Gardens Assisted Living
414 S University Rd, Spokane, WA 99206-5599
At Assisted Living Concepts, we create warm, supportive, home-like residences for older adults. From social, cultural and educational life enrichment programs to amenities that foster an easy way of life, our respect for each resident's individuality is at the center of all that we do. Our residences are a place where friendly faces and conversations are easy to come by; a place where independence and dignity are respected. A place to call home.
Operated by Assisted Living Concepts Inc, which runs 92 communities in our directory.
With 124 beds, Gardens Assisted Living is one of the larger communities in the area, senior care communities in Spokane average about 26 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Spokane average about 3.0 stars. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2025 and recorded 34 deficiencies.
Residents receive about 3.7 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 57%.
The community is located in Spokane County, WA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 102 problems at Gardens Assisted Living. 3 findings involved harm to a resident. 31 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $93,457.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, widespread
Resident Rights
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.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, widespread
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Could cause more than minimal harm, widespread
Administration
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
Show 26 more
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Could cause more than minimal harm, a pattern
Resident Rights
Give residents a notice of rights, rules, services and charges.
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Could cause more than minimal harm, a pattern
Resident Rights
The resident has the right to receive notices in a format and a language he or she understands.
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Could cause more than minimal harm, a pattern
Resident Rights
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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Could cause more than minimal harm, a pattern
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, a pattern
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Could cause more than minimal harm, a pattern
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
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Could cause more than minimal harm, a pattern
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
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Could cause more than minimal harm, one or a few residents
Administration
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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Could cause more than minimal harm, one or a few residents
Administration
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
PASARR screening for Mental disorders or Intellectual Disabilities
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate foot care.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide or obtain dental services for each resident.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Gardens Assisted Living offers assisted living.
Facility details
- Beds / units 124
- Nursing hours per resident/day 3.7
- Annual staff turnover 57%
- Last health inspection September 2025
Resident & family reviews
No one has shared a review of Gardens Assisted Living yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.