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C
Below Standard

AURORA VALLEY CARE

414 S UNIVERSITY RD · SPOKANE, WA 99206

5099244650 · For profit - Limited Liability company

124 beds80 residents178 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AURORA VALLEY CARE receives an overall staffing grade of C (Below Standard). With 3.7713 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5275 HPRD, below the recommended 0.75. It is 0.13 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.48% compared to weekdays. The facility relies heavily on temporary agency staff (18.08% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.5275 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️18.08% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.7713hrs/resident/day▼ 0.13
CMS benchmark: 3.48
RN HPRD
0.5275hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
18.48%
3.9791 weekday → 3.2439 weekend
Agency Staff
18.08%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
2.0081hrs/resident/day
Direct care aides
LPN HPRD
1.046hrs/resident/day
Licensed practical nurses
Consistency
0.4699std 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-0.38 HPRD
4.15
03.77 HPRD
vs. Washington State Average-0.51 HPRD
4.28
03.77 HPRD
vs. National Average-0.13 HPRD
3.90
03.77 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
AURORA VALLEY CARE ★
SPOKANE · This facility
—
C
3.77130.5275★☆☆☆☆
SUNSHINE HEALTH & REHAB
SPOKANE
0.6 mi
A
4.73941.5269★★★☆☆
SULLIVAN PARK CARE CENTER
SPOKANE
2.3 mi
C
3.660.4064★☆☆☆☆
ALDERWOOD MANOR
SPOKANE
4.7 mi
B
3.9311.0646★★★☆☆
SPOKANE VALLEY HEALTH AND REHABILITATION OF CASCAD
SPOKANE VALLEY
5.2 mi
B
3.75310.811★★☆☆☆
TOUCHMARK ON SOUTH HILL NURSING
SPOKANE
5.9 mi
A
4.68091.0506★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

20
Inspections
105
Total Deficiencies
$94,747
Fines Assessed
Sep 15, 2025Health
31 deficiencies cited
▼
Mar 10, 2025Health
1 deficiency cited
▼
Feb 21, 2025Health
3 deficiencies cited
▼
Dec 30, 2024Health
1 deficiency cited
▼
Dec 16, 2024Health
2 deficiencies cited
▼
Oct 30, 2024Health
2 deficiencies cited
▼
Sep 12, 2024Health
3 deficiencies cited
▼
Jun 27, 2024Health
24 deficiencies cited· Includes actual harm
▼
Jun 12, 2024Health
4 deficiencies cited· Includes actual harm
▼
May 9, 2024Health
2 deficiencies cited
▼
Apr 10, 2024Health
2 deficiencies cited
▼
Mar 7, 2024Health
1 deficiency cited
▼
Feb 16, 2024Health
1 deficiency cited
▼
Jan 11, 2024Health
1 deficiency cited
▼
Oct 12, 2023Health
1 deficiency cited
▼
Sep 5, 2023Health
1 deficiency cited
▼
Jul 6, 2023Health
3 deficiencies cited
▼
Jun 13, 2023Health
1 deficiency cited
▼
Mar 27, 2023Health
2 deficiencies cited· Includes actual harm
▼
Jan 20, 2023Health
19 deficiencies cited· Includes actual harm
▼

Penalty History

May 9, 2024Fine
$93,457
Mar 27, 2023Fine
$1,290
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.