Royal Park Health and Rehabilitation

7411 NORTH NEVADA, SPOKANE, WA 99208 · CCN 505379 · 164 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 7 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2025-07-16 — ACTUAL HARM (tag F0691, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

2025-04-14 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe, appropriate pain management for a resident who requires such services.

2025-04-14 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-11-13 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-02 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-08-02 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-01-26 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe, appropriate pain management for a resident who requires such services.

Staffing, from payroll records

Nursing hours / resident / day

3.28

state median 3.78

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −9%

RN hours / resident / day

0.44

registered nurses only

Contract (agency) staff

1%

share of all nursing hours

Nursing staff turnover

50%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $111,830 in fines.

Date	Type	Amount
2025-06-09	Fine	$14,505
2025-04-14	Fine	$34,356
2024-08-02	Fine	$54,145
2024-01-26	Fine	$8,824

Ownership

Ownership type: For profit - Limited Liability company. Part of the EVERGREEN HEALTHCARE GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

MISSOULA HEALTH & REHABILITATION CENTER (MISSOULA, MT) — CMS overall4 of 5
LIVINGSTON HEALTH & REHABILITATION CENTER (LIVINGSTON, MT) — CMS overall2 of 5
POLSON HEALTH & REHABILITATION CENTER (POLSON, MT) — CMS overall4 of 5
HOT SPRINGS HEALTH & REHABILITATION CENTER (HOT SPRINGS, MT) — CMS overall4 of 5
LAUREL HEALTH & REHABILITATION CENTER (LAUREL, MT) — CMS overall1 of 5
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER (BILLINGS, MT) — CMS overall2 of 5
EL JEN SKILLED CARE (LAS VEGAS, NV) — CMS overall1 of 5
ORMSBY POST ACUTE REHABILITATION (CARSON CITY, NV) — CMS overallnot rated

Full citation history

By severity: Actual harm: 7 · Potential for more than minimal harm: 49

Survey date	Tag	Category	Severity	Corrected
2026-05-05	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-05-05	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-05-05	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-05-05	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-05-05	F0761	Pharmacy Service Deficiencies	E	not recorded
2026-05-05	F0810	Nutrition and Dietary Deficiencies	D	not recorded
2026-05-05	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2025-09-09	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-07-16	F0691	Quality of Life and Care Deficiencies	G	not recorded
2025-06-09	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-04-14	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-04-14	F0697	Quality of Life and Care Deficiencies	G	not recorded
2025-01-17	F0550	Resident Rights Deficiencies	D	not recorded
2025-01-17	F0554	Resident Rights Deficiencies	D	not recorded
2025-01-17	F0584	Resident Rights Deficiencies	D	not recorded
2025-01-17	F0585	Resident Rights Deficiencies	E	not recorded
2025-01-17	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-01-17	F0625	Resident Rights Deficiencies	D	not recorded
2025-01-17	F0676	Quality of Life and Care Deficiencies	D	not recorded
2025-01-17	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-01-17	F0684	Quality of Life and Care Deficiencies	E	not recorded
2025-01-17	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-01-17	F0692	Quality of Life and Care Deficiencies	E	not recorded
2025-01-17	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-01-17	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2025-01-17	F0730	Nursing and Physician Services Deficiencies	E	not recorded
2025-01-17	F0756	Pharmacy Service Deficiencies	D	not recorded
2025-01-17	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-01-17	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-01-17	F0802	Nutrition and Dietary Deficiencies	D	not recorded
2025-01-17	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-01-17	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-01-17	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-17	F0847	Administration Deficiencies	D	not recorded
2025-01-17	F0880	Infection Control Deficiencies	E	not recorded
2025-01-17	F0887	Infection Control Deficiencies	F	not recorded
2024-11-13	F0684	Quality of Life and Care Deficiencies	G	not recorded
2024-08-02	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2024-08-02	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-08-02	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-05-13	F0550	Resident Rights Deficiencies	D	not recorded
2024-05-13	F0580	Resident Rights Deficiencies	D	not recorded
2024-05-13	F0684	Quality of Life and Care Deficiencies	D	not recorded
2024-03-07	F0552	Resident Rights Deficiencies	D	not recorded
2024-03-07	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-01-26	F0677	Quality of Life and Care Deficiencies	E	not recorded
2024-01-26	F0697	Quality of Life and Care Deficiencies	G	not recorded
2024-01-26	F0880	Infection Control Deficiencies	E	not recorded
2023-10-04	F0550	Resident Rights Deficiencies	E	not recorded
2023-10-04	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-10-04	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-10-04	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-10-04	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-10-04	F0760	Pharmacy Service Deficiencies	E	not recorded
2023-10-04	F0880	Infection Control Deficiencies	F	not recorded
2023-10-04	F0921	Environmental Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Royal Park Health and Rehabilitation, SPOKANE” at medicare.gov/care-compare.