Nursing homes › Washington › Avalon Care Center at Northpointe
9827 North Nevada, Spokane, WA 99218 · 5094687000 · 119 certified beds
Per CMS filings, this facility is affiliated with Avalon Health Care, a group operating 16 facilities in 5 states. Group record: average rating 3.5/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $340,178 in federal fines. This facility rates below its group average (3.5/5).
Total nurse staffing: 3.54 (Washington median: 4.15). RN hours: 0.68. Weekend total: 3.05. Nursing staff turnover: 62%.
All-time on record: 74 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-09-17 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-10-03 |
| 2025-09-17 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | D | complaint | corrected 2025-10-03 |
| 2025-02-07 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2025-03-26 |
| 2025-02-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-03-26 |
| 2025-02-07 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | complaint | corrected 2025-03-26 |
| 2025-02-07 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | complaint | corrected 2025-03-26 |
| 2025-02-07 | 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. | E | complaint | corrected 2025-03-26 |
| 2025-02-07 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Health | corrected 2025-03-26 |
| 2025-02-07 | Ensure each resident receives an accurate assessment. | E | complaint | corrected 2025-03-26 |
| 2025-02-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-03-26 |
| 2025-02-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2025-03-26 |
| 2025-02-07 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-03-26 |
| 2025-02-07 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2025-03-26 |
| 2025-02-07 | 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. | E | complaint | corrected 2025-03-26 |
| 2025-02-07 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2025-04-01 |
| 2025-02-07 | 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. | E | Health | corrected 2025-03-26 |
| 2025-02-07 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-03-26 |
| 2025-02-07 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Health | corrected 2025-03-26 |
| 2025-02-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-03-26 |
| 2025-02-07 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | 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 | Health | corrected 2025-03-26 |
| 2025-02-07 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-03-26 |
| 2025-02-07 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2025-03-26 |
| 2025-02-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-03-26 |
| 2025-02-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-03-26 |
| 2025-02-07 | Provide appropriate foot care. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Keep all essential equipment working safely. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2025-03-26 |
| 2025-02-07 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2025-03-26 |
| 2024-12-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-01-08 |
| 2024-12-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-01-07 |
| 2024-10-09 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-10-09 |
| 2024-10-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-10-29 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-17 | Fine | $76,336 |
| 2024-08-26 | Fine | $8,278 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| AVALON CARE LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 11/26/2003 |
| DANGERFIELD, DAVID | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/05/2007 |
| KIRTON, BYRON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, HYRUM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, SPENCER | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/27/2024 |
| WOLTIL, ROBERT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/23/2012 |
| DANGERFIELD, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 04/05/2007 |
| KIRTON, BYRON | Corporate Director | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, HYRUM | Corporate Director | Individual | NOT APPLICABLE | since 03/22/2018 |
| KIRTON, SPENCER | Corporate Director | Individual | NOT APPLICABLE | since 08/27/2024 |
| WOLTIL, ROBERT | Corporate Director | Individual | NOT APPLICABLE | since 05/23/2012 |
| BORISEVICH, MARIA | Corporate Officer | Individual | NOT APPLICABLE | since 01/08/2024 |
| HASH, ALAN | Corporate Officer | Individual | NOT APPLICABLE | since 08/15/2017 |
| KIRTON, HYRUM | Corporate Officer | Individual | NOT APPLICABLE | since 03/29/2022 |
| SMITH, NICOLE | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2023 |
| AVALON HEALTH CARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2003 |
| AVALON HEALTH CARE MANAGEMENT INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2003 |
| DELOITTE TAX LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2020 |
| EIDE BAILLY LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2021 |
| HHC HOLDCO LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2021 |
| OMNICARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2023 |
| RELIANT PRO REHAB LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2019 |
| BERG, TRACY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| BORISEVICH, MARIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/08/2024 |
| HASH, ALAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505496. Corrections: data@carerecords.org.