SNF

TOUCHMARK ON SOUTH HILL NURSING

CCN: 505498 · SPOKANE, WA 99203 · Spokane County

ℹ CCRC

Overview

Address
2929 SOUTH WATERFORD DRIVE, SPOKANE, WA 99203
Phone
5095362929
Certified beds
57
Avg daily residents
2 (4% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare
Medicare/Medicaid since
1996-08-26
Setting
Urban
4 /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.
★★★★★ 4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 23.
★★★★★ 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 ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 4/5

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) 2025-01-13 3 3 1 12 1 12
Cycle 2/3 (prior) 2023-08-31 22 13 9 140 1 140
Total weighted health score
44.0
lower is better

Deficiencies (30)

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).

30 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2025-01-13 2025-02-11
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-01-13 2025-02-11
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2025-01-13 2025-02-11
0602 Protect each resident from the wrongful use of the resident's belongings or money. E 2024-08-22 2024-10-02
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-08-22 2024-10-02
0641 Ensure each resident receives an accurate assessment. D 2024-08-22 2024-10-02
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2024-08-22 2024-10-02
0760 Ensure that residents are free from significant medication errors. E 2024-06-26 2024-08-05
0880 Provide and implement an infection prevention and control program. E 2024-06-26 2024-08-05
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-04-08 2024-04-23
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-04-08 2024-04-23
0610 Respond appropriately to all alleged violations. E 2024-02-07 2024-03-18
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-08-31 2023-10-11
0625 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. D 2023-08-31 2023-10-11
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted E 2023-08-31 2023-10-11
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-08-31 2023-10-11
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-08-31 2023-10-11
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-08-31 2023-10-11
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 2023-08-31 2023-10-11
0760 Ensure that residents are free from significant medication errors. D 2023-08-31 2023-10-11
0761 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. D 2023-08-31 2023-10-11
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 2023-08-31 2023-10-11
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. D 2023-08-31 2023-10-11
0880 Provide and implement an infection prevention and control program. F 2023-08-31 2023-10-11
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F 2023-08-31 2023-10-11
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2022-03-31 2022-05-06
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2022-03-31 2022-05-06
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2022-03-31 2022-05-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2022-03-31 2022-05-06
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2022-03-31 2022-05-06

Financial Health (FY 2023)

Operating performance

Operating Margin
-17.9%
Total Margin
-16.2%
Occupancy Rate
51.3%
Cost per Resident Day
$145

Revenue & costs

Net Patient Revenue
$6.3M
Total Costs
$1.5M
Net Income
-$1.0M

Balance sheet

Total Assets
$84.6M
Total Liabilities
$92.2M
Fund Balance
-$7.5M
Current Ratio
35.61

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

Ownership & Corporate Structure

Owner / manager organizations (5)

Organization Role Association
COLLEEN T AND WERNER G NISTLER JR FAMILY TRUST 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/11/2010
TOUCHMARK, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/31/2018
COLLEEN T AND WERNER G NISTLER JR FAMILY TRUST GENERAL PARTNERSHIP INTEREST since 02/11/2010
TOUCHMARK LIVING CENTERS, INC. GENERAL PARTNERSHIP INTEREST since 02/11/2010
TOUCHMARK LIVING CENTERS, INC. OPERATIONAL/MANAGERIAL CONTROL since 02/11/2010

Owner / manager individuals (12)

Name Role Association
BAIR, JEFFREY 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/11/2010
NISTLER, COLLEEN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/11/2010
NISTLER, WERNER 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/11/2010
PRYOR, BRIAN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/11/2010
NISTLER, COLLEEN GENERAL PARTNERSHIP INTEREST since 02/11/2010
NISTLER, WERNER GENERAL PARTNERSHIP INTEREST since 02/11/2010
BAIR, JEFFREY CORPORATE DIRECTOR since 02/11/2010
NISTLER, COLLEEN CORPORATE DIRECTOR since 02/11/2010
NISTLER, WERNER CORPORATE DIRECTOR since 02/11/2010
PRYOR, BRIAN CORPORATE DIRECTOR since 02/11/2010
BAIR, JEFFREY W-2 MANAGING EMPLOYEE since 02/11/2010
MCGAUGHEY, MEAGAN W-2 MANAGING EMPLOYEE since 01/01/2017

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

Facility Features

CCRC
Yes
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 ($) $145 metrics.cost_per_resident_day
Cost Report Current Ratio 35.61 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicare Day Share (%) 58.5% metrics.medicare_day_share
Cost Report Net Income ($) $-1,029,526 metrics.net_income
Cost Report Net Patient Revenue ($) $6,256,420 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 51.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -17.9% metrics.operating_margin
Cost Report Total Assets ($) $84,640,557 metrics.total_assets
Cost Report Total Costs ($) $1,546,541 metrics.total_costs
Cost Report Total Fund Balances ($) $-7,535,370 metrics.fund_balance
Cost Report Total Liabilities ($) $92,175,927 metrics.total_liabilities
Cost Report Total Margin (%) -16.2% 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 26 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 2.1 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) 505498 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Spokane County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1996-08-26 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 47.6272 Latitude
Provider Information Legal Business Name TOUCHMARK ON SOUTH HILL LP Legal Business Name
Provider Information Location 2929 SOUTH WATERFORD DRIVE,SPOKANE,WA,99203 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -117.38 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 — Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 57 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — 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 4 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote 23 Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 2929 SOUTH WATERFORD DRIVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name TOUCHMARK ON SOUTH HILL NURSING 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 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 12 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 1 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 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 12 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 3 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-08-31 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 140 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 9 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 140 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 22 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 23 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 4 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 23 Staffing Rating Footnote
Provider Information State WA State
Provider Information Telephone Number 5095362929 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 44.000 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 99203 ZIP Code