Spokane Falls Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 51 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (39 vs median 14)
- High staff turnover (59%)
- High RN turnover (83%)
Bottom 25% in WA · Below recommended RN staffing · Above recommended total nurse staffing · Worst in CALDERA CARE chain · $184,090 in fines
What this means for your family
This facility has a strong reputation for physical therapy and rehab outcomes, with many recent reviews praising individual staff members. However, families should be vigilant regarding facility maintenance and administrative communication; we recommend touring the specific room your loved one will occupy and asking for a direct contact person for care updates.
Google Reviews
Google Reviews
51 reviews on Google“Spokane Falls Care presents a polarized experience, with many reviewers praising the dedicated physical therapy team and nursing staff for successful rehabilitation outcomes. However, significant concerns regarding facility maintenance, cleanliness, and administrative responsiveness persist, with some families reporting neglect and poor communication during critical care periods.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Attentive and compassionate nursing and CNA staff
- Newly renovated facility areas
- Strong social work support
Concerns
- Facility maintenance issues including non-functional call lights and leaks (mentioned by 3 reviewers)
- Poor cleanliness and hygiene in resident rooms (mentioned by 2 reviewers)
- Administrative incompetence and lack of communication with families (mentioned by 3 reviewers)
- Inconsistent staffing levels and staff responsiveness (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 49 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed some mention of recent renovations; could you show me how those updates have improved the daily living environment for residents?
- 2With the therapy team being a standout here, how do you integrate their physical and occupational programs into a resident's daily routine?
- 3I understand that maintaining older building infrastructure can be a challenge; what is your current process for ensuring that essential equipment like call lights is functioning reliably for every resident?
- 4Given the importance of a clean environment, could you walk me through your daily housekeeping schedule and how you ensure high hygiene standards in individual resident rooms?
- 5I see that you engage with feedback online; how do you typically handle communication with families when a concern arises, and who is our primary point of contact for updates?
- 6How do you manage staffing consistency to ensure that residents receive prompt attention and care throughout all shifts, especially during weekends or evenings?
Personalized based on this facility's data
Key Review Excerpts
“The PT/OT team here are amazing. Darren, Kendall, and Christin were beyond helpful with my healing process.”
“I visited my sister there this year and was absolutely appalled when I walked into her room not only by the smell but on how filthy her half of the room was, just disgusting.”
“First off I am not a disgruntled employee, I am a resident. This place is pathetic. A long list of issues including no hot water in my room for over 60 days, giving me the incorrect dosage of my medication.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for the flu
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Spokane Falls Care has 146 deficiencies across 18 surveys with a concerning pattern of repeated family complaints triggering inspections. The facility shows persistent problems with medication management, treatment and care quality, and abuse/neglect response protocols that recur across multiple surveys. While the facility corrects most violations, the frequency of serious complaints and recurring medication errors suggest ongoing systemic care issues that families should carefully consider.
Apr 13, 2026Complaint10
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Mar 4, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nov 18, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 21, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 13, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
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.
Apr 1, 2025Complaint4
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Federal Penalties
Fine
Mar 8, 2024
$14,050
Fine
Nov 2, 2023
$111,686
Ownership & Operations
Who Operates This Facility
Spokane Falls Care
for profit
Chain Affiliation
Caldera Care
7 facilities nationwide
Chain avg rating: 2.4/5 · Rank 10 of 10 (Worst)
Ownership & Management
Owners
Kh7 Healthcare Holdings, LLC
Owner · Organization
Kh7 Hh Cdw
Owner (parent company) · Organization
Kh7 Ops LLC
Owner (parent company) · Organization
Oscherowitz, Raphael
Owner (parent company)
Wolmark, Chaim
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
51 reviews from families & visitors
Official Website
Visit spokanefalls.care
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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