Not rated by CMS — ratings are suppressed for new or low-volume facilities.
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 Touchmark On South Hill Nursing during CMS and state inspections, most recent first.
The facility failed to label food items with the date opened and discard expired food, risking food-borne illnesses. Observations revealed unlabeled chips, cereal, marshmallows, crackers, and juice, along with expired barbeque sauce and chocolate milk. Staff acknowledged the need for proper labeling and disposal.
The facility failed to offer influenza and pneumococcal vaccines to two residents, as required. Both residents, capable of making decisions about their care, had no documentation in their records indicating they were offered these vaccines. Forms related to the vaccines were found blank, undated, and unsigned, indicating a lapse in the facility's vaccination protocol.
The facility failed to obtain informed consents for psychotropic medications for three residents, violating resident rights. A resident with depression was given Aripiprazole, another with dementia and depression received Fluoxetine and Risperidone, and a third with Parkinson's disease was administered Clonazepam, all without documented consents. The DON confirmed the oversight, noting consents should have been obtained prior to medication administration.
Three residents experienced misappropriation of personal belongings and money due to inadequate security measures and inconsistent documentation. A resident reported missing cash and gift cards, which were later removed by staff for safekeeping but went missing from the facility safe. Another resident's wallet with bank cards and identification was lost, causing significant distress. A third resident's money clip and cash were believed to be discarded accidentally. Staff interviews revealed inconsistencies in handling personal items, and the facility's administrator acknowledged a pattern of missing items.
The facility failed to properly assess and monitor wounds for three residents, leading to the development and worsening of pressure injuries. A resident admitted with existing pressure injuries did not receive appropriate interventions, resulting in new wounds. Another resident developed a stage 1 pressure injury due to prolonged periods of lying on their back, while a third resident developed a pressure injury on their right buttock due to inadequate monitoring and interventions.
The facility failed to report and investigate potential misappropriation of property for two residents who reported missing items shortly after admission. Resident 2's missing wallet contained sensitive information, while Resident 3's missing money clip included cash. Staff interviews revealed a lack of awareness and understanding of the incidents, which were not logged or investigated as required by facility policies.
A resident was admitted to a facility with pressure injuries, but the initial MDS assessment inaccurately documented no injuries. Later assessments revealed unstageable and Stage 3 pressure injuries, which were not reflected in the MDS as of the ARD. Staff interviews confirmed the presence and worsening of these injuries, highlighting a significant oversight in documentation.
Two residents in an LTC facility experienced significant medication errors due to transcription mistakes and failure to adhere to administration parameters. One resident received an incorrect dosage of Torsemide, worsening their respiratory condition, while another was given Carvedilol without proper vital sign checks, leading to potential health risks. Staff interviews highlighted lapses in following medication protocols.
The facility failed to implement effective infection control measures, as evidenced by improper application of transmission-based precautions and inadequate signage for residents with infections. A resident with severe cognitive impairment continued communal activities despite gastrointestinal symptoms, while another resident had precautions removed prematurely. Staff interviews highlighted a lack of understanding of required PPE, contributing to the deficiency.
A resident with a history of a repaired hip fracture and unsteadiness was left naked and cold on the toilet by a nursing assistant after their wet clothing was removed. The resident felt humiliated and distressed, and the incident led to the termination of the nursing assistant involved.
The facility failed to provide necessary supervision to a high fall risk resident who was confused and agitated. Despite being frequently moved to the nurses' station for closer monitoring, the resident was found with bruising on their face and a small acute intracranial hemorrhage indicative of a fall. The Director of Nursing acknowledged that the resident must have hit their head while at the facility.
Failure to Label and Discard Expired Food Items
Penalty
Summary
The facility failed to ensure proper labeling and disposal of food items, which placed residents at risk for food-borne illnesses. During an initial tour of the facility kitchen, surveyors observed a bag of Ruffles potato chips and a container of Raisin Bran cereal without labels indicating the date they were opened. Additionally, a jug of barbeque sauce was found with an expired date. In the resident nourishment refrigerator/freezer, an opened bag of marshmallows, snack-sized bags of graham crackers and saltine crackers, a carton of chocolate milk with an expired date, and a jar of unidentified juice without a label were found. Staff C, the Dietary Manager, acknowledged the need to discard unlabeled and expired items, while Staff D, the Dietary Director, confirmed awareness of the issue and the requirement for all food to be labeled and discarded when expired.
