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Sunshine Health & Rehab
10410 East Ninth Avenue, Spokane, WA 99206 (opens Google Maps) · Spokane County · (509) 926-3547· 37 certified beds · avg 32 residents/day · certified since Jan 1, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Jan 30, 2026
0
Serious findings on record
$0
Fines, last 3 years
5.27
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 32 inspection findings. Open the full record below to read every finding.
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. F-0585
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
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. F-0759
View all 32 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 30, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0585 |
| Jan 30, 2026 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jan 30, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Jan 30, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0868 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jun 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0552 |
| Jun 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0658 |
| Jun 16, 2025 | C · Potential for minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint · F-0851 |
| Oct 29, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0620 |
| Oct 29, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Oct 29, 2024 | F · Potential for more than minimal harm, widespread | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882 |
| Oct 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0640 |
| Oct 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Oct 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Oct 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Oct 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Oct 29, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0947 |
| Oct 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Oct 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Oct 29, 2024 | D · Potential for more than minimal harm, isolated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Oct 29, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0881 |
| Jun 7, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| Jun 7, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Jan 26, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Jun 8, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jun 8, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Jun 8, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 9).
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 16
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 16 | 0 | F |
| 2025 | 3 | 0 | D |
| 2026 | 9 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityWashington averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.27
Washington average: 4.24
U.S. average: 3.95
Registered Nurse hours
This facility: 1.73
Washington average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.26
Washington average: 3.69
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 45.1 | 45.8 | — |
| RN turnover (%) | — | 45.4 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.99 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Sunshine Health & Rehab. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 13 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 16 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 →
Other facilities in the same county
CMS records place this facility in Spokane, WA — 16 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Avalon Care Center at Northpointe — Spokane, WA · overall 2/5
- Cheney Care Center — Cheney, WA · overall 3/5
- Lakeland Village Nursing Facility — Medical Lake, WA · overall 3/5abuse
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 505411.