CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Washington. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Avalon Care Center at Northpointe is a 1-star Medicare and Medicaid certified nursing home in Spokane, Washington with 119 certified beds. It has been operating since 1996. Its overall CMS rating is 1 out of 5.
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Allow residents to self-administer drugs if determined clinically appropriate.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
+ 44 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| AVALON CARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | Nov 26, 2003 |
| DANGERFIELD, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Apr 5, 2007 |
| KIRTON, BYRON | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 27, 2024 |
| KIRTON, HYRUM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 27, 2024 |
| KIRTON, SPENCER | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 27, 2024 |
| WOLTIL, ROBERT | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 23, 2012 |
| DANGERFIELD, DAVID | CORPORATE DIRECTOR | Individual | N/A | Apr 5, 2007 |
| KIRTON, BYRON | CORPORATE DIRECTOR | Individual | N/A | Aug 27, 2024 |
| KIRTON, HYRUM | CORPORATE DIRECTOR | Individual | N/A | Mar 22, 2018 |
| KIRTON, SPENCER | CORPORATE DIRECTOR | Individual | N/A | Aug 27, 2024 |
| WOLTIL, ROBERT | CORPORATE DIRECTOR | Individual | N/A | May 23, 2012 |
| BORISEVICH, MARIA | CORPORATE OFFICER | Individual | N/A | Jan 8, 2024 |
| HASH, ALAN | CORPORATE OFFICER | Individual | N/A | Aug 15, 2017 |
| KIRTON, HYRUM | CORPORATE OFFICER | Individual | N/A | Mar 29, 2022 |
| SMITH, NICOLE | CORPORATE OFFICER | Individual | N/A | Mar 1, 2023 |
| AVALON HEALTH CARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2003 |
| AVALON HEALTH CARE MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2003 |
| DELOITTE TAX LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 1, 2020 |
| EIDE BAILLY LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 1, 2021 |
| HHC HOLDCO LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 2021 |
| OMNICARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2023 |
| RELIANT PRO REHAB LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2019 |
| BERG, TRACY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2024 |
| BORISEVICH, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 8, 2024 |
| HASH, ALAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 15, 2017 |
| KIRTON, HYRUM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 29, 2022 |
| NEWELL, BRITTNEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 14, 2025 |
| NEWMAN, RITA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 15, 2024 |
| SMITH, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2023 |
| AVALON HEALTH CARE INC | ADP OF THE SNF | Organization | N/A | Apr 9, 2025 |
| AVALON HEALTH CARE MANAGEMENT INC | ADP OF THE SNF | Organization | N/A | Apr 9, 2025 |
| DELOITTE TAX LLP | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| EIDE BAILLY LLP | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| HHC HOLDCO LLC | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| OMNICARE LLC | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| RELIANT PRO REHAB LLC | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| BERG, TRACY | ADP OF THE SNF | Individual | N/A | Dec 1, 2024 |
| BORISEVICH, MARIA | ADP OF THE SNF | Individual | N/A | Jan 8, 2024 |
| HASH, ALAN | ADP OF THE SNF | Individual | N/A | Aug 15, 2017 |
| KIRTON, HYRUM | ADP OF THE SNF | Individual | N/A | Mar 29, 2022 |
| NEWELL, BRITTNEY | ADP OF THE SNF | Individual | N/A | Jun 14, 2025 |
| NEWMAN, RITA | ADP OF THE SNF | Individual | N/A | Apr 15, 2024 |
| SMITH, NICOLE | ADP OF THE SNF | Individual | N/A | Mar 1, 2023 |
Compare CMS ratings and recorded fines for Avalon Care Center at Northpointe and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 16 facilities. View all →