Failure to Offer Required Vaccinations
Penalty
Summary
The facility failed to ensure that influenza and pneumococcal immunizations were offered to two residents, as required. Resident 13, who was documented as capable of making decisions regarding their care, had no documentation in their record indicating that they were offered the pneumococcal vaccine. Although a form titled Pneumococcal (PPV) and Pneumococcal (PCV-13) was present in the resident's record, it was blank, undated, and unsigned, failing to show whether the resident had been offered or declined the vaccine. Similarly, Resident 14, also documented as capable of making decisions regarding their care, had no documentation in their record indicating that they were offered either the influenza or pneumococcal vaccines. The forms titled Flu Vaccine and Pneumococcal (PPV) and Pneumococcal (PCV-13) were found in the resident's record but were also blank, undated, and unsigned, failing to indicate whether the resident had been offered or declined the vaccines. This lack of documentation and offering of vaccines was confirmed during interviews with the facility's Administrator and Infection Preventionist.
Failure to Obtain Informed Consents for Psychotropic Medications
Penalty
Summary
The facility failed to obtain informed consents for the administration of psychotropic medications for three residents, which is a violation of resident rights. Resident 5, who had moderate cognitive impairment and a diagnosis of depression, was prescribed Aripiprazole without a documented consent. Similarly, Resident 13, with severe cognitive impairment and diagnoses of dementia and depression, was administered Fluoxetine and Risperidone without consents. Resident 11, diagnosed with Parkinson's disease and receiving Clonazepam for insomnia, also lacked a documented informed consent. Interviews with the Director of Nursing (DON) confirmed the absence of informed consents for these medications. The DON acknowledged that consents should have been obtained prior to the administration of any psychotropic medication. This oversight was attributed to missed consents before the current DON assumed their role, indicating a lapse in the facility's protocol for ensuring residents are fully informed and able to participate in their treatment decisions.
Misappropriation of Resident Property
Penalty
Summary
The facility failed to protect residents from the misappropriation of their personal belongings and money, affecting three residents. Resident 1, who was cognitively intact, reported missing cash and gift cards shortly after admission. Despite having a locking nightstand, the lock was not functional, leading to the loss of $526. Later, additional cash and gift cards were removed from Resident 1's room by staff for safekeeping in the facility safe, but these items also went missing. Interviews with staff revealed inconsistencies in the handling and documentation of personal items, and the facility's policy on liability for lost items was unclear. Resident 2, also cognitively intact, reported a missing wallet containing various bank cards and personal identification shortly after admission. The family confirmed that cash was taken home, but the wallet and its contents were left with the resident. Despite a search, the wallet was not found, and the facility offered to reimburse only the cost of a new wallet, not the contents. This incident led to significant distress for Resident 2, who exhibited suicidal ideation and refused care. Resident 3, who had bilateral below-knee amputations, reported a missing money clip with cash shortly after admission. The resident believed the items were accidentally discarded due to incontinence issues. The facility credited the resident's account for the lost cash but did not recover the money clip. Interviews with staff indicated a lack of awareness and documentation regarding the missing items. The facility's administrator acknowledged a pattern of missing items, suggesting a systemic issue with securing residents' personal belongings.
Inadequate Pressure Ulcer Care and Monitoring
Penalty
Summary
The facility failed to consistently and accurately assess, monitor, and evaluate wounds for three residents, leading to the development and worsening of pressure injuries. Resident 4, who was admitted with existing pressure injuries, did not receive appropriate interventions such as pressure reduction devices or a turning/repositioning program. Despite being at risk for skin breakdown, the resident's wounds were not properly documented or measured, and new wounds developed during their stay. The resident's reluctance to use offloading boots and preference for lying on their back further contributed to the deterioration of their skin condition. Resident 5, admitted with no pressure injuries, developed a stage 1 pressure injury on their right buttock due to prolonged periods of lying on their back. Despite being at risk for pressure injuries, the facility did not implement adequate preventative measures, and the resident's condition was only addressed after they reported pain. The resident's recent illness and weight loss may have contributed to their increased vulnerability to skin breakdown. Resident 6, also admitted with no pressure injuries, developed a stage 1 pressure injury on their right buttock. The resident required assistance with activities of daily living and wore a back brace, which may have limited their mobility. The facility's failure to implement timely interventions and adequately monitor the resident's skin condition led to the development of the pressure injury. Staff interviews revealed inconsistencies in the documentation and assessment of wounds, contributing to the deficiencies observed.
Failure to Report and Investigate Missing Resident Property
Penalty
Summary
The facility failed to identify and report potential misappropriation of resident property to the State Survey Agency as required for two of three sampled residents. This deficiency involved Resident 2 and Resident 3, who both reported missing personal items shortly after their admission to the facility. The facility's policies on personal property, grievances, and abuse required that such incidents be reported and investigated as potential misappropriation, but this was not done in these cases. Resident 2, who was cognitively intact, reported a missing wallet containing debit and credit cards, social security information, and other personal items the day after their admission. Despite the significant contents of the wallet, the incident was not logged as a reportable event, nor was it investigated as potential misappropriation. Interviews with staff members revealed a lack of awareness and understanding of the incident, and it was acknowledged that the situation should have been reported and investigated according to the facility's policies. Similarly, Resident 3, also cognitively intact, reported a missing money clip with cash shortly after admission. The incident was not recorded in the facility's reporting log, and although the resident's account was credited for the lost money, the event was not treated as potential misappropriation. Staff interviews indicated a misunderstanding of the difference between a missing item and potential misappropriation, and it was recognized that the incident should have been reported and investigated. The facility administrator acknowledged a pattern of missing items and the high risk of theft or misappropriation, yet the incidents involving Resident 2 and Resident 3 were not appropriately addressed.
Inaccurate MDS Assessment for Resident with Pressure Injuries
Penalty
Summary
The facility failed to accurately reflect the status of a resident, identified as Resident 4, as of the assessment reference date (ARD) in their Minimum Data Set (MDS) assessment. This inaccuracy was discovered during a review of the resident's medical records and interviews with staff. Resident 4 was admitted to the facility with diagnoses including muscle weakness and ischemic cardiomyopathy and was at risk for pressure injury development. However, the initial admission assessment inaccurately documented that Resident 4 had no pressure injuries, while a modified assessment later indicated the presence of two unstageable and two Stage 3 pressure injuries. The deficiency was further highlighted by discrepancies in the documentation of Resident 4's skin condition. Hospital notes from prior to the resident's admission to the facility indicated the presence of pressure injuries and abrasions, which were not accurately reflected in the initial MDS assessment. Subsequent skin assessments and wound team evaluations documented the worsening of these injuries, including the development of new wounds, which were not captured in the MDS assessment as of the ARD. Interviews with facility staff, including a Registered Nurse, Resident Care Manager, and Wound Care Nurse, confirmed the presence and deterioration of these wounds, yet the MDS Coordinator acknowledged that the MDS did not accurately reflect the resident's condition at the time of the ARD. The failure to accurately document Resident 4's pressure injuries in the MDS assessment as of the ARD was a significant oversight. The MDS Coordinator admitted that the data used for the assessment was not within the appropriate time frame, and the original MDS inaccurately showed no pressure injuries upon admission. This inaccuracy placed the resident at risk of unmet care needs and diminished quality of life, as the MDS is a critical tool for assessing a resident's status and planning their care.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to accurately transcribe provider orders and consistently administer medications as ordered, resulting in significant medication errors for two residents. Resident 1, who was admitted with severe cardiorespiratory conditions, was prescribed 50mg of Torsemide daily to manage fluid retention and shortness of breath. However, due to a transcription error, the medication was entered as 10mg daily in the electronic medical record, and Resident 1 received the incorrect dosage for five days. This error led to worsening respiratory symptoms, weight gain, and eventually a discussion about hospice care. Resident 2, admitted with heart failure and chronic lung disease, was prescribed Carvedilol with specific blood pressure and heart rate parameters for administration. The facility failed to document vital signs consistently and administered the medication without adhering to the prescribed parameters on several occasions. This included administering Carvedilol when blood pressure readings were below the threshold for safe administration, as well as holding doses when parameters were met, without proper documentation or notification to the provider. Interviews with facility staff revealed a lack of adherence to medication administration protocols, including double-checking orders and documenting reasons for withheld medications. Staff acknowledged the errors and the importance of following medication parameters to prevent harm to residents. The facility's policies on medication administration and error reporting were not effectively implemented, contributing to the deficiencies observed.
Inadequate Infection Control and Precaution Implementation
Penalty
Summary
The facility failed to implement an effective infection prevention and control program, as evidenced by their inability to consistently apply transmission-based precautions and post appropriate signage for residents with infections. The facility's policy required documentation of signs and symptoms of communicable diseases and the implementation of immediate precautions to prevent the spread of infections. However, during a gastrointestinal outbreak, the facility did not adhere to these protocols, placing residents at risk of infection transmission. Resident 3, who had severe cognitive impairment and a history of stroke, dementia, and GERD, experienced multiple episodes of loose stools and vomiting. Despite these symptoms, Resident 3 continued to participate in communal dining and social activities, contrary to the facility's policy that required residents with gastrointestinal symptoms to remain in their rooms until symptom-free for 24 hours. Staff interviews confirmed that Resident 3 should not have been allowed to engage in group activities or communal dining during this period. Similarly, Resident 2, who was frequently incontinent and had a history of heart failure and chronic lung disease, was placed on contact enteric precautions for gastrointestinal upset. However, the precautions were prematurely removed before Resident 2 was symptom-free for 24 hours. Additionally, inappropriate signage was posted outside Resident 2's room, which did not align with the CDC guidelines for a skilled nursing environment. Staff interviews revealed a lack of understanding of the required personal protective equipment for different types of transmission-based precautions, further contributing to the deficiency.
Failure to Assist Resident with Activities of Daily Living
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living for a resident who was dependent on staff for care. The resident, who had a history of a repaired left hip fracture and unsteadiness on their feet, required staff assistance for toileting, transfers, personal hygiene, and dressing. On one occasion, a nursing assistant left the resident naked and cold on the toilet after removing their wet, soiled clothing. The resident reported feeling humiliated and distressed by the incident, which occurred after breakfast and was not addressed until another aide found them and provided assistance. Interviews with staff revealed that the Social Services Director became aware of the incident the following day and collected a statement from the resident, who expressed significant distress over the situation. The Director of Nursing was notified of the incident on the same day it occurred and expressed concern over the resident being left in such a state. The nursing assistant involved was subsequently terminated after discussions about their capabilities. The incident was documented in the facility's investigation records, highlighting the failure to meet the resident's care needs and maintain their dignity.
Failure to Provide Adequate Supervision for High Fall Risk Resident
Penalty
Summary
The facility failed to provide necessary supervision to Resident 2, who was identified as a high fall risk and was confused. Despite being noted for unsafe behaviors and attempts to self-transfer, the resident was found multiple times trying to get out of bed and was not adequately monitored. On one occasion, the resident was found lying on the floor with bruising on their face, which was later identified as a small acute intracranial hemorrhage indicative of a fall. The resident's medical records and staff interviews indicate that the resident was given narcotic pain medication and was frequently moved to the nurses' station for closer monitoring, but these measures were insufficient to prevent the fall and subsequent injury. Staff interviews revealed that the resident was very confused, agitated, and unable to be redirected, which contributed to their attempts to self-transfer. Despite these observations, the facility did not implement effective measures to prevent the resident from falling. The Director of Nursing acknowledged that the resident must have hit their head while at the facility, leading to the observed injuries. The failure to provide adequate supervision and prevent the fall resulted in the resident being sent to the emergency room for further evaluation and treatment.
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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
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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) |
|---|---|---|---|---|
| Alderwood Manor | 1.8 mi | ★★★★★ | 24 | 0 |
| South Hill Rehabilitation And Care Center | 2 mi | ★★★★★ | 2 | 0 |
| Spokane Veterans Home | 2.2 mi | ★★★★★ | 1 | 0 |
| Rockwood South Hill | 4.2 mi | ★★★★★ | 1 | 0 |
| Sunshine Health & Rehab | 5.3 mi | ★★★★★ | 13 | 0 |
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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.