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.
Sunshine Health & Rehab is a 4-star Medicare and Medicaid certified nursing home in Spokane, Washington with 37 certified beds. It has been operating since 1992. Its overall CMS rating is 4 out of 5.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure services provided by the nursing facility meet professional standards of quality.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Allow residents to self-administer drugs if determined clinically appropriate.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
+ 2 more deficiencies
No penalties on record.
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 |
|---|---|---|---|---|
| DIKES, CAROL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 21% | Jan 1, 2021 |
| DIKES, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 21% | Jan 1, 2021 |
| DIKES, NATHAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 40% | Jan 1, 2021 |
| RHOADS, PATRICK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 19% | Jan 1, 2021 |
| DIKES, NATHAN | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2007 |
| RHOADS, PATRICK | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2007 |
| DIKES, CAROL | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2007 |
| DIKES, DAVID | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2007 |
| DIKES, JENNIFER | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2007 |
| DIKES, NATHAN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2007 |
| RHOADS, PATRICK | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2007 |
| RHOADS, SHERRI | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2007 |
| ULRICH, WILLIAM | CORPORATE OFFICER | Individual | N/A | Nov 4, 2014 |
Compare CMS ratings and recorded fines for Sunshine Health & Rehab 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.