Aurora Valley Care: Staffing, Turnover, and Inspection Record
Aurora Valley Care is a 124-bed for-profit nursing home in Spokane, Washington, part of Caldera Care. In the CMS August 2026 release it reported 2.19 nurse aide hours per resident per day, 18% below the Washington average of 2.66, and 57.1% nursing staff turnover (Washington average 45.1%).
Aurora Valley Care
414 S University RdSpokane, WA 99206
Spokane County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Aurora Valley Care, nurse aides logged 2.19 hours per resident per day, 18% below the Washington average. With about 87 residents a day, that works out to roughly 190 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Washington avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.19 | 2.66 | 2.32 |
| Licensed practical nurses | 0.90 | 0.77 | 0.86 |
| Registered nurses | 0.62 | 0.94 | 0.69 |
| All nursing staff | 3.71 | 4.37 | 3.86 |
| All nursing staff, weekends | 3.14 | 3.81 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.1% of nursing staff at Aurora Valley Care left over the year CMS measured, against a Washington average of 45.1% and a US average of 45.8%. Registered nurse turnover was 12.5%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 15, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 34 health deficiencies (Washington average 16.1). CMS lists 1 fine totaling $93,457 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 9, 2024 | Fine | $93,457 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Aurora Valley Care holds 2 of 5 overall; the Washington average is 3.2.
About Aurora Valley Care
- Ownership: For profit - Limited Liability company
- Chain: Caldera Care, 6 homes
- Legal name: Aurora Valley Care LLC
- Medicare and Medicaid certified since: Jan 6, 1967
- Councils: resident and family councils
- Area: urban
Nursing homes near Aurora Valley Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Sunshine Health & Rehab Spokane | 0.6 | 37 | 2.65 | 4.99 | — | 4 | None |
| Sullivan Park Care Center Spokane | 2.3 | 125 | 2.16 | 3.68 | 52.3% | 1 | $126,188 |
| Alderwood Manor Spokane | 4.7 | 85 | 2.21 | 4.18 | 51.4% | 3 | None |
| Spokane Valley Health and Rehabilitation of Cascad Spokane Valley · staffing data not validated | 5.2 | 97 | — | — | — | 1 | $21,762 |
| Spokane Veterans Home Spokane | 7.0 | 100 | 2.61 | 4.02 | 34.8% | 5 | None |
| South Hill Rehabilitation and Care Center Spokane | 7.0 | 113 | 2.54 | 4.63 | 63.5% | 5 | None |
| Rockwood South Hill Spokane | 7.3 | 45 | 2.89 | 4.83 | — | 2 | None |
| Spokane Health & Rehabilitation Spokane · SFF candidate | 7.9 | 125 | 2.21 | 3.55 | 64.4% | 1 | $137,457 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.