North Central Care Center

N 1812 Wall Street · Spokane, WA · 99205 · 5093286030

99 certified beds For profit - Corporation Chain: Hyatt Family Facilities

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 42
Serious harm & abuse 20% 100
Staffing 20% 76
Federal penalties 15% 100
Trend 10% 42
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.833.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day3.46≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)none

Inspection citations (39 in the current record)

  • Potential for harm · D July 28, 2025

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

    Corrected September 5, 2025 · Resident Rights

  • Potential for harm · E July 28, 2025

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected August 16, 2025 · Resident Rights

  • Potential for harm · D July 28, 2025

    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.

    Corrected September 5, 2025 · Resident Rights

  • Potential for harm · E July 28, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected September 5, 2025 · Resident Rights

  • Potential for harm · D July 28, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected September 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 28, 2025

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

    Corrected September 5, 2025 · Quality of Life and Care

  • Potential for harm · D July 28, 2025

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

    Corrected September 5, 2025 · Quality of Life and Care

  • Potential for harm · E July 28, 2025

    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.

    Corrected September 5, 2025 · Quality of Life and Care

  • Potential for harm · D July 28, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 5, 2025 · Quality of Life and Care

  • Potential for harm · F July 28, 2025

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected September 5, 2025 · Nursing and Physician Services

  • Potential for harm · E July 28, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected September 5, 2025 · Nursing and Physician Services

  • Potential for harm · F July 28, 2025

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

    Corrected September 5, 2025 · Nutrition and Dietary

  • Potential for harm · F July 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 5, 2025 · Infection Control

  • Potential for harm · D July 28, 2025

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

    Corrected September 5, 2025 · Environmental

  • Potential for harm · D March 29, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 7, 2024 · Resident Rights

  • Potential for harm · D March 29, 2024

    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.

    Corrected May 7, 2024 · Resident Rights

  • Potential for harm · D March 29, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 7, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 29, 2024

    Assess the resident when there is a significant change in condition

    Corrected May 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 29, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 29, 2024

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

    Corrected May 7, 2024 · Quality of Life and Care

  • Potential for harm · D March 29, 2024

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

    Corrected May 7, 2024 · Quality of Life and Care

  • Potential for harm · D March 29, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 7, 2024 · Quality of Life and Care

  • Potential for harm · E March 29, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected May 7, 2024 · Quality of Life and Care

  • Potential for harm · E March 29, 2024

    Ensure that residents are free from significant medication errors.

    Corrected May 7, 2024 · Pharmacy Service

  • Potential for harm · D March 29, 2024

    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.

    Corrected May 7, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505441 · certified since March 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.