North Central Care Center in Spokane, WA is owned by a for-profit corporation, in Spokane, WA, in zipcode 99205, is in the Western states, Medicaid certified, Medicare certified, cited for abuse or neglect at a harm or potential-harm level, had a deficiency in how to conduct testing and exercise requirements, had a deficiency in how to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, had a deficiency in how to develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals, had a deficiency in how to ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions, had a deficiency in how to ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, had a deficiency in how to ensure that special areas is constructed so that walls can resist fire for one hour or have an approved fire extinguishing system, had a deficiency in how to have simulated fire drills held at unexpected times, had a deficiency in how to install an approved automatic sprinkler system, had a deficiency in how to keep aisles, corridors, and exits free of obstruction in case of emergency, had a deficiency in how to procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, had a deficiency in how to provide and implement an infection prevention and control program, had a deficiency in how to provide appropriate treatment and care according to orders, resident's preferences and goals, had a severe deficiency in how to protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, has a Resident Council, has automatic sprinklers in all required areas, improved or reached best on scores over the last two years (3 in total), doesn't have payment denials, had a deficiency in both health and fire safety, has a 5-star rating in short-stay quality measures, has a 1- or 2-star rating in both overall and health inspection, has a 4- or 5-star rating in each of quality measures, long-stay quality measures, and short-stay quality measures, is worse than the nationwide mental-health averages in each of short-stay residents who newly received an antipsychotic medication, long-stay residents who received an antipsychotic medication, and long-stay residents who have depressive symptoms, is better than the nationwide hospital-related averages in each of short-stay residents who had an outpatient emergency department visit, short-stay residents who were rehospitalized after a nursing home admission, outpatient emergency department visits per 1,000 long-stay resident days, and hospitalizations per 1,000 long-stay resident days, is worse than the nationwide averages in short-stay residents who made improvements in function, newly received an antipsychotic medication, and were assessed and appropriately given the pneumococcal vaccine, is better than the nationwide averages in short-stay residents who were assessed and appropriately given the seasonal influenza vaccine, had an outpatient emergency department visit, and were rehospitalized after a nursing home admission, is worse than the nationwide physical-health averages in long-stay residents who were high-risk and had pressure ulcers, experienced one or more falls with major injury, had a catheter inserted and left in their bladder, and lose too much weight (4 total), and is better than the nationwide physical-health averages in long-stay residents who became less able to move independently, were physically restrained, has a urinary tract infection, and were low-risk and lost control of their bowels or bladder (4 total).

Numeric values:
- total fines ($55,754)
- change in total fines over two years (+$46,459)
- incentive bonus payments per $1M in claims ($3,680)
- total fines per resident ($636.50)
- long-stay residents assessed and appropriately given the pneumococcal vaccine (97.3%)
- long-stay residents assessed and appropriately given the seasonal influenza vaccine (95.7%)
- certified-bed occupancy rate (86.7%)
- short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (85.9%)
- short-stay residents assessed and appropriately given the pneumococcal vaccine (77.6%)
- short-stay residents who made improvements in function (59.0%)
- low-risk long-stay residents who lose control of their bowels or bladder (42.7%)
- long-stay residents who received an antipsychotic medication (34.1%)
- long-stay residents who received an antianxiety or hypnotic medication (22.7%)
- long-stay residents who have depressive symptoms (15.8%)
- long-stay residents who lose too much weight (15.4%)
- long-stay residents whose need for help with daily activities has increased (14.5%)
- short-stay residents who were rehospitalized or had an outpatient emergency department visit (12.3%)
- long-stay residents whose ability to move independently worsened (11.5%)
- short-stay residents who were rehospitalized after a nursing home admission (9.4%)
- high-risk long-stay residents with pressure ulcers (8.3%)
- long-stay residents experiencing one or more falls with major injury (6.9%)
- short-stay residents who newly received an antipsychotic medication (3.6%)
- short-stay residents who had an outpatient emergency department visit (2.9%)
- long-stay residents with a catheter inserted and left in their bladder (2.1%)
- long-stay residents with a urinary tract infection (1.5%)
- long-stay residents who were physically restrained (0.0%)
- change in health-inspection rating over two years (0 stars)
- change in overall rating over two years (-1 star)
- change in quality-measures rating over two years (+1 star)
- change in residents in certified beds over two years (-2.3)
- health-inspection rating (2 stars)
- long-stay quality-measures rating (4 stars)
- overall rating (2 stars)
- quality-measures rating (4 stars)
- short-stay quality-measures rating (5 stars)
- change in facility-reported incidents or substantiated complaints over two years (0)
- change in last-inspection-cycle health-deficiency score over two years (-79)
- change in last-inspection-cycle total health-inspection score over two years (-79)
- change in total last-inspection-cycle fire-safety deficiencies over two years (+6)
- change in total last-inspection-cycle health deficiencies over two years (0)
- change in total weighted health survey score over two years (-13.0)
- count of administration deficiencies (2)
- count of automatic sprinkler systems deficiencies (0)
- count of construction deficiencies (0)
- count of corridor walls and doors deficiencies (0)
- count of electrical deficiencies (0)
- count of emergency plans and fire drills deficiencies (0)
- count of emergency preparedness deficiencies (3)
- count of environmental deficiencies (1)
- count of exit deficiencies (1)
- count of fire alarm systems deficiencies (0)
- count of freedom from abuse, neglect, and exploitation deficiencies (0)
- count of gas, vacuum, and electrical systems deficiencies (0)
- count of hazardous area deficiencies (0)
- count of illumination and emergency power deficiencies (0)
- count of interior deficiencies (0)
- count of laboratories deficiencies (0)
- count of medical gases and anesthetizing areas deficiencies (0)
- count of miscellaneous deficiencies (2)
- count of nursing and physician services deficiencies (2)
- count of nutrition and dietary deficiencies (1)
- count of pharmacy service deficiencies (2)
- count of quality of life and care deficiencies (4)
- count of resident assessment and care planning deficiencies (3)
- count of resident rights deficiencies (3)
- count of services deficiencies (1)
- count of smoke deficiencies (3)
- count of smoking regulations deficiencies (0)
- facility-reported incidents (7)
- facility-reported incidents or substantiated complaints (8)
- facility-reported incidents or substantiated complaints per 100 residents in a certified bed (9.1)
- fines (2)
- health deficiencies during the last inspection cycle (20)
- health deficiencies from complaint surveys during the last inspection cycle (2)
- health deficiencies from the standard survey during the last inspection cycle (18)
- health-deficiency score during the last inspection cycle (148)
- hospitalizations per 1,000 long-stay resident days (0.54)
- outpatient emergency department visits per 1,000 long-stay resident days (0)
- payment denials (0)
- substantiated complaints (1)
- total health-inspection score during the last inspection cycle (148)
- total number of fire-safety deficiencies (10)
- total number of health deficiencies (18)
- total penalties (2)
- total weighted health survey score during the last 3 inspection cycles (147.2)
- certified beds (101)
- residents in certified beds (87.6)
- years certified for Medicare/Medicaid (28.7)