Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Regency At Northpointe during CMS and state inspections, most recent first.
A resident with a history of infections and sepsis, who was ventilator-dependent and unable to communicate, experienced multiple episodes of elevated heart rate over several days. Despite repeated abnormal vital signs, nursing staff did not consistently assess the resident or notify the provider as required. The lack of timely intervention and documentation led to the resident's hospitalization for sepsis and respiratory failure.
The facility failed to ensure proper hand hygiene and hair covering during food preparation and serving. Staff were observed with inadequate hairnets and improper handwashing practices, exposing residents to potential food contamination.
A facility failed to report and thoroughly investigate an alleged neglect incident involving a resident who waited three hours for hygiene assistance. The facility's policy required immediate reporting to the Abuse Hotline, but the incident was not logged or reported. The investigation lacked documentation of interviews with the resident and staff, and the Administrator admitted to conducting interviews over the phone without written statements.
The facility failed to document and convey necessary information during the transfer of two residents to the hospital, compromising the transition of care. For one resident, essential details such as the basis for transfer and contact information were missing. For another, there was no record of what information was provided to the hospital. This lack of documentation was confirmed by the DON and Medical Records Supervisor.
The facility failed to update care plans for two residents, risking their quality of life. A resident with cognitive impairment and a history of stroke was observed with clenched fists and no protective devices, despite being at risk for contractures. Another resident's preference for daily showers was not reflected in their care plan, which only noted the need for assistance without specifying preferences. Staff acknowledged these omissions.
A resident with significant impairments following a stroke did not receive necessary assistance with meal setup, as required by their care plan. Observations showed meals were not appropriately prepared, such as not cutting up food or peeling a banana, which the resident could not do independently due to a contracted hand. Staff confirmed the resident needed assistance to prevent inadequate nutritional intake, yet the facility failed to consistently provide this support.
A resident with hearing impairment and moderate cognitive impairment was not provided with adequate hearing services in a LTC facility. Despite using hearing aids, the resident struggled to hear and communicated using a notebook. Staff were unaware of hearing aid issues, and the care plan lacked instructions for hearing aid care and audiology referrals. Ear wax build-up was identified, but the facility did not fully address the resident's hearing needs.
A resident was at risk for injury due to the improper use of a T/pump heating device, which was set to the highest temperature in continuous mode without specific provider orders. The facility failed to document the use of the heating pad and did not provide detailed instructions for its application and monitoring, as acknowledged by staff and the DON.
Two residents in a LTC facility experienced inadequate care for incontinence issues. One resident, who was cognitively intact, was frequently incontinent of bowel and reported that staff did not offer a bedpan or bedside commode as preferred. The care plan lacked effective interventions to manage incontinence episodes. Another resident experienced frequent bowel and bladder incontinence, with staff not available when needed, leading to episodes of incontinence. The care plan included a bladder retraining program, but there were no clear instructions for implementation. Staff interviews revealed a lack of comprehensive evaluation and implementation of care plans, placing residents at risk for further decline.
A resident with heart failure and an acute kidney infection was on a fluid restriction of 1,800 mL per day. However, discrepancies in fluid intake documentation by LNs and NAs led to inconsistent monitoring, with actual intake ranging from 540 mL to 1,400 mL, never reaching the required 1,500 mL. This placed the resident at risk for dehydration, as acknowledged by the Resident Care Manager.
A facility failed to maintain clean oxygen equipment and follow prescribed orders for a resident with hypoxia. The resident was not given oxygen when levels were below 92%, and the oxygen concentrator was found unclean with dusty filters. The nasal cannula and tubing were improperly stored, leading to potential contamination. Staff confirmed the equipment was not maintained as required.
A facility failed to monitor a resident's blood pressure as required when administering Metoprolol, a medication for high blood pressure. The physician's order specified holding the medication if certain parameters were not met, but records showed that blood pressures were not consistently taken before administration. The DON confirmed the oversight, noting the order was missed on the MAR.
Failure to Assess and Notify Provider of Persistent Tachycardia Leading to Hospitalization
Penalty
Summary
The facility failed to consistently assess and adequately follow up on a change in condition for a resident who was dependent on staff, non-communicative, and required mechanical ventilator support. The resident had a history of lung and skin infections with multiple drug-resistant organisms and a prior episode of sepsis. According to the care plan, the resident's respiratory status and vital signs were to be monitored every six hours, with staff responsible for identifying and responding to abnormalities. From early to mid-December, the resident's heart rate was documented as elevated above 100 bpm on multiple occasions over several days. Despite these abnormal findings, there was no documented nursing assessment or timely notification to the medical provider regarding the persistent tachycardia. The respiratory therapist notified nursing staff of the elevated heart rate, but subsequent nursing assessments and provider notifications were either not performed or not documented. Blood pressure readings were also missing for a significant period during this time. It was not until the resident experienced a sudden increase in respiratory needs that immediate action was taken, resulting in hospital transfer and a diagnosis of abdominal sepsis and acute on chronic respiratory failure. Interviews with staff confirmed that the expected protocol of reassessment, documentation, and provider notification was not followed in response to the resident's change in condition, and that the provider was not fully informed of the extent and duration of the elevated heart rate.
Deficiency in Hand Hygiene and Hair Covering in Food Service
Penalty
Summary
The facility failed to ensure proper hand hygiene and use of hair coverings during food preparation and serving, as observed in two separate kitchen inspections. During the first observation, a prep cook was seen with a hairnet that only covered the bun on top of their head, leaving loose hair exposed. In a subsequent observation, a cook was found serving food without any hair restraint, while other staff members had hairnets that inadequately covered their hair, leaving bangs and side hair exposed. Interviews with the staff revealed a lack of adherence to proper hair covering protocols, with some staff admitting to forgetting or improperly wearing hair restraints. Additionally, the facility did not adhere to proper hand hygiene practices. During one observation, the dietary manager washed their hands for only two seconds before putting on gloves and preparing food. Another staff member was observed changing gloves without performing hand hygiene in between, despite acknowledging the importance of hand hygiene in preventing disease transfer. These lapses in hand hygiene and hair covering protocols exposed all residents to potential food contamination and foodborne illness.
Failure to Report and Investigate Alleged Neglect
Penalty
Summary
The facility failed to implement its Abuse and Neglect Prohibition Policies and Procedures, specifically in reporting to the State Agency within the required timeframe and conducting a thorough investigation of an abuse allegation involving a resident. The policy required immediate reporting to the Abuse Hotline within two hours if serious bodily injury was involved, or within 24 hours if not. However, the facility did not report the incident involving Resident 397, who alleged neglect due to a delay in receiving assistance for hygiene care after a bowel movement. Resident 397, identified as cognitively intact and requiring assistance with activities of daily living, reported waiting three hours for staff assistance after a bowel movement. The resident's complaint was not documented in the facility's incident log, and the investigation conducted was incomplete. The incident report, completed a day after the complaint, lacked documentation of re-interviews with the resident or detailed interviews with staff and other residents. The Director of Nursing provided an incident report but failed to include necessary details such as who conducted the interviews and the content of those interviews. The facility's Administrator, who also served as the Abuse Coordinator, acknowledged the failure to log the incident and report it to the Abuse Hotline. The Administrator believed the incident did not meet the criteria for neglect as it was witnessed by staff, despite the policy's requirement to report all alleged violations. The investigation lacked supporting documentation, and the Administrator admitted to conducting interviews over the phone without obtaining written statements.
Failure to Document and Convey Necessary Information During Resident Transfers
Penalty
Summary
The facility failed to adequately document and convey necessary information during the transfer of two residents to the hospital, which is a requirement for ensuring a safe and effective transition of care. For Resident 94, the facility did not document the communication of essential information to the hospital at the time of transfer, including the basis for the transfer, specific resident needs, facility attempts to meet those needs, and contact information for the resident's practitioner and representative. Additionally, there was no record of advance directive information, special instructions, comprehensive care plan goals, or a discharge summary being provided. This lack of documentation was confirmed by the Director of Nursing upon review. Similarly, for Resident 67, who had a history of a broken vertebra and stroke, the facility did not document what information was provided to the hospital to ensure continuity of care during the transfer. Although the licensed nurse reported calling the emergency room, there was no documentation in the resident's medical record of the specific information conveyed. The Medical Records Supervisor and Director of Nursing confirmed that the required hospital transfer documentation was not completed in the resident's assessment section, indicating a failure to follow the facility's protocol for hospital transfers.
Failure to Revise Care Plans for Residents
Penalty
Summary
The facility failed to revise care plans for two residents, leading to potential risks for their well-being. Resident 64, who was severely cognitively impaired and non-verbal with a history of stroke, was observed multiple times with clenched fists and no hand splints or palm protector devices in place. Despite receiving restorative services and being identified as at risk for contractures, the care plan did not include interventions to prevent contractures or skin breakdown related to the resident's clenched hands. Staff interviews revealed that rolled washcloths were supposed to be used as a preventative measure, but observations showed they were not consistently in place. Resident 397 expressed a preference for daily showers, which was not reflected in their care plan. The admission assessment indicated that choosing the mode and frequency of bathing was very important to the resident, yet the care plan only noted the need for assistance without specifying the resident's preferences. Staff acknowledged the omission, indicating a failure to incorporate the resident's bathing preferences into the care plan.
Failure to Assist Resident with Meal Setup
Penalty
Summary
The facility failed to provide necessary assistance to Resident 67, who had significant impairments following a stroke, including paralysis of the right side, difficulty speaking and swallowing, and severe calorie malnutrition. The resident required partial to moderate assistance for eating, as documented in their care plan, which specified the need for staff assistance to set up meals. However, observations revealed that meals were not appropriately prepared or set up for the resident, such as not cutting up food items or peeling a banana, which the resident could not do independently due to a contracted right hand. Multiple instances were noted where Resident 67 was left with meals that were not suitable for their dietary needs or physical capabilities, such as a whole burrito and an unpeeled banana. Staff interviews confirmed that the resident needed assistance with meal preparation to prevent fatigue or loss of interest in eating, which could lead to inadequate nutritional intake. Despite the resident's risk for weight loss and the need for assistance, the facility did not consistently ensure that meals were properly set up, contributing to the resident's ongoing nutritional challenges.
Failure to Address Hearing Needs of Resident
Penalty
Summary
The facility failed to ensure that a resident with a hearing impairment received the necessary treatment and services to maintain their hearing abilities. The resident, who was admitted with medically complex conditions and moderate cognitive impairment, was identified as having highly impaired hearing and used hearing aids. Despite this, the resident was observed on multiple occasions unable to hear the surveyor, even when wearing hearing aids, and resorted to using a notebook for communication. The care plan for the resident noted a communication problem related to being hard of hearing and instructed staff to ensure hearing aids were in place and to refer to audiology for a hearing consult, but there was no evidence of follow-up on these instructions. Staff interviews revealed a lack of awareness and action regarding the resident's hearing aid issues. A nursing assistant stated that the resident took care of their hearing aids and that staff only provided the case for charging, without recognizing any malfunction concerns. The resident care manager acknowledged the care plan's failure to include the resident's preference for written communication and the necessary assistance for hearing aid care. Additionally, the social services assistant noted the resident's moderate cognitive impairment score was reflective of their hearing difficulties, yet no further inquiry or audiology referral was pursued. The resident's hearing aids were serviced by a collateral contact, and ear wax build-up was identified as a potential issue affecting hearing. A licensed practical nurse discovered ear wax occlusion in one ear and initiated treatment with ear drops. Despite these findings, the facility did not adequately address the resident's hearing needs, as evidenced by the lack of a comprehensive care plan and follow-up on audiology referrals, contributing to the resident's continued communication challenges.
Inadequate Heat Therapy Management for Resident
Penalty
Summary
The facility failed to implement adequate measures to ensure the safe use of heat therapy for a resident, identified as Resident 397, who was cognitively intact and required assistance with activities of daily living. The resident was observed using a T/pump heating device set to the highest temperature setting in continuous mode without specific provider orders detailing the temperature setting, duration, or monitoring requirements. The resident was unaware of the different settings available on the T/pump, and the staff did not document the application of the heating pad in the Medication Administration Record, despite its observed use. Interviews with staff revealed a lack of specific instructions in the provider orders regarding the T/pump settings and monitoring responsibilities. Staff acknowledged the risk of temperature-associated injury from the heating pad and the absence of detailed treatment orders. The Director of Nursing expressed the expectation for specific orders to guide the use of the T/pump, including time frames, settings, and monitoring responsibilities, which were not present in the current orders.
Inadequate Incontinence Care for Two Residents
Penalty
Summary
The facility failed to provide adequate care for two residents, identified as Resident 396 and Resident 397, who were experiencing incontinence issues. Resident 396, who was cognitively intact and dependent on staff for various activities of daily living, was frequently incontinent of bowel. Despite being aware of their needs and using the call light appropriately, the resident reported that staff did not offer a bedpan or bedside commode, which they preferred for comfort and to avoid pain. The care plan for Resident 396 included offering a bedpan or bedside commode, but there were no interventions to anticipate or manage the resident's bowel incontinence episodes effectively. Resident 397, also cognitively intact and dependent on staff for transfers and toileting hygiene, experienced frequent bowel and bladder incontinence. The resident reported that staff were not available when needed, leading to episodes of incontinence. The care plan for Resident 397 included a bladder retraining program and the use of a bedpan or bedside commode, but there were no clear instructions on how to implement these interventions. Additionally, the staff had not evaluated the resident's bowel incontinence, and there was no documentation of a toileting program to address the resident's needs. Interviews with staff revealed a lack of comprehensive evaluation and implementation of care plans for both residents. Staff acknowledged the absence of a toileting program and the failure to evaluate and address the residents' incontinence issues effectively. The facility's policy of checking on residents every two hours was not sufficient to meet the needs of these residents, and there was a lack of coordination between the nursing and therapy departments to implement bladder retraining programs. This deficiency placed the residents at risk for continued decline in bowel and bladder function, skin issues, and emotional distress.
Inaccurate Fluid Monitoring for Resident on Fluid Restriction
Penalty
Summary
The facility failed to accurately monitor the fluid intake of a resident who was on fluid restrictions due to medically complex conditions, including heart failure and an acute kidney infection. The resident was admitted with a requirement to restrict fluid intake to 1,800 mL per day, as documented in the Medication Administration Record (MAR). However, discrepancies were found between the fluid amounts documented by Licensed Nurses (LNs) and Nursing Assistants (NAs) in the medical record and the total daily tally in the MAR. The documented fluid intake fluctuated significantly, with actual consumption ranging from 540 mL to 1,400 mL, and on several days, the intake was below one liter, never reaching the required 1,500 mL. Observations revealed that the resident was unaware of the reason for the fluid restriction, and signage indicating the restriction was present above the resident's bed. Interviews with staff confirmed that health shakes were included in the fluid tally, but the overall documentation did not match the required fluid restriction orders. This inconsistency in monitoring placed the resident at risk for dehydration, as acknowledged by the Resident Care Manager, who confirmed the inaccuracies in fluid monitoring documentation.
Failure to Maintain Clean Oxygen Equipment and Follow Orders
Penalty
Summary
The facility failed to maintain oxygen delivery equipment in a clean manner and did not follow oxygen orders for a resident with morbid obesity, high blood pressure, and moderate cognitive impairments. The resident was prescribed oxygen to maintain saturation levels above 91% due to hypoxia. However, the resident was not administered oxygen when levels fell below 92% on multiple occasions throughout August 2024. Additionally, the oxygen tubing was not changed as ordered on specific dates, and the oxygen concentrator was found to be unclean with thick dust and debris in the vented area and filter. Observations revealed that the resident was not wearing oxygen when needed, and the nasal cannula and oxygen tubing were found lying on the floor, undated, and not stored properly. Staff confirmed that the equipment was not maintained as required, with the Respiratory Therapy Director acknowledging the dusty filter and improper storage of the tubing. Interviews with staff highlighted the importance of keeping oxygen equipment clean and discarding nasal cannulas that touched the floor to prevent contamination.
Failure to Monitor Blood Pressure Medication Administration
Penalty
Summary
The facility failed to consistently monitor blood pressure medications for a resident diagnosed with high blood pressure, leading to a deficiency in medication management. The physician had prescribed Metoprolol to be administered twice daily, with specific instructions to hold the medication if the heart rate was below 60 beats per minute or if the systolic blood pressure was under 100. Additionally, the nursing staff was required to notify the physician if the resident's blood pressure fell outside these parameters. However, a review of the Medication Administration Record for July and August 2024 revealed that blood pressures were not taken prior to administering the medication as instructed. Furthermore, the Vitals Parameters report indicated that the resident's blood pressure was not consistently monitored twice daily, and the timing of blood pressure checks did not always align with medication administration. The Director of Nursing acknowledged that the blood pressure should have been monitored with each administration and that the oversight was due to the order being missed on the MAR.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 214 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Spokane
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avalon Care Center At Northpointe | 0.5 mi | ★★★★★ | 2 | 0 |
| Royal Park Health And Rehabilitation | 1.5 mi | ★★★★★ | 15 | 0 |
| Spokane Falls Care | 2.5 mi | ★★★★★ | 34 | 0 |
| Spokane Health & Rehabilitation | 2.8 mi | ★★★★★ | 1 | 0 |
| North Central Care Center | 4.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Regency At Northpointe.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.