Sunshine Health & Rehab

Name: Sunshine Health & Rehab
Address: 10410 EAST NINTH AVENUE, Spokane, WA, 99206, US
Telephone: 5099263547

10410 East Ninth Avenue, Spokane, WA 99206 · Spokane County · 37 certified beds · avg 32 residents/day · certified since Jan 1, 1992

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.27

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (32)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 30, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 30, 2026	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Jan 30, 2026	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jun 16, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
Jun 16, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jun 16, 2025	C · Minimal risk, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint
Oct 29, 2024	F · Potential for harm, facility-wide	The facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules.
Oct 29, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 29, 2024	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Oct 29, 2024	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Oct 29, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 29, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 29, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 29, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 29, 2024	E · Potential for harm, repeated	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Oct 29, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Oct 29, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 29, 2024	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Oct 29, 2024	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jun 7, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 26, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jun 8, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 9).

Year	Citations	Worst severity that year
2023	4	E
2024	16	F
2025	3	D
2026	9	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Washington avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.27	4.24	3.95	top 8% in Washington; top 10% in the U.S.
Registered Nurse hours	1.73	0.91	0.69	top 4% in Washington; top 3% in the U.S.
Weekend total nurse staffing	4.26	3.69	3.50	top 10% in Washington; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.84	0.67	0.48	top 20% in Washington; top 10% in the U.S.
Total nursing staff turnover (%)	0.0	45.1	45.8	—
RN turnover (%)	0.0	45.4	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.99, RN 1.64, weekend 4.04. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Dikes, Carol	Individual	5% or Greater Direct Ownership Interest	21%	01/01/2021
Dikes, David	Individual	5% or Greater Direct Ownership Interest	21%	01/01/2021
Dikes, Nathan	Individual	5% or Greater Direct Ownership Interest	40%	01/01/2021
Rhoads, Patrick	Individual	5% or Greater Direct Ownership Interest	19%	01/01/2021
Dikes, Carol	Individual	Corporate Director	NOT APPLICABLE	01/01/2007
Dikes, David	Individual	Corporate Director	NOT APPLICABLE	01/01/2007
Dikes, Jennifer	Individual	Corporate Director	NOT APPLICABLE	01/01/2007
Dikes, Nathan	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2007
Dikes, Nathan	Individual	Corporate Director	NOT APPLICABLE	01/01/2007
Rhoads, Patrick	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2007
Rhoads, Patrick	Individual	Corporate Director	NOT APPLICABLE	01/01/2007
Rhoads, Sherri	Individual	Corporate Director	NOT APPLICABLE	01/01/2007
Ulrich, William	Individual	Corporate Officer	NOT APPLICABLE	11/04/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"How does your quality committee work, and can you share an example of a problem it identified and fixed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Aurora Valley Care	0.6 mi	Spokane, WA	★★☆☆☆	1/5
Sullivan Park Care Center	2.8 mi	Spokane, WA	★☆☆☆☆	1/5
Alderwood Manor	4.2 mi	Spokane, WA	★★★☆☆	2/5
Spokane Valley Health and Rehabilitation of Cascad	5.6 mi	Spokane Valley, WA	★☆☆☆☆	3/5
South Hill Rehabilitation and Care Center	6.5 mi	Spokane, WA	★★★★★	4/5
Spokane Veterans Home	6.5 mi	Spokane, WA	★★★★★	4/5
Rockwood South Hill	7.0 mi	Spokane, WA	★★☆☆☆	2/5
Spokane Health & Rehabilitation	7.7 mi	Spokane, WA	★☆☆☆☆	1/5	SFF
Spokane Falls Care	7.8 mi	Spokane, WA	★☆☆☆☆	1/5
Royal Park Health and Rehabilitation	8.0 mi	Spokane, WA	★★★☆☆	2/5
Emerson Health & Rehabilitation	8.5 mi	Spokane, WA	★★★★☆	3/5
Regency at Northpointe	8.7 mi	Spokane, WA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Spokane →

Facility data as of CMS processing date 2026-08-01. CCN 505411.

The Care File

Visit checklist — Sunshine Health & Rehab

10410 East Ninth Avenue, Spokane, WA 99206 · 5099263547

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 505411 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)