The Cottages of Spokane
State licensed6930 N Nevada St, Spokane, WA 99208
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Royal Park Health and Rehabilitation brings specialized skilled nursing and rehabilitation services to Spokane, Washington with a focus on personalized recovery. Our compassionate team works closely with each resident to support healing and rebuild independence through evidence-based care and therapeutic programs.
Capacity
164 residents
Location
Spokane, WA
Status
Listed in a public registry
7411 NORTH NEVADA, Spokane, Washington 99208
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 5, 2026, state inspectors cited 7 health deficiencies (the Washington average is 15.8).
Nurses and nurse aides spend 3 hours 49 minutes with each resident a day, below the Washington average of 4 hours 22 minutes.
Medicare fined Royal Park Health and Rehabilitation 4 times in the last three years, $111,830 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 49 minutesBelow the Washington average |
| Registered nurse time per resident, per day | 37 minutesBelow the Washington average |
| Nursing staff who left in the past year | 50%Above the Washington average |
48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 5, 2026 · Standard inspection · 7 citations
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that residents are free from significant medication errors.
September 9, 2025 · Complaint investigation · 1 citation
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate pain management for a resident who requires such services.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide and implement an infection prevention and control program.
Observe each nurse aide's job performance and give regular training.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide enough food/fluids to maintain a resident's health.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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.
Ensure that residents are free from significant medication errors.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Allow residents to self-administer drugs if determined clinically appropriate.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that residents are free from significant medication errors.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide safe, appropriate pain management for a resident who requires such services.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide and implement an infection prevention and control program.
4 fines totaling $111,830 in the last three years.
7411 NORTH NEVADASpokane, WA 99208
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State inspectors visited on May 5, 2026 and cited 7 health deficiencies. The Washington average is 15.8.
Nurses and aides spend 3 hours 49 minutes with each resident per day, including 37 minutes from registered nurses. 50% of nursing staff left over the past year.
Yes. Medicare fined Royal Park Health and Rehabilitation 4 times in the last three years, totaling $111,830.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.