Spokane County, Washington · Nursing home
Aurora Valley Care
2 of 5 overall from CMS
414 S University Rd, Spokane, WA 99206
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 3.71 hours Below the state average of 4.36
- Nursing staff who left in a year 57.1% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 102 3 at the harm level or above
- Fines in 3 years $93,457 1 fine
- Certified beds in use 69.8% of 124 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Aurora Valley Care is a 124-bed nursing home in Spokane, Washington (Spokane County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.71 nurse staffing hours per resident per day, below the Washington average of 4.36. CMS lists 1 fine totaling $93,457 in the past three years.
- Certified beds
- 124
- Residents per day (average)
- 86.6
- Certified since
- 1967 (59 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Caldera Care (6 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Aurora Valley Care
Chosen from this home's public data.
- CMS lists 1 fine totaling $93,457 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 34 health deficiencies in the latest inspection cycle (the standard inspection on Sep 15, 2025 plus complaint and infection-control inspections); the Washington average is 15.8. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 57.1%, above the Washington average of 45.1%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Washington average 3.3
- Health inspections 1 of 5 Washington average 2.8
- Staffing 4 of 5 Washington average 3.6
- Quality measures 5 of 5 Washington average 4.0
The vertical line marks the Washington average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.71 h Washington average 4.36
- Nurse aides 2.19 h Washington average 2.66
- Licensed practical nurses 0.90 h Washington average 0.77
- Registered nurses 0.62 h Washington average 0.94
- All staff, weekends 3.14 h Washington average 3.80
How much nurse staffing is enough? All bars share one scale, 0 to 17 hours. The vertical line marks the Washington average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover57.1%
- Washington average45.1%
- Registered nurse turnover12.5%
- Washington average45.4%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Washington and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.8% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.9% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.2% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.9% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% | 2.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% | 96.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 8.1% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.5% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 93.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.0% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.9% | 22.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 21.4% | 15.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.52 | 1.78 |
Short-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.1% | 88.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.0% | 82.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.6% | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 10.9% | 13.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 102 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 31 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 27, 2024: Provide or obtain dental services for each resident.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 15, 2025 | 34 | 7 |
| Jun 27, 2024 | 36 | 10 |
| Jan 20, 2023 | 32 | 11 |
Washington homes averaged 15.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (102)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 17, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 1, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 1, 2026)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 15, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Oct 15, 2025)
-
FPotential for more than minimal harm, widespread
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Administration · Deficient, Provider has date of correction (Dec 1, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Give residents a notice of rights, rules, services and charges.
Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 15, 2025)
Showing the 30 most recent of 102.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 9, 2024 | Fine | $93,457 |
Washington homes averaged 1.2 fines and $52,633 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Washington
- Size41 of 193 by certified beds
- Washington average residents per day76.0
- ChainCaldera Care
- Chain average overall rating3.0 of 5
- Resident or family councilBoth
- Homes in Spokane13
- Homes in Spokane County16
Common questions
What is the CMS star rating for Aurora Valley Care?
Aurora Valley Care has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 5.
How many beds does Aurora Valley Care have?
Aurora Valley Care has 124 certified beds. It averages 86.6 residents per day, about 69.8% of its certified beds.
How much nursing care do residents get at Aurora Valley Care?
The home reports 3.71 hours of nurse staffing per resident per day, including 0.62 hours from registered nurses. The Washington average is 4.36 hours and 0.94 hours from registered nurses.
Has Aurora Valley Care been fined?
Yes. CMS lists 1 fine totaling $93,457 in the past three years.
Does Aurora Valley Care accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Sunshine Health & Rehab 37beds 87.3%in use 4.99nurse hours a day
- 2 of 5 Sullivan Park Care Center 125beds 97.8%in use 3.68nurse hours a day
- 3 of 5 Alderwood Manor 85beds 74.9%in use 4.18nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Spokane County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 505114. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.