01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-30 | 9 | 2026-01-30 | 4 |
| Cycle 2 | 2024-10-29 | 16 | 2024-10-29 | 8 |
| Cycle 3 | 2023-06-08 | 7 | 2023-06-08 | 7 |
CMS CCN 5054112026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Sunshine Health & Rehab
10410 East Ninth Avenue · Spokane, WA 99206 · Spokane County
Certified beds37CMS provider file
Recent citation rows51current 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
51 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-30 · 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 · 2026-03-132026-01-30 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-01-30 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-01-30 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-03-132026-01-30 · HEALTHF0759Severity E · pattern; 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 · 2026-03-132026-01-30 · HEALTHF0867Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2026-03-132026-01-30 · HEALTHF0868Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2026-03-132026-01-30 · HEALTHF0880Severity E · pattern; 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 · 2026-03-132026-01-30 · 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 · 2026-03-132026-01-30 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-02-122026-01-30 · 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 · 2026-02-122026-01-30 · FIREK0372Severity D · isolated; 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 · 2026-02-122026-01-30 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-02-122025-06-16 · 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 · 2025-07-25 · complaint2025-06-16 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-07-25 · complaint2025-06-16 · HEALTHF0851Severity C · widespread; potential for minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2025-07-25 · complaint2024-10-29 · FIREE0007Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2024-11-272024-10-29 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-10-29 · HEALTHF0620Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-10-29 · HEALTHF0640Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-10-29 · HEALTHF0677Severity E · pattern; 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 · 2024-12-202024-10-29 · 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 · 2024-12-202024-10-29 · 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 · 2024-12-202024-10-29 · HEALTHF0801Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Correction field: Deficient, Provider has date of correction · 2024-12-2003 / 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
- DIKES, CAROLIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST21% · since 01/01/2021
- DIKES, DAVIDIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST21% · since 01/01/2021
- DIKES, NATHANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST40% · since 01/01/2021
- RHOADS, PATRICKIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST19% · since 01/01/2021
- DIKES, NATHANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2007
- RHOADS, PATRICKIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2007
- DIKES, CAROLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- DIKES, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- DIKES, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- DIKES, NATHANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- RHOADS, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- RHOADS, SHERRIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2007
- ULRICH, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/04/2014
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 hours4.99per resident day
RN hours1.64per resident day
Weekend nurse hours4.04per 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 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 rows