Nursing homeActive
Sunshine Health & Rehab
10410 East Ninth Avenue, Spokane, WA 99206509926354737 certified beds · 32 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
32
● 1● 31● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-30
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Washington DSHS Aging and Long-Term Support · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-30 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2025-06-16 | Complaint | 120 | CMS-2567 (Care Compare) | — |
| 2024-10-29 | Standard | 0130 | CMS-2567 (Care Compare) | — |
| 2024-06-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-01-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-06-08 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Washington DSHS Aging and Long-Term Support publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F550
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F585
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F645
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F759
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F867
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F868
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 505411-20260130-F921
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 505411-20250616-F552
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 505411-20250616-F658
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2025-07-25Record 505411-20250616-F851
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F554
F620Not 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.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F620
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F640
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F677
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F759
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F881
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F882
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F883
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 505411-20241029-F947
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 505411-20240607-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 505411-20240607-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 505411-20240126-F686
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-21Record 505411-20230608-F610
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-21Record 505411-20230608-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-21Record 505411-20230608-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-21Record 505411-20230608-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.64
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day4.99
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours4.04
Facility
Washington
National
Washington 3.81 · National 3.42
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Dikes, Carol Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 21% | — | — |
| Dikes, David Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 21% | — | — |
| Dikes, Nathan Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | — | — |
| Rhoads, Patrick Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | — | — |
| Dikes, Carol Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dikes, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dikes, Jennifer Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dikes, Nathan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dikes, Nathan Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Rhoads, Patrick Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Rhoads, Patrick Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rhoads, Sherri Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ulrich, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Washington.
No county cost figures on file for Spokane.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Aurora Valley Care Spokane | 0.6 mi | 2026-05-27 | 1802 |
| Sullivan Park Care Center Spokane | 2.8 mi | 2026-06-18 | 0712 |
| Alderwood Manor Spokane | 4.2 mi | 2026-02-13 | 0401 |
| Spokane Valley Health And Rehabilitation Of Cascad Spokane Valley | 5.6 mi | 2026-05-22 | 0431 |
| South Hill Rehabilitation and Care Center Spokane | 6.5 mi | 2025-12-05 | 0270 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |