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Nursing homeFAID #12835

Sunshine Health & Rehab

10410 EAST NINTH AVENUE, SPOKANE, WA, 99206

(509) 926-3547

37 licensed beds

★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

10410 East Ninth Avenue

Spokane, WA 99206

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

505411

Care type

Nursing home

County

Spokane

Facility name

Sunshine Health & Rehab

Street address

10410 EAST NINTH AVENUE

City / state / ZIP

Spokane, WA 99206

Phone

(509) 926-3547

About this facility — Sunshine Health & Rehab

Sunshine Health & Rehab is a Medicare/Medicaid-certified skilled nursing facility in Spokane, Washington. It is licensed for 37 beds — well below the median for skilled nursing facilities in Washington (97 beds).

It is one of 103 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.

Federal inspectors have cited Sunshine Health & Rehab 51 times across 9 inspections in the last three years, including 3 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 August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Individual

Registered owners & officers

Dikes, Nathan

Direct owner · Managing employee · Director — 40% stake — since 2007

Dikes, Carol

Direct owner · Director — 21% stake — since 2007

Dikes, David

Direct owner · Director — 21% stake — since 2007

Rhoads, Patrick

Direct owner · Managing employee · Director — 19% stake — since 2007

Dikes, Jennifer

Director — since 2007

Rhoads, Sherri

Director — since 2007

Ulrich, William

Officer — since 2014

Regulatory standing

Licensed / certified since

1992-01-01

CMS overall rating

4 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-30

Nurse staffing

5.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$717 per day (≈ $21,800/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

5% Medicaid · 58% Medicare · 38% private/other

Occupancy

91% (fiscal year 2023)

Vs. state median

49% above the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds

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 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-01-30Health inspection9 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 2026-03-13

F-0585

E · No harm found

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 2026-03-13

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-03-13

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-03-13

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-03-13

F-0867

D · No harm found

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

Corrected 2026-03-13

F-0868

D · No harm found

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

Corrected 2026-03-13

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-13

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 2026-03-13

2025-06-16Health inspectionComplaint-triggered3 citations

F-0552

D · No harm foundFrom a complaint

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

Corrected 2025-07-25

F-0658

D · No harm foundFrom a complaint

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

Corrected 2025-07-25

F-0851

C · No harm foundFrom a complaint

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

Corrected 2025-07-25

7 earlier / fire-safety inspections (39 citations)

2024-10-29Health inspection13 citations

F-0554

D · No harm found

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

Corrected 2024-12-20

F-0620

F · No harm found

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.

Corrected 2024-12-20

F-0640

E · No harm found

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

Corrected 2024-12-20

F-0677

E · No harm found

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

Corrected 2024-12-20

F-0755

E · No harm found

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

Corrected 2024-12-20

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-20

F-0801

D · 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 2024-12-20

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 2024-12-20

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-20

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-12-20

F-0882

F · No harm found

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

Corrected 2024-12-20

F-0883

E · No harm found

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

Corrected 2024-12-20

F-0947

E · No harm found

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

Corrected 2024-12-20

2024-06-07Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-07-11

F-0684

D · No harm foundFrom a complaint

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

Corrected 2024-07-11

2024-01-26Health inspectionComplaint-triggered1 citation

F-0686

D · No harm foundFrom a complaint

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

Corrected 2024-03-01

2023-06-08Health inspection4 citations

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2023-07-21

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 2023-07-21

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 2023-07-21

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-07-21

2026-01-30Fire-safety inspection4 citations

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-12

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-02-12

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-02-12

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-02-12

2024-10-29Fire-safety inspection8 citations

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2024-11-27

K-0321

F · 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 2024-11-27

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-27

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-27

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-11-27

K-0362

F · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-11-27

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-27

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-27

2023-06-08Fire-safety inspection7 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2023-07-13

E-0020

E · No harm found

Establish policies and procedures including evacuation.

Corrected 2023-07-13

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2023-07-13

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2023-07-13

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-13

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-07-13

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-07-13

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 505411.

Inside your report

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 51 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

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

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