Aurora Valley Care: 31 Deficiencies Cited in Inspection - WA
One of those citations involved something that happens before a resident ever settles into a bed: a required screening process meant to determine whether someone with a mental illness or intellectual disability actually belongs in a nursing home at all, and whether they're getting the specialized services they need.
Inspectors found Aurora Valley Care had failed to properly conduct that screening, known as a PASARR evaluation, for at least one resident. PASARR, the Preadmission Screening and Resident Review process, exists because nursing homes are not always the right setting for people with serious mental health conditions or intellectual disabilities. The screening is supposed to catch that mismatch before it causes harm, or to connect residents with additional services if they do belong in a nursing home setting.
Aurora Valley Care didn't do it correctly.
The citation was classified as an isolated failure, meaning inspectors identified it in a limited number of cases rather than as a widespread pattern. No actual harm was documented. But inspectors noted the potential for more than minimal harm, the threshold that triggers a formal deficiency citation.
That phrase, potential for more than minimal harm, is not a bureaucratic formality. A resident with an unrecognized mental health condition or intellectual disability living in a facility that hasn't assessed their needs is a resident who may not be receiving appropriate treatment, appropriate supervision, or appropriate placement. The screening requirement exists precisely because the consequences of skipping it are not theoretical.
The facility reported a correction date of October 15, 2025, one month after inspectors completed their visit.
But the PASARR citation was one item on a list of 31. Thirty-one separate areas where inspectors found Aurora Valley Care falling short during a single complaint inspection conducted on September 15, 2025. The inspection was triggered by a complaint, meaning someone, a resident, a family member, a staff member, or a visitor, contacted regulators with concerns serious enough to bring inspectors through the door.
Complaint inspections are not routine check-ins. They are responses to specific allegations. The 31 deficiencies inspectors documented when they arrived represent findings across resident assessment and care planning and other regulatory categories, a breadth that suggests the concerns that prompted the visit were not isolated to a single problem.
The inspection report available for this article details the PASARR deficiency specifically. The full scope of the remaining 30 citations, what was found, how many residents were affected, and what the severity levels were across those findings, is contained in the complete inspection record.
What the record establishes is the count: 31 deficiencies. At a facility that was already the subject of a complaint.
Aurora Valley Care is not a facility appearing in the public record for the first time. Nursing homes that accumulate deficiencies at this rate in a single inspection cycle draw scrutiny from federal and state regulators, and the complaint that initiated this visit suggests that scrutiny was already warranted.
The mental health screening failure sits in a category that tends not to generate headlines the way medication errors or physical abuse citations do. There are no visible injuries to describe. The harm, when it occurs, is quieter: a resident who needed psychiatric services and didn't receive them, a person with an intellectual disability placed in an environment not equipped for their needs, someone whose condition worsened because nobody had formally assessed what that condition was in the first place.
The facility has told regulators it corrected the PASARR deficiency within 30 days of the inspection. Whether the correction was adequate, and whether the other 30 deficiencies have been addressed with the same speed, will be determined by follow-up inspection activity.
What the September visit documented is a facility where a complaint brought inspectors in, and inspectors found problems in 31 different areas, including one that concerns whether residents with mental illness or intellectual disabilities were properly identified and served from the moment they arrived.
For the resident or residents whose PASARR screening was deficient, the question of whether they received the right level of care, in the right setting, with the right services, remains one the inspection report does not answer.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Aurora Valley Care from 2025-09-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 21, 2026 · Our methodology
AURORA VALLEY CARE in SPOKANE, WA was cited for violations during a health inspection on September 15, 2025.
Inspectors found Aurora Valley Care had failed to properly conduct that screening, known as a PASARR evaluation, for at least one resident.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.