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B
Good

ALDERWOOD MANOR

3600 EAST HARTSON AVENUE · SPOKANE, WA 99202

5095352071 · For profit - Partnership

85 beds62.7 residents166 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A+
Excellent
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ALDERWOOD MANOR receives an overall staffing grade of B (Good). With 3.931 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.03 HPRD above the national average.

Weekend staffing drops significantly — dropping 26.55% compared to weekdays. The facility has low agency staff usage (7.57% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️Weekend staffing drops 26.55% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.931hrs/resident/day▲ 0.03
CMS benchmark: 3.48
RN HPRD
1.0646hrs/resident/day▲ 0.38
Recommended: 0.75
Weekend Drop-off
26.55%
4.2499 weekday → 3.1215 weekend
⚠ Significant weekend reduction
Agency Staff
7.57%
3.62% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.185hrs/resident/day
Direct care aides
LPN HPRD
0.6814hrs/resident/day
Licensed practical nurses
Consistency
0.563std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Spokane County Average-0.22 HPRD
4.15
03.93 HPRD
vs. Washington State Average-0.35 HPRD
4.28
03.93 HPRD
vs. National Average+0.03 HPRD
3.90
03.93 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ALDERWOOD MANOR ★
SPOKANE · This facility
—
B
3.9311.0646★★★☆☆
TOUCHMARK ON SOUTH HILL NURSING
SPOKANE
1.8 mi
A
4.68091.0506★★★★☆
SPOKANE VETERANS HOME
SPOKANE
2.3 mi
B
3.88641.4702★★★★★
SOUTH HILL REHABILITATION AND CARE CENTER
SPOKANE
2.3 mi
B
4.4830.7208★★★☆☆
ROCKWOOD SOUTH HILL
SPOKANE
3.3 mi
A+
5.13531.6045★★★☆☆
SUNSHINE HEALTH & REHAB
SPOKANE
4.2 mi
A
4.73941.5269★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
82
Total Deficiencies
$32,214
Fines Assessed
Sep 12, 2025Health
1 deficiency cited
▼
Oct 30, 2024Health
22 deficiencies cited
▼
Jul 26, 2024Health
1 deficiency cited· Includes actual harm
▼
Jun 12, 2024Health
2 deficiencies cited
▼
Feb 6, 2024Health
1 deficiency cited
▼
Nov 16, 2023Health
1 deficiency cited
▼
Sep 18, 2023Health
1 deficiency cited
▼
Jul 7, 2023Health
18 deficiencies cited· Includes actual harm
▼
Jun 13, 2023Health
1 deficiency cited
▼
May 18, 2023Health
1 deficiency cited
▼
Oct 29, 2019Health
33 deficiencies cited
▼

Penalty History

May 18, 2023Fine
$32,214
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.