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Nursing homeFAID #12763

Alderwood Manor

3600 EAST HARTSON AVENUE, SPOKANE, WA, 99202
(509) 535-2071
85 licensed beds

CMS rates Alderwood Manor 3 out of 5 overall. Federal inspectors issued 100 citations across 12 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
85
CMS facility ID
505257
Care type
Nursing home
County
Spokane
Facility name
Alderwood Manor
Street address
3600 EAST HARTSON AVENUE
City / state / ZIP
Spokane, WA 99202
Phone
(509) 535-2071
Website

Alderwood Manor is a Medicare/Medicaid-certified skilled nursing facility in Spokane, Washington. It is licensed for 85 beds — close to the median for skilled nursing facilities in Washington (97 beds).

It is one of 102 senior care facilities in Spokane and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Life Care Centers of America, a group of 194 facilities on this site.

Federal inspectors have cited Alderwood Manor 100 times across 12 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Life Care Centers of America
Ownership type
For profit - Partnership

Registered owners & officers

Fund I Investments Limited Partnership
Direct owner · Partner · Additional disclosable party — 96% stake — since 1995
Alexander, Ken
Governing body · Operational control · Additional disclosable party — since 2023
Butner, Nancy
Governing body · Operational control — since 2018
Consolidated Resources Health Care Fund I Lp
Operational control · Additional disclosable party — since 1990
Crhc Llc
Partner — since 2017
Cross, Cindy
Officer — since 1994
Developers Investment Company Inc
Partner — since 1995
Fletcher, Todd
Officer — since 2020
Hcf Inc
Operational control · Partner — since 1995
Henry, Terry
Officer — since 1999
Lay, Lisa
Officer — since 2018
Life Care Centers of America, Inc.
Operational control · Additional disclosable party — since 1990
Moran, Julie
Operational control · Additional disclosable party — since 2023
Preston, Aubrey
Operational control — since 2025
Preston, Forrest
Additional disclosable party — since 2000
Snoook, Teresa
Governing body · Operational control — since 2024
Swanker, Richard
Officer — since 2011
Thurmond, Joan
Officer — since 2000
Ziegler, James
Officer — since 1999

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1981-09-01
CMS overall rating
3 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-02-13
Nurse staffing
4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$505 per day (≈ $15,350/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
72% Medicaid · 10% Medicare · 18% private/other
Occupancy
57% (fiscal year 2023)
Vs. state median
5% above the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds
85
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-22Health inspectionComplaint-triggered2 citations
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-08-24
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-08-24
2026-02-13Health inspection12 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-03-23
F-0584
D · No harm found
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 2026-03-23
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-03-23
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-23
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-03-23
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-03-23
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2026-03-23
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-03-23
F-0761
E · No harm found
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.
Corrected 2026-03-23
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-23
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-23
F-0887
E · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2026-03-23
10 earlier / fire-safety inspections (86 citations)
2025-09-12Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-17
2024-10-30Health inspection22 citations
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-12-06
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-12-06
F-0584
D · No harm found
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 2024-12-06
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-12-06
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-12-06
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-12-06
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-12-06
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-12-06
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-06
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-06
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-06
F-0688
D · No harm found
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 2024-12-06
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-06
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-12-06
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-06
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-06
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-12-06
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-12-06
F-0761
E · No harm found
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.
Corrected 2024-12-06
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-06
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-06
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-12-06
2024-07-26Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-26
2024-06-12Health inspectionComplaint-triggered2 citations
F-0585
E · No harm foundFrom a complaint
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.
Corrected 2024-07-12
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-07-12
2024-02-06Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-06
2023-11-16Health inspectionComplaint-triggered1 citation
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-12-22
2023-07-07Health inspection18 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-08-18
F-0584
D · No harm found
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 2023-08-18
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-18
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2023-08-18
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-18
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-18
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-18
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-18
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-08-18
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-08-18
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-08-18
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-18
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-08-18
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-08-18
F-0761
D · No harm found
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.
Corrected 2023-08-18
F-0801
F · No harm foundFood safety
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 2023-08-18
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-18
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-18
2026-02-13Fire-safety inspection11 citations
E-0025
D · No harm found
Create arrangements with other facilities to receive patients.
Corrected 2026-03-13
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2026-03-13
K-0100
F · No harm found
Meet other general requirements.
Corrected 2026-03-13
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-03-13
K-0232
F · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2026-03-13
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2026-03-13
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-03-13
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-03-13
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-03-13
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-03-13
K-0791
F · No harm found
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Corrected 2026-03-13
2024-10-30Fire-safety inspection10 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-25
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-25
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-25
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-25
K-0362
F · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-11-25
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-11-25
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-25
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-25
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-25
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-11-25
2023-07-07Fire-safety inspection19 citations
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2023-07-28
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2023-07-28
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-07-28
K-0100
F · No harm found
Meet other general requirements.
Corrected 2023-07-28
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-07-28
K-0225
D · No harm found
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-07-28
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-07-28
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2023-07-28
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-07-28
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-28
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-28
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-28
K-0362
F · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-07-28
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-07-28
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-28
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-07-28
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-28
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-28
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-07-28
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 505257.
How it compares in Washington.
Inspection citations, 3 years
100
More than 70% of nursing homes in the state
State median: 78
Federal fines, 3 years
$0
No federal fines on record
State median: $13,065
Nurse staffing, hours per resident per day
4.1
Higher than 50% of nursing homes in the state
State median: 4.1
Nursing staff turnover, annual
51%
Higher than 70% of nursing homes in the state
State median: 43%

Resident outcomes

On 19 federal quality measures, this facility does better than the Washington average on 11 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased8.2%13.8%13.5%Better than state
Lose too much weight10.5%5.6%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.8%0.7%Better than state
With a urinary tract infection2.1%1.7%1.5%Worse than state
Have depressive symptoms13.2%17.9%13.5%Better than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury1.0%2.6%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine89.7%96.2%93.7%Near state average
Ability to walk independently worsened11.2%15.6%12.7%Better than state
Received an antianxiety or hypnotic medication30.9%12.5%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine88.9%94.3%95.3%Near state average
With pressure ulcers3.3%4.4%4.5%Better than state
With new or worsened bowel or bladder incontinence18.9%21.6%18.3%Better than state
Received an antipsychotic medication4.2%15.0%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine77.2%88.7%82.3%Worse than state
Newly received an antipsychotic medication0.0%1.3%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine84.0%84.4%80.1%Near state average
Were rehospitalized after a nursing home admission14.8%19.7%23.4%Better than state
Had an outpatient emergency department visit15.3%13.0%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0610 3 inspections. Respond appropriately to all alleged violations.
  • F-0584 3 inspections. 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.
  • F-0698 3 inspections. Provide safe, appropriate dialysis care/services for a resident who requires such services.
  • F-0761 3 inspections. 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.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

  • Fund I Investments Limited Partnership has an ownership stake on file at 12 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Washington

  • Licensing: Washington State Department of Social and Health Services (DSHS), Residential Care Services (RCS)
  • File a complaint: 800-562-6078 · Online
  • Long-Term Care Ombudsman: 800-562-6028. A free advocate for residents and families.
  • Adult Protective Services: 877-734-6277. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Providence Holy Family Hospital, about 4.6 miles. CMS rating 3 of 5.
  • Multicare Valley Hospital, about 6.0 miles. CMS rating 5 of 5.
  • Spokane Va Medical Center, about 6.4 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 100 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered