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Cheney Care Center

2219 North 6th Street, Cheney, WA 99004 · Spokane County · (509) 235-6196

54 certified beds, about 35 residents a day · Non profit - Other · Medicare and Medicaid since 1989

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505346 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 20, 2025, inspectors cited 13 health deficiencies (the Washington average is 15.8, the national average 9.2).

Of 50 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $13,065 in the last three years; the largest was $13,065, and the latest is dated May 29, 2026.

Nurses and nurse aides worked 4.93 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

38.8% of nursing staff left within the year CMS measured (Washington average 45.1%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
39D
7E
3F
Potential for minimal harm
0A
0B
0C
May 29, 2026Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents who were identified as being high risk for falls were provided adequate supervision and care plan interventions were developed/implemented and revised timely for 1 of 3 sampled residents (Resident 1) reviewed for falls. Resident 1, who had seven documented in-facility falls between 04/17/2026 and 05/17/2026, experienced harm when they fell, had severe pain to their left side of their head, and required emergency transfer to the hospital where they were diagnosed with a subdural hematoma (bleeding on the surface of the brain caused by a head injury).
August 20, 2025Standard inspection · 13 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure enhanced barrier precautions (EBP, use of personal protective equipment such as disposable gowns and gloves to prevent the spread of antibiotic-resistant bacteria or other infectious organisms) was implemented when indicated for 3 of 4 sampled residents (Residents 19, 31, and 48) reviewed. Additionally, Infection Prevention policies were not reviewed annually as required. These findings placed residents and staff at risk of spreading or acquiring infectious bacteria, and at risk of continued use of outdated policies and procedures.
  2. F
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to develop procedures that ensured staff were educated on the risks, benefits and potential side effects of the COVID-19 (a virus that caused serious illness or even death) vaccine, that staff were offered information on obtaining the vaccine, and that the COVID-19 vaccination status of staff was maintained for 1 of 1 sampled staff (Staff H) reviewed. This failure placed staff and residents at risk of being uninformed of their vaccination choices, and at risk of becoming ill with COVID-19.
  3. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure 2 of 5 sampled residents (Resident 34 and 29), reviewed for unnecessary medications, were informed of the potential risks associated with the use of psychotropic medications (medications that can affect the mind, emotions, and behaviors) and that their consent was obtained prior to administering psychotropic medications. This failure placed the residents at risk of not being fully informed of the potential risks and benefits of taking the medications.
  4. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Office of the State Long-Term Care Ombudsman received written notification of a hospital transfer and/or discharge, for 3 of 3 sampled residents (Residents 50, 7, and 2), reviewed for hospitalization/discharge. This failure placed the residents at risk of not having access to additional advocacy services from the State Long-Term Care Ombudsman.
  5. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure 3 of 5 sampled residents (Residents 34, 4, and 2), reviewed for Pre-admission Screening and Resident Review (PASRR, an assessment completed prior to admission into a skilled nursing facility to determine whether a resident with a diagnosis of a serious mental illness needed specialized mental health services) was completed prior to admission, accurately, and if indicated, a referral for a PASRR Level II (a more in-depth screening assessment) had been made. [...]
  6. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure medication was administered per professional standards of practice for 1 of 8 sampled residents (Resident 31) reviewed during one medication administration observed. Specifically, a licensed nurse left medications at the resident's bedside without observing the medications being taken. This failure placed the residents at risk of not receiving the ordered medication and placed all residents at potential risk of medication errors.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to consistently provide bathing and personal hygiene/grooming for 1 of 2 sampled residents (Resident 41) reviewed for activities of daily living (ADLS). Failure to provide bathing, shaving and nail care placed Resident 41 at risk for poor personal hygiene, diminished quality of life and unmet care needs.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to consistently follow care planned supervision interventions and fully evaluate the effectiveness of the fall prevention interventions in place for 1 of 3 sample residents (Resident 2) reviewed for accidents/hazards. This failure placed residents at risk for accidents and diminished quality of life.
  9. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure consistent communication with the dialysis center regarding fluid restrictions occurred for 1 of 1 sample residents (Resident 19) reviewed. This failure placed the resident at risk of fluid weight gain, fluid overload and unintended health consequences.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were administered as ordered for 1 of 1 sample residents (Resident 19) reviewed for dialysis care. Specifically, alternative arrangements were not made with the provider causing Resident 19 to have doses of their medications omitted on the mornings of their dialysis sessions. This failure placed the resident at risk for unintended health consequences and decreased quality of life.
  11. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to consistently monitor the medication refrigerator temperatures for 1 of 1 medication storage rooms to ensure they were at safe storage levels. This failure placed residents at risk for receiving compromised or ineffective medication.
  12. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation and interview, the facility failed to serve food that was palatable and had an appetizing appearance, and temperature for 2 of 2 meals observed and 1 of 1 test tray sampled. This failure resulted in the potential for all residents to have decreased appetite and decreased quality of life.
  13. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation and interview, the facility failed to label and date food products in 2 of 2 resident snack refrigerators. This failure placed the residents at risk for food borne illness and decreased quality of life.
May 22, 2025Complaint inspection · 2 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess, monitor, and notify the physician of a non-pressure related skin condition for 1 of 3 sampled residents (Resident 1), reviewed for skin integrity. This failure placed the residents at risk for potential worsening skin conditions and a decreased quality of life.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff followed Contact Precautions, when indicated, for 1 of 1 sampled resident (Resident 1), during wound care. This failure placed the residents at risk for spread of infection, illnesses, and unintended health consequences.
February 13, 2025Complaint inspection · 4 citations
  1. E
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide a bed-hold notice (a notice to inform residents of their right to pay the facility to hold their room/bed while they were hospitalized ), to the resident and/or their representative at the time of discharge, or within 24 hours of transfer to the hospital, for 4 of 4 sampled residents (Resident 1, 3, 6, and 7), reviewed for hospitalization. This failure placed residents at risk for a lack of knowledge regarding the right to a bed-hold while they were hospitalized .
  2. E
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Pre-admission Screening and Resident Review (PASARR, a screening required to be completed prior to admission to a nursing home that looked for indicators that one may have a serious mental illness) were completed for 3 of 5 sampled residents (Resident 1, 3, and 7), reviewed for PASARR's. Resident 1 and 3 were not referred for a Level II evaluation (an assessment that made recommendations about specialized services needed to determine the best setting to meet a person's behavioral health needs) and Resident 7 did not have a PASARR completed prior to admission to the facility, as required. This failure placed the residents at risk for a decline in their mental health and a decreased quality of life.
  3. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to consider re-admission for 1 of 4 sampled residents (Resident 3), reviewed for hospitalization. This failure placed the resident at risk for increased anxiety related to being placed in an unfamiliar environment, and a diminished quality of life.
  4. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure behavioral health needs were identified and met for 2 of 4 sample residents (Resident 1 and 3), reviewed for behavioral-emotional health. Failure to assess residents behavioral needs, identify individual resident responses to stressors and develop person-centered interventions placed residents at risk for unidentified behavior triggers, unmet behavioral needs, and diminished quality of life.
November 22, 2024Complaint inspection · 5 citations
  1. E
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 6, 2025
    Inspectors wroteBased upon observation, interview, and record review, the facility failed to ensure adequate disposition of personal belongings upon admission, throughout their stay at the facility, and at the time of discharge, for 6 of 6 sampled residents (Residents 1, 2, 3, 4, 5 and 6) reviewed for missing items. This failure placed the residents at risk for loss of personal belongings and a diminished quality of life.
  2. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 6, 2025
    Inspectors wroteBased on interview and record review, the facility failed to implement their Abuse and Neglect Prohibition Policies and Procedures to include, not reporting or investigating an elopement and resident-to-resident altercation for 1 of 6 sampled residents (Resident 1) reviewed for accident hazards. This failure placed the resident and other residents at risk for repeated abuse and elopement and precluded the state agency (SA) from being aware of and investigating the circumstances surrounding the resident's elopement and resident-to-resident altercation.
  3. D
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 6, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide and document sufficient preparation or orientation for a safe discharge for 1 of 4 sampled residents (Resident 1) reviewed for discharge planning. This failure placed the resident at risk for unmet care needs and a diminished quality of life.
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 6, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the staff implemented recommendations to help prevent kidney stones for 1 of 6 sampled residents (Resident 1) reviewed for urinary tract infections (UTI). This failure placed the resident at risk for repeated kidney stone development and associated discomfort. Review of the medical record showed Resident 1 re-admitted to the facility on [DATE]. Review of the diagnoses list showed but was not limited to, dementia, a history of UTI, kidney stones, and chronic kidney disease. Review of a 04/10/2024 Urology (branch of medicine that focuses on surgical and medical diseases of the urinary system and the reproductive organs) Visit Summary showed Resident 1 was seen for kidney stones. [...]
  5. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 6, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the staff provided and monitored the required amount of fluids to ensure adequate hydration for 1 of 6 sampled residents (Resident 1) reviewed for hydration. This failure placed the resident at risk for outcomes associated with insufficient fluid intake, like dehydration and urinary tract infections (UTI).
June 5, 2024Standard inspection · 12 citations
  1. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that 2 residents (3, 11) had current and complete oxygen orders and failed to ensure that oxygen equipment was maintained in a clean manner for 5 of 5 residents (3, 11, 14, 17, 28) reviewed for respiratory care. These failures placed the residents at risk for respiratory complications and infection.
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on observation and interview the facility failed to ensure meals were served to residents at an appropriate and appetizing temperature. This failed practice resulted in the potential risk for decreased quality of life for all residents. Findings inculded . According to the Washington State Food Handlers Guide Website, The Washington State Department of Health, Safety and Licensing Division recommends that all potentially hazardous foods be held at a temperature of 41°F or below in commercial refrigerators and freezers. This includes meats, fish, poultry, eggs, dairy products, cooked vegetables, cooked rice and pasta, cut melons, and other perishable items. All frozen foods should be stored at 0°F or below. Hot food items should be held at a temperature of 140°F or above. [...]
  3. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 5 sampled residents (25), reviewed for unnecessary medications, were informed of the potential risks and benefits associated with the use of psychotropic medications (medications that can affect the mind, emotions, and behaviors). Failure to obtain the informed consents resulted in the resident and/or representative not being informed.
  4. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a clean, comfortable, homelike environment for 1 of 2 sampled resident (25), reviewed for environment. This failure placed Resident 25 at risk for possible illness from unclean equipment, a lack of dignity, and a decreased quality of life.
  5. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to complete a discharge summary, including a recapitulation of the resident's stay as required, for 1 of 1 sampled residents (40), reviewed for discharge. This failure placed the resident at risk for having an incomplete medical record.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on interview and record review the facility failed to implement bowel management protocol when indicated for 3 of 7 sampled residents (2,18,193), reviewed for constipation. These failures placed residents at risk for complications, worsening conditions, and diminished quality of life.
  7. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on observations, interview, and record review the facility failed to document a detailed nutritional assessment at time of admission, for a resident identified as being at risk for compromised nutritional status. This failure resulted in potential impaired nutrition, and an increased risk of: mortality, impairment of anticipated wound healing, decline in function, fluid and electrolyte imbalance/dehydration, and unplanned weight change.
  8. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to accurately reconcile all controlled medications in 1 of 2 medication carts (Cart 1), reviewed for medication storage. This failure placed residents at risk for misappropriation of their controlled medications and placed the facility at increased risk for controlled substance drug diversion.
  9. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure recommendations from the pharmacist were addressed, for 1 of 5 sample residents (25), reviewed for unnecessary medications. These failures placed residents at risk for receiving medications at inappropriate times and a diminished quality of life.
  10. D
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure dietary staff had the required qualifications (current Food Worker Cards) for 2 dietary staff (W, X). This failed practice had the potential risk for unsafe food handling practices and placed all residents at risk for developing foodborne illness. Additionally, the facility failed to ensure there were enough staff in the dining room during meals to assist residents timely. This failure had the potential risk for residents being served food at unappetizing temperatures, decreased appetite and decreased quality of life.
  11. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on observation and interview the facility failed to ensure food in the snack/nourishment refrigerators was labelled and dated, expired foods were removed, and the snack/nourishment refrigerators were monitored routinely for proper temperature. This failure resulted in a potential risk of food borne illness for all residents.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff performed hand hygiene and wore gloves during the meal service when indicated, maintained a resident's nails in a sanitary manner prior to and after meals, and not cleansing a resident's skin prior to an injection. These failures placed the residents at risk for infection, transmission of communicable diseases and diminished quality of life.
September 7, 2023Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on interview and record review, the facility failed to timely evaluate and initiate treatment for 1 of 2 residents (Resident 1), reviewed for accidents. This failure placed the resident at risk for unmet care needs related to transfers, increased pain, and worsening condition.
May 11, 2023Standard inspection · 12 citations
  1. F
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    F949 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the failed to provide mandatory behavioral health training to 7 of 7 staff (Staff F, H, I, R, S, T and U), reviewed for staff training and competency. This deficient practice placed all residents with behavioral health diagnoses at risk for unmet care needs and a diminished quality of life.
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to implement their bowel protocol timely and accurately for 7 of 23 sampled residents (Residents 32, 28, 25, 39, 2, 145, and 20), reviewed for bowel maintenance and quality of care. This deficient practice placed the residents at risk for complications related to unmanaged constipation such as discomfort, nausea, vomiting, bowel obstruction (blockage) and an overall diminished quality of life.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure appropriate infection control practices were maintained for hand hygiene during an observed medication pass and dining; failed to ensure sanitary handling of a lancet (a sharp-pointed two edged instrument used to prick the skin) to check a blood sugar; failed to maintain oxygen tubing in a sanitary manner; and failed to ensure a resident reviewed for use and care of a urinary catheter (a flexible tube inserted into the bladder to drain urine), received appropriate care and services, to minimize the risk of associated urinary tract infections. These failures placed residents at risk of infection and illnesses.
  4. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure one of five sampled residents (Resident 2), reviewed for medication management, was fully informed of the potential risks associated with use of psychotropic medications (medications which alter thought processes). This failure placed the resident at risk to make decisions about medications while lacking relevant information, related to serious side effects.
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide notification to the resident's representative of a change in condition for one of twenty sampled residents (Resident 24), reviewed for notification of change. This failure prevented the resident's representative from being informed of a skin condition, behaviors, refusal of medication, and participating in care decisions.
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to timely and thoroughly investigate 2 incidents involving 1 of 2 sampled residents (Resident 19), reviewed for abuse/neglect. This deficient practice disallowed an opportunity for an evaluation of facility practices, to determine if appropriate care and services were being provided, and placed residents at risk for unidentified and ongoing abuse/neglect.
  7. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to complete an updated Pre-admission Screening and Resident Review (PASARR) for one of five sampled residents (Resident 28), reviewed for PASARR accuracy, who required a Level II evaluation due to a new mental health diagnoses. This deficient practice placed the resident at risk of not receiving specialized mental health services, unidentified needs, and a decrease in quality of life.
  8. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure a Pre-admission Screening and Resident Review (PASARR) [an assessment used to identify people referred to nursing facilities with mental illness, intellectual disabilities, or related conditions], and a Level II assessment [a more in-depth screening, to identify whether nursing home services were needed and if specialized mental health services were required] was completed for 1 of 5 sampled residents (Resident 2), reviewed for PASARR services. This failure placed the resident at risk for inappropriate placement, and/or not receiving timely and necessary services to meet mental health care needs.
  9. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to complete a discharge summary, including a recapitulation of the resident's stay as required, for one of one sampled residents (Resident 44), reviewed for discharge. This failure placed the resident at risk for having an incomplete medical record.
  10. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to monitor for the effectiveness of a sleep aid for one of five sampled residents (32), reviewed for unnecessary medications. This deficient practice placed the resident at risk of experiencing adverse side effects, and for receiving ineffective and/or unnecessary medications.
  11. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure expired medications were disposed of timely, in accordance with currently accepted professional standards, in 1 medication storage room and 1 of 3 nursing carts (cart 2). This failure placed residents at risk for receiving compromised or ineffective medication.
  12. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide documented evidence of the required 12-hours of in-service training for 2 of 3 nursing assistants (Staff G and H), reviewed for staff competency. This deficient practice placed the residents at risk of being cared for by inadequately trained staff, and a decreased quality of life.

Fire safety inspections

27 fire safety citations on file: 13 on June 5, 2024, 11 on May 11, 2023, 3 on January 30, 2020.

Every fire safety citation27 citations
  1. F
    Address subsistence needs for staff and patients.
    E 15 · June 5, 2024 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · June 5, 2024 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 5, 2024 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 5, 2024 · Corrected (the home has a date of correction)
  5. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · June 5, 2024 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 5, 2024 · Corrected (the home has a date of correction)
  7. F
    Ensure proper usage of power strips and extension cords.
    K 920 · June 5, 2024 · Corrected (the home has a date of correction)
  8. D
    Provide properly protected cooking facilities.
    K 324 · June 5, 2024 · Corrected (the home has a date of correction)
  9. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · June 5, 2024 · Corrected (the home has a date of correction)
  10. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · June 5, 2024 · Corrected (the home has a date of correction)
  11. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 5, 2024 · Corrected (the home has a date of correction)
  12. D
    Have restrictions on the use of portable space heaters.
    K 781 · June 5, 2024 · Corrected (the home has a date of correction)
  13. D
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · June 5, 2024 · Corrected (the home has a date of correction)
  14. F
    Have properly located and lighted "Exit" signs.
    K 293 · May 11, 2023 · Corrected (the home has a date of correction)
  15. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 11, 2023 · Corrected (the home