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B
Good

Royal Park Health and Rehabilitation

7411 NORTH NEVADA · SPOKANE, WA 99208

5094892273 · For profit - Limited Liability company

164 beds105.3 residents177 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
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

Royal Park Health and Rehabilitation receives an overall staffing grade of B (Good). With 3.8347 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6006 HPRD, below the recommended 0.75. It is 0.06 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.59% compared to weekdays. The facility has low agency staff usage (1.82% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (1)

⚠️RN staffing (0.6006 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.82%) — mostly permanent, familiar staff
Total Nurse HPRD
3.8347hrs/resident/day▼ 0.06
CMS benchmark: 3.48
RN HPRD
0.6006hrs/resident/day▼ 0.08
Recommended: 0.75
Weekend Drop-off
17.59%
4.0352 weekday → 3.3256 weekend
Agency Staff
1.82%
6.56% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1752hrs/resident/day
Direct care aides
LPN HPRD
0.8514hrs/resident/day
Licensed practical nurses
Consistency
0.3874std 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-0.32 HPRD
4.15
03.83 HPRD
vs. Washington State Average-0.45 HPRD
4.28
03.83 HPRD
vs. National Average-0.06 HPRD
3.90
03.83 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
Royal Park Health and Rehabilitation ★
SPOKANE · This facility
—
B
3.83470.6006★☆☆☆☆
SPOKANE FALLS CARE
SPOKANE
1 mi
C
4.13080.4251★☆☆☆☆
SPOKANE HEALTH & REHABILITATION
SPOKANE
1.3 mi
C
3.44530.5117★☆☆☆☆
REGENCY AT NORTHPOINTE
SPOKANE
1.5 mi
A
4.94170.99★★★★★
AVALON CARE CENTER AT NORTHPOINTE
SPOKANE
1.6 mi
B
4.26330.5765★☆☆☆☆
NORTH CENTRAL CARE CENTER
SPOKANE
2.7 mi
B
3.96970.6688★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
55
Total Deficiencies
$97,325
Fines Assessed
Sep 9, 2025Health
1 deficiency cited
▼
Jul 16, 2025Health
1 deficiency cited· Includes actual harm
▼
Jun 9, 2025Health
1 deficiency cited
▼
Apr 14, 2025Health
2 deficiencies cited· Includes actual harm
▼
Jan 17, 2025Health
24 deficiencies cited
▼
Nov 13, 2024Health
1 deficiency cited· Includes actual harm
▼
Aug 2, 2024Health
3 deficiencies cited· Includes actual harm
▼
May 13, 2024Health
3 deficiencies cited
▼
Mar 7, 2024Health
2 deficiencies cited
▼
Jan 26, 2024Health
3 deficiencies cited· Includes actual harm
▼
Oct 4, 2023Health
8 deficiencies cited
▼
May 6, 2022Health
6 deficiencies cited
▼

Penalty History

Apr 14, 2025Fine
$34,356
Aug 2, 2024Fine
$54,145
Jan 26, 2024Fine
$8,824
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.