01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-23 | 13 | 2026-03-23 | 10 |
| Cycle 2 | 2024-12-09 | 21 | 2024-12-09 | 12 |
| Cycle 3 | 2023-08-03 | 12 | 2023-08-03 | 13 |
CMS CCN 5050332026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Rockwood South Hill
East 2903 25Th Avenue · Spokane, WA 99223 · Spokane County
Certified beds45CMS provider file
Recent citation rows81current 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
81 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-23 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-04-262026-03-23 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-05-072026-03-23 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-05-072026-03-23 · HEALTHF0684Severity E · pattern; 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 · 2026-05-072026-03-23 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-05-072026-03-23 · 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 · 2026-05-072026-03-23 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-05-072026-03-23 · HEALTHF0756Severity E · pattern; 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 · 2026-05-072026-03-23 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-05-07 · complaint2026-03-23 · HEALTHF0812Severity F · widespread; 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 · 2026-05-072026-03-23 · HEALTHF0847Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2026-06-232026-03-23 · 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 · 2026-06-232026-03-23 · HEALTHF0919Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2026-05-072026-03-23 · HEALTHF0921Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2026-05-072026-03-23 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2026-04-262026-03-23 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-04-262026-03-23 · FIREK0345Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-04-262026-03-23 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-262026-03-23 · 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 · 2026-04-262026-03-23 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-04-262026-03-23 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-04-262026-03-23 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-04-262026-03-23 · FIREK0926Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Correction field: Deficient, Provider has date of correction · 2026-04-262024-12-09 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-01-1003 / 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
- COLLETTE, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/09/2020
- BAFUS, CHRISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- BARBER, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- BLOCK, JONELLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- BORNHOFT, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- CONATY, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- DE IMUS, CARLOSIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/02/2024
- DEMOTT, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- DENHOLM, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2024
- DROPPERS, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- ITSKOS, DEMITRIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/30/1981
- JOHNSON, TOMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- KOSZCZEWSKI, CATHERINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- MIRANDA, SHEILAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- THOMAS, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2025
- WELLS, CHARLESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- WETMORE, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- GORTON, ANDREWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/13/2012
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 hours4.83per resident day
RN hours1.57per resident day
Weekend nurse hours4.26per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Spokane ledger →Other published facilities nearby
Alderwood Manor85 beds · CMS overall 3/599 citation rowsAurora 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 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