Avalon Care Center at Northpointe

Nursing Home · Spokane, WA

CMS overall rating 2/5 For profit - Corporation

CMS certification number505496

Contact & location

9827 North Nevada
Spokane, WA 99218
Spokane County
Phone
(509) 468-7000
ZIP code
99218 – all care providers

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Facility details

Certified beds
119
Residents per day
121.1 (102% occupied)
Ownership
For profit - Corporation
Legal name
Avalon Care Center - Spokane, LLC
Chain
Avalon Health Care (16 facilities, avg 3.4★)
Medicare certified since
May 8, 1996
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.6
Quality measures★★★★★ 4/5
State avg 4.0
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 2/5

Staffing

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

Total nurse staffing
3.54 (state 4.37 · U.S. 3.86)
Registered nurses (RN)
0.68 (state 0.94 · U.S. 0.69)
Licensed practical nurses
0.85 (state 0.77 · U.S. 0.86)
Nurse aides
2.01 (state 2.66 · U.S. 2.32)
Weekend total
3.05 (state 3.81 · U.S. 3.42)
Nursing staff turnover
62.0 (state 45.1 · U.S. 45.8)%
RN turnover
68.2 (state 45.4 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 28, 2026
Health deficiencies (last cycle)
14.0 (state 16.1 · U.S. 9.3)
From complaints
3
Infection control citations
1
Citations on record (3 years)
64 health · 16 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-23 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 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 2026-06-30
2026-05-28 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-30
2026-05-28 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		 B
No actual harm, potential for minimal harm		 Corrected 2026-06-30
2025-09-17 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-03
2025-09-17 Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
F0841 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-03
2025-02-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-03-26
2025-02-07 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 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.
F0625 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 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 2025-03-26
2025-02-07 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 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.
F0758 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-01
2025-02-07 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 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 2025-03-26
2025-02-07 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 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 2025-03-26
2025-02-07 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 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 2025-03-26
2025-02-07 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-26
2025-02-07 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 2025-03-26
2024-12-10 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-08
2024-12-10 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 2025-01-07

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

2 penalties in the last three years, including $84,614 in fines.

DateTypeAmount
2025-01-17Fine$76,336
2024-08-26Fine$8,278

Ownership & management

NameRoleSince
Avalon Care LLC (organization)5%+ Indirect Ownership Interest · 100%
Avalon Health Care INC (organization)Administrator · NOT APPLICABLE
Avalon Health Care Management INC (organization)Administrator · NOT APPLICABLE
Berg, Tracy (individual)Administrator · NOT APPLICABLE
Borisevich, Maria (individual)Administrator · NOT APPLICABLE
Deloitte Tax LLP (organization)Administrator · NOT APPLICABLE
Eide Bailly LLP (organization)Administrator · NOT APPLICABLE
Hash, Alan (individual)Administrator · NOT APPLICABLE
HHC Holdco LLC (organization)Administrator · NOT APPLICABLE
Kirton, Hyrum (individual)Administrator · NOT APPLICABLE
Newell, Brittney (individual)Administrator · NOT APPLICABLE
Newman, Rita (individual)Administrator · NOT APPLICABLE
Omnicare LLC (organization)Administrator · NOT APPLICABLE
Reliant Pro Rehab LLC (organization)Administrator · NOT APPLICABLE
Smith, Nicole (individual)Administrator · NOT APPLICABLE
Dangerfield, David (individual)Corporate Director · NOT APPLICABLE
Kirton, Byron (individual)Corporate Director · NOT APPLICABLE
Kirton, Hyrum (individual)Corporate Director · NOT APPLICABLE
Kirton, Spencer (individual)Corporate Director · NOT APPLICABLE
Woltil, Robert (individual)Corporate Director · NOT APPLICABLE
Borisevich, Maria (individual)Corporate Officer · NOT APPLICABLE
Hash, Alan (individual)Corporate Officer · NOT APPLICABLE
Kirton, Hyrum (individual)Corporate Officer · NOT APPLICABLE
Smith, Nicole (individual)Corporate Officer · NOT APPLICABLE
Dangerfield, David (individual)Managing Control - Governing Body · NOT APPLICABLE
Kirton, Byron (individual)Managing Control - Governing Body · NOT APPLICABLE
Kirton, Hyrum (individual)Managing Control - Governing Body · NOT APPLICABLE
Kirton, Spencer (individual)Managing Control - Governing Body · NOT APPLICABLE
Woltil, Robert (individual)Managing Control - Governing Body · NOT APPLICABLE
Avalon Health Care INC (organization)Operational/managerial Control · NOT APPLICABLE
Avalon Health Care Management INC (organization)Operational/managerial Control · NOT APPLICABLE
Berg, Tracy (individual)Operational/managerial Control · NOT APPLICABLE
Borisevich, Maria (individual)Operational/managerial Control · NOT APPLICABLE
Deloitte Tax LLP (organization)Operational/managerial Control · NOT APPLICABLE
Eide Bailly LLP (organization)Operational/managerial Control · NOT APPLICABLE
Hash, Alan (individual)Operational/managerial Control · NOT APPLICABLE
HHC Holdco LLC (organization)Operational/managerial Control · NOT APPLICABLE
Kirton, Hyrum (individual)Operational/managerial Control · NOT APPLICABLE
Newell, Brittney (individual)Operational/managerial Control · NOT APPLICABLE
Newman, Rita (individual)Operational/managerial Control · NOT APPLICABLE
Omnicare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Reliant Pro Rehab LLC (organization)Operational/managerial Control · NOT APPLICABLE
Smith, Nicole (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avalon Care Center at Northpointe?

Avalon Care Center at Northpointe has a 2-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 Avalon Care Center at Northpointe have?

It has 119 certified beds and cares for about 121 residents per day.

Has Avalon Care Center at Northpointe been fined?

Yes. CMS lists 2 penalties totaling $84,614 in the last three years.

Who owns Avalon Care Center at Northpointe?

It is part of Avalon Health Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avalon Care Center at Northpointe?

(509) 468-7000. The facility is located at 9827 North Nevada, Spokane, WA 99218.

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.