01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-13 | 13 | 2026-02-13 | 11 |
| Cycle 2 | 2024-10-30 | 22 | 2024-10-30 | 10 |
| Cycle 3 | 2023-07-07 | 24 | 2023-07-07 | 19 |
CMS CCN 5052572026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Alderwood Manor
3600 East Hartson Avenue · Spokane, WA 99202 · Spokane County
Certified beds85CMS provider file
Recent citation rows99current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
99 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 25 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-13 · FIREE0025Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREE0030Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0698Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · HEALTHF0887Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-02-13 · FIREK0100Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREK0232Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-02-13 · FIREK0791Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-03-132025-09-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-10-17 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FUND I INVESTMENTS LIMITED PARTNERSHIPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST96% · since 08/23/1995
- ALEXANDER, KENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/09/2023
- BUTNER, NANCYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/16/2018
- SNOOOK, TERESAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/14/2024
- CROSS, CINDYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/21/1994
- FLETCHER, TODDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/02/2020
- HENRY, TERRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/16/1999
- LAY, LISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/09/2018
- SWANKER, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2011
- THURMOND, JOANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/22/2000
- ZIEGLER, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/16/1999
- CONSOLIDATED RESOURCES HEALTH CARE FUND I LPOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/1990
- HCF INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/23/1995
- LIFE CARE CENTERS OF AMERICA, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/05/1990
- ALEXANDER, KENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/09/2023
- BUTNER, NANCYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/16/2018
- MORAN, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2023
- PRESTON, AUBREYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/06/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.18per resident day
RN hours1.17per resident day
Weekend nurse hours3.28per resident day
Staff turnover51.4%CMS reported field
06 / LOCAL RECORDS
Open the Spokane ledger →Other published facilities nearby
Aurora Valley Care124 beds · CMS overall 2/5130 citation rowsAvalon Care Center At Northpointe119 beds · CMS overall 2/5100 citation rowsEmerson Health & Rehabilitation99 beds · CMS overall 4/559 citation rowsRegency At Northpointe120 beds · CMS overall 5/529 citation rowsRockwood South Hill45 beds · CMS overall 2/581 citation rowsRoyal Park Health And Rehabilitation164 beds · CMS overall 3/584 citation rowsSpokane Falls Care100 beds · CMS overall 1/5146 citation rowsSpokane Health & Rehabilitation125 beds · CMS overall 1/5132 citation rows