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Complaint Investigation

Aurora Valley Care

February 21, 2025 · Spokane, WA · 414 S University Rd
Citations 1
CMS Rating 2/5
Beds 124
Provider ID 505114
Healthcare Facility
Aurora Valley Care
Spokane, WA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  10 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

AURORA VALLEY CARE in SPOKANE, WA — inspection on February 21, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF791
Minimal harm or Few Based on interview and record review, the facility failed to ensure behavioral health needs were met for 1 of affected

Findings included .

Review of Resident 1's electronic medical record showed that they admitted to the facility on [DATE] with diagnoses of right sided hemiplegia (almost complete paralysis of one side of body) and hemiparesis (weakness on one side of body) following a stroke, mild dementia, anxiety, malnutrition and infected wounds in the bone (osteomyelitis) of their left foot.

Review of assessments completed for Resident 1 showed that on 12/09/2025 a depression screen was completed (PHQ-9) by Staff M, Social Services Assistant, with a score of 17, indicating the resident had moderately severe depression symptoms.

Further review showed an assessment for cognition (BIMS) on the same day with a score of 13, indicating the resident's cognition was intact.

Further review of assessments completed for Resident 1 showed that on 12/06/2024 Staff F, Occupational Therapist, completed a more thorough cognition assessment (SLUMS) which indicated the resident had a mild neurocognitive disorder (mild dementia).

The same assessment was completed after the resident was noted to have refusals of care and participation with therapy on 01/13/2025 with a score that indicated dementia, a decline in cognition from the previous assessment.

Review of an admit skin assessment dated [DATE] showed the following wounds:

1) Dry, scabbed areas to both inner/upper buttock cheeks.

2) Open area on the left heel.

3) Scabbed over (eschar) wound to left 2nd toe.

Review of nursing progress notes from admit 12/05/2024 through 12/11/2024 indicated Resident 1 had some preferences for care but no concerns for refusals of care were noted.

Further review of nursing progress notes showed that on:

12/16/2024 at 10:30 AM, Staff N, Licensed Practical Nurse, wrote Resident 1 refuses meds intermittently.

505114

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 505114 B.

Wing 02/21/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Aurora Valley Care 414 S University Rd Spokane, WA 99206

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SPOKANE, WA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AURORA VALLEY CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.