.65 (state 2.66 · U.S. 2.32)
Weekend total
4.04 (state 3.81 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 30, 2026
Health deficiencies (last cycle)
9.0 (state 16.1 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
32 health · 19 fire safety
DateCitationSeverityStatus
2026-01-30 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.
F0585 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2026-01-30 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2026-01-30 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2026-01-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2026-01-30 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2026-01-30 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2026-01-30 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2026-01-30 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2026-01-30 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-13
2025-06-16 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-25
2025-06-16 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-25
2025-06-16 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · complaint inspection		 C
No actual harm, potential for minimal harm		 Corrected 2025-07-25
2024-10-29 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.
F0620 · Resident Rights Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 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.
F0801 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-10-29 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-20
2024-06-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-11
2024-06-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-11
2024-01-26 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-01
2023-06-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-21
2023-06-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-21
2023-06-08 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-21
2023-06-08 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-21

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Dikes, Carol (individual)5%+ Direct Ownership Interest · 21%
Dikes, David (individual)5%+ Direct Ownership Interest · 21%
Dikes, Nathan (individual)5%+ Direct Ownership Interest · 40%
Rhoads, Patrick (individual)5%+ Direct Ownership Interest · 19%
Dikes, Carol (individual)Corporate Director · NOT APPLICABLE
Dikes, David (individual)Corporate Director · NOT APPLICABLE
Dikes, Jennifer (individual)Corporate Director · NOT APPLICABLE
Dikes, Nathan (individual)Corporate Director · NOT APPLICABLE
Rhoads, Patrick (individual)Corporate Director · NOT APPLICABLE
Rhoads, Sherri (individual)Corporate Director · NOT APPLICABLE
Ulrich, William (individual)Corporate Officer · NOT APPLICABLE
Dikes, Nathan (individual)W-2 Managing Employee · NOT APPLICABLE
Rhoads, Patrick (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Sunshine Health & Rehab?

Sunshine Health & Rehab has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.

How many beds does Sunshine Health & Rehab have?

It has 37 certified beds and cares for about 32 residents per day.

Has Sunshine Health & Rehab been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Sunshine Health & Rehab?

(509) 926-3547. The facility is located at 10410 East Ninth Avenue, Spokane, WA 99206.

Other nursing homes in Spokane

Compare all nursing homes in Spokane, WA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.