Where They Care · plain answers about nursing homes

Avalon Care Center at Northpointe

9827 North Nevada, Spokane, WA 99218 · 119 beds · For profit - Corporation

The records flag: 2 citations where a resident was harmed.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
Much below average · 1 of 5
All nursing staff, hours / resident
3.50
RNs, LPNs and aides · state average 4.23
Weekend RN coverage
−30%
vs weekdays
Staff turnover
62%
state average 45%
2 citations where a resident was harmed
Harm was found, without immediate danger to life.
Staff turnover of 62% is well above the state average
The average across this state is 45%. High turnover makes continuity of care harder.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.67 hrs
Weekends
0.47 hrs
WA average
0.91 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage drops about 30% at weekends.

Staff turnover: 62%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 74 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Actual harm
A resident was harmed, without immediate danger to life
2
Potential for harm
No one harmed yet, but conditions could allow it
72
No harm
Rule and paperwork findings
0

28 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $84,614 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Avalon Care LLC
100% ownership interest
Indirect owner (5% or more) 11/26/2003
Avalon Health Care INC Operational or managerial control, Additional disclosable party 12/01/2003
Avalon Health Care Management INC Operational or managerial control, Additional disclosable party 12/01/2003
Berg, Tracy Operational or managerial control, Additional disclosable party 12/01/2024
Borisevich, Maria Corporate officer, Operational or managerial control, Additional disclosable party 01/08/2024
Dangerfield, David Governing body, Corporate director 04/05/2007
Deloitte Tax LLP Operational or managerial control, Additional disclosable party 01/01/2020
Eide Bailly LLP Operational or managerial control, Additional disclosable party 01/01/2021
Hash, Alan Corporate officer, Operational or managerial control, Additional disclosable party 08/15/2017
Hhc Holdco LLC Operational or managerial control, Additional disclosable party 07/01/2021
Kirton, Byron Governing body, Corporate director 08/27/2024
Kirton, Hyrum Governing body, Corporate director, Corporate officer, Operational or managerial control, Additional disclosable party 03/22/2018
Kirton, Spencer Governing body, Corporate director 08/27/2024
Newell, Brittney Operational or managerial control, Additional disclosable party 06/14/2025
Newman, Rita Operational or managerial control, Additional disclosable party 04/15/2024
Omnicare LLC Operational or managerial control, Additional disclosable party 05/01/2023
Reliant Pro Rehab LLC Operational or managerial control, Additional disclosable party 04/01/2019
Smith, Nicole Corporate officer, Operational or managerial control, Additional disclosable party 03/01/2023
Woltil, Robert Governing body, Corporate director 05/23/2012

Of the 19 parties disclosed here, 1 holds an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Regency at Northpointe
Spokane
0.5 5 0.82 −50%
Royal Park Health and Rehabilitation
Spokane
1.6 3 0.63 −20%
Spokane Falls Care
Spokane
2.5 1 0.55 −48%
Spokane Health & Rehabilitation
Spokane
2.8 1 0.64 −21%
North Central Care Center
Spokane
4.1 4 0.81 −35%
Rockwood South Hill
Spokane
4.4 3 1.75 −36%
Spokane Veterans Home
Spokane
6.6 5 1.39 −20%
South Hill Rehabilitation and Care Center
Spokane
6.9 5 0.93 −40%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Turnover here is about 62%. How long has the director of nursing been in post?
  3. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.