SNF

SUNSHINE HEALTH & REHAB

CCN: 505411 · SPOKANE, WA 99206 · Spokane County

Overview

Address
10410 EAST NINTH AVENUE, SPOKANE, WA 99206
Phone
5099263547
Certified beds
37
Avg daily residents
35 (93% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1992-01-01
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Resident count too small for reliable rating.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures — Data not available.
Short-Stay Quality Measures ★★★★★ 5/5

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-10-29 16 13 3 120 1 120
Cycle 2/3 (prior) 2023-06-08 7 4 3 36 1 36
Total weighted health score
99.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (31)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
30 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2025-06-16 2025-07-25
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-06-16 2025-07-25
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. C 2025-06-16 2025-07-25
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-10-29 2024-12-20
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. F 2024-10-29 2024-12-20
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. E 2024-10-29 2024-12-20
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2024-10-29 2024-12-20
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-10-29 2024-12-20
0759 Ensure medication error rates are not 5 percent or greater. D 2024-10-29 2024-12-20
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. D 2024-10-29 2024-12-20
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-10-29 2024-12-20
0880 Provide and implement an infection prevention and control program. F 2024-10-29 2024-12-20
0881 Implement a program that monitors antibiotic use. D 2024-10-29 2024-12-20
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F 2024-10-29 2024-12-20
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2024-10-29 2024-12-20
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. E 2024-10-29 2024-12-20
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-06-07 2024-07-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-06-07 2024-07-11
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-01-26 2024-03-01
0610 Respond appropriately to all alleged violations. D 2023-06-08 2023-07-21
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2023-06-08 2023-07-21
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-06-08 2023-07-21
0880 Provide and implement an infection prevention and control program. E 2023-06-08 2023-07-21
0552 Ensure that residents are fully informed and understand their health status, care and treatments. E 2021-05-14 2021-06-30
0584 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. D 2021-05-14 2021-06-30
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2021-05-14 2021-06-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2021-05-14 2021-06-30
0688 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. E 2021-05-14 2021-06-30
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2021-05-14 2021-06-30
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2021-05-14 2021-06-30
0880 Provide and implement an infection prevention and control program. E 2021-05-14 2021-06-30

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 57.8% Medicaid 4.6% Other 37.6%

Operating performance

Operating Margin
-1.9%
Total Margin
-1.5%
Occupancy Rate
90.7%
Cost per Resident Day
$146

Revenue & costs

Net Patient Revenue
$7.3M
Total Costs
$1.8M
Net Income
-$111K

Balance sheet

Total Assets
-$3.6M
Total Liabilities
-$77K
Fund Balance
-$3.5M

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager individuals (13)

Name Role Association
DIKES, CAROL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2021
DIKES, DAVID 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2021
DIKES, NATHAN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2021
RHOADS, PATRICK 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2021
DIKES, CAROL CORPORATE DIRECTOR since 01/01/2007
DIKES, DAVID CORPORATE DIRECTOR since 01/01/2007
DIKES, JENNIFER CORPORATE DIRECTOR since 01/01/2007
DIKES, NATHAN CORPORATE DIRECTOR since 01/01/2007
RHOADS, PATRICK CORPORATE DIRECTOR since 01/01/2007
RHOADS, SHERRI CORPORATE DIRECTOR since 01/01/2007
ULRICH, WILLIAM CORPORATE OFFICER since 11/04/2014
DIKES, NATHAN W-2 MANAGING EMPLOYEE since 01/01/2007
RHOADS, PATRICK W-2 MANAGING EMPLOYEE since 01/01/2007

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
None
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $146 metrics.cost_per_resident_day
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 4.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 57.8% metrics.medicare_day_share
Cost Report Net Income ($) $-111,261 metrics.net_income
Cost Report Net Patient Revenue ($) $7,330,805 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 90.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -1.9% metrics.operating_margin
Cost Report Total Assets ($) $-3,561,916 metrics.total_assets
Cost Report Total Costs ($) $1,788,945 metrics.total_costs
Cost Report Total Fund Balances ($) $-3,485,207 metrics.fund_balance
Cost Report Total Liabilities ($) $-76,709 metrics.total_liabilities
Cost Report Total Margin (%) -1.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day — Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day — Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day — Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day — Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day — Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 34.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day — Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day — Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day — Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day — Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day — Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town SPOKANE City/Town
Provider Information CMS Certification Number (CCN) 505411 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Spokane County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1992-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 47.6488 Latitude
Provider Information Legal Business Name SUNSHINE HEALTH FACILITIES, INC Legal Business Name
Provider Information Location 10410 EAST NINTH AVENUE,SPOKANE,WA,99206 Location
Provider Information Long-Stay QM Rating — Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 2 Long-Stay QM Rating Footnote
Provider Information Longitude -117.27 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 37 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index — Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio — Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Individual Ownership Type
Provider Information Physical Therapist Staffing Footnote 6 Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 10410 EAST NINTH AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SUNSHINE HEALTH & REHAB Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 310 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 120 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 3 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 13 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-29 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 120 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 16 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 4 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-06-08 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 36 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 3 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 36 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 7 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend — Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover — Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 26 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day — Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day — Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day — Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day — Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day — Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote 25 Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day — Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote 25 Staffing Rating Footnote
Provider Information State WA State
Provider Information Telephone Number 5099263547 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend — Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover — Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 99.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 99206 ZIP Code