PlainNursing
CMS Nursing Home Compare · August 2026

Sunshine Health & Rehab

10410 East Ninth Avenue, Spokane, WA 99206

Sunshine Health & Rehab, a 37-bed for profit - individual nursing facility in Spokane, WA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #52 of 191 rated homes in WA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5099263547

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4 / 5
Above average · CMS overall · nat'l 3.0
#52 of 191
In-state rank among rated WA homes
4.99
Well above average · nurse hrs/day · nat'l 3.86
32
Inspection findings

The verdict

Sunshine Health & Rehab, a 37-bed for profit - individual nursing facility in Spokane, WA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #52 of 191 rated homes in WA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#52 of 191
In-state rank among rated WA homes
4.99
Nurse hrs/resident-day · national 3.86
32
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 193 WA nursing homes split by ownership sector

This facility is recorded as For profit - Individual. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

N/A

Facility Information

Provider Number
505411
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
37
Residents
32
In Hospital
No
County
Spokane
Last Inspection
Jan 30, 2026

Staffing Data

How the 4.99 total nursing hours per resident-day are staffed:

RN Hours
1.64 (nat'l avg: 0.69)
LPN Hours
0.70
CNA Hours
2.65
Total Nursing Hours
4.99 (nat'l avg: 3.86)
PT Hours
0.51

What the CMS Record Reveals About Sunshine Health & Rehab

According to CMS Nursing Home Compare, Sunshine Health & Rehab ranks #52 of 191 rated nursing homes in WA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Sunshine Health & Rehab operates 37 certified beds in Spokane, WA with approximately 32 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 4★ · quality 5★).

The inspection file contains 32 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 4.99 total nursing hours per resident day (national average 3.86), with RN coverage at 1.64 per resident day.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Sunshine Health & Rehab falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (32 most recent)

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 13, 2026

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Mar 13, 2026

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Mar 13, 2026

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 13, 2026

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 13, 2026

E - Pattern - Minimal harm Jan 30, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 13, 2026

E - Pattern - Minimal harm Jan 30, 2026 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 13, 2026

E - Pattern - Minimal harm Jan 30, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 13, 2026

E - Pattern - Minimal harm Jan 30, 2026 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Mar 13, 2026

C - Widespread - No harm Jun 16, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jul 25, 2025

D - Isolated - Minimal harm Jun 16, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 25, 2025

D - Isolated - Minimal harm Jun 16, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jul 25, 2025

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Dec 20, 2024

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 20, 2024

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2024

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Dec 20, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 20, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Dec 20, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 20, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2024

F - Widespread - Minimal harm Oct 29, 2024 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Dec 20, 2024

F - Widespread - Minimal harm Oct 29, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 20, 2024

F - Widespread - Minimal harm Oct 29, 2024 Tag: 0620

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.

Category: Resident Rights Deficiencies

Corrected: Dec 20, 2024

D - Isolated - Minimal harm Jun 7, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 11, 2024

D - Isolated - Minimal harm Jun 7, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 11, 2024

D - Isolated - Minimal harm Jan 26, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 1, 2024

D - Isolated - Minimal harm Jun 8, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jul 21, 2023

D - Isolated - Minimal harm Jun 8, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 21, 2023

E - Pattern - Minimal harm Jun 8, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 21, 2023

E - Pattern - Minimal harm Jun 8, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 21, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay N/A No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.8% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Sunshine Health & Rehab, both outside WA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Sunshine Health & Rehab

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The WA registry aggregates state averages and the highest-rated homes in this cohort. View WA registry
  • Peer homes near 37 beds show how CMS stars vary at a similar scale in WA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Sunshine Health & Rehab?
Sunshine Health & Rehab has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (5★).
Where does Sunshine Health & Rehab rank among nursing homes in WA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Sunshine Health & Rehab ranks 52nd among 191 rated nursing homes in WA (#52 of 191). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Sunshine Health & Rehab?
Sunshine Health & Rehab reports 4.99 total nursing hours per resident day (national average: 3.86). RN hours are 1.64 per resident day (national average: 0.69).
How many beds does Sunshine Health & Rehab have?
Sunshine Health & Rehab has 37 certified beds with approximately 32 residents. The facility is located at 10410 East Ninth Avenue, Spokane, WA 99206.
Does Sunshine Health & Rehab have any deficiencies on record?
Yes, Sunshine Health & Rehab has 32 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Sunshine Health & Rehab received any fines or penalties?
No, Sunshine Health & Rehab has no fines or penalties on record.
Who owns Sunshine Health & Rehab?
Sunshine Health & Rehab is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was Sunshine Health & Rehab last inspected?
The most recent health inspection for Sunshine Health & Rehab was on Jan 30, 2026. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Sunshine Health & Rehab?
Sunshine Health & Rehab is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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