SPOKANE FALLS CARE

CCN 505024 · SPOKANE FALLS CARE LLC · For profit - Limited Liability company · CALDERA CARE chain · 100 certified beds · Spokane · WA


SPOKANE FALLS CARE is a 100-bed nursing home in SPOKANE, Washington. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 84.5 residents a day.

What harm was found in the violations cited at SPOKANE FALLS CARE?

CMS lists 102 health-inspection deficiencies for SPOKANE FALLS CARE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-18.

Survey dateTagDeficiencySeverity
2026-06-18F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-04-13F0609, F0689, F0756, F0812Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-04-13F0550, F0584, F0645, F0656, F0677, F0679, F0687, F0695, F0730, F0759, F0761, F0803, F0805, F0847Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate foot care. / Provide safe and appropriate respiratory care for a resident when needed. / Observe each nurse aide's job performance and give regular training. / Ensure medication error rates are not 5 percent or greater. / 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. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D
2026-03-04F0684, F0760Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors.D
2025-11-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-08-21F0880Provide and implement an infection prevention and control program.F
2025-05-13F0609, F0758Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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.D
2025-04-01F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-04-01F0610, F0684, F0692Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health.D
2024-12-17F0880Provide and implement an infection prevention and control program.F
2024-12-17F0572, F0578, F0620, F0625, F0684, F0698, F0726, F0760, F0835Give residents a notice of rights, rules, services and charges. / 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. / 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. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Ensure that residents are free from significant medication errors. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.E
2024-12-17F0550, F0552, F0554, F0558, F0576, F0644, F0645, F0655, F0661, F0689, F0690, F0693, F0699, F0742, F0756, F0761, F0801, F0807, F0842, F0847, F0849Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide care or services that was trauma informed and/or culturally competent. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / 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. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / 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.D
2024-11-15F0610, F0727Respond appropriately to all alleged violations. / 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.E
2024-11-15F0600, F0760Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that residents are free from significant medication errors.D
2024-09-25F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-09-25F0584, F0761, F0919Honor 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. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2024-09-25F0694, F0880Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide and implement an infection prevention and control program.D
2024-04-16F0677, F0684Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2024-03-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-03-08F0610Respond appropriately to all alleged violations.E
2024-03-08F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-01-03F0760Ensure that residents are free from significant medication errors.E
2023-12-06F0610, F0684, F0726Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.D
2023-11-02F0684, F0697Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services.G
2023-09-15F0610Respond appropriately to all alleged violations.E
2023-09-15F0600, F0684Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-08-03F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.F
2023-08-03F0609, F0677, F0755Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-08-03F0550, F0585, F0645, F0685, F0688, F0690, F0693, F0695, F0700, F0757, F0760, F0812, F0880, F0883Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Assist a resident in gaining access to vision and hearing services. / Provide 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Try 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was SPOKANE FALLS CARE fined 2 times?

DateTypeAmount
2024-03-08Fine$14,050
2023-11-02Fine$111,686

How is SPOKANE FALLS CARE staffed relative to the WA average?

MeasureThis facilityWA average
Total nurse staffing hours per resident per day3.552874.36934
Total nursing staff turnover (%)60.745.1
Average number of residents per day84.576.0

Who owns SPOKANE FALLS CARE, and what chain is it in?

SPOKANE FALLS CARE is registered with CMS as For profit - Limited Liability company, operates under the legal business name SPOKANE FALLS CARE LLC and belongs to the CALDERA CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTKH7 HEALTHCARE HOLDINGS, LLCsince 05/21/2025
5% OR GREATER INDIRECT OWNERSHIP INTERESTKH7 HH CDW, KH7 OPS LLC, OSCHEROWITZ, RAPHAEL, WOLMARK, CHAIMsince 05/21/2025
5% OR GREATER MORTGAGE INTEREST6021 N LIDGERWOOD PROPCO LLCsince 05/21/2025
MANAGING CONTROL - GOVERNING BODYOSCHEROWITZ, RAPHAELsince 05/21/2025
CORPORATE OFFICEROSCHEROWITZ, RAPHAEL, WOLMARK, CHAIMsince 05/21/2025
OPERATIONAL/MANAGERIAL CONTROLOSCHEROWITZ, RAPHAEL, SCROGGIN, MARK, STUITJE, ALETTA, WOLMARK, CHAIMsince 01/03/2023
ADP OF THE SNF6021 N LIDGERWOOD PROPCO LLC, KH7 PROPCO HOLDINGS LLC, OSCHEROWITZ, RAPHAEL, SCROGGIN, MARK, STUITJE, ALETTA, WOLMARK, CHAIMsince 01/03/2023

Were you or a family member harmed at SPOKANE FALLS CARE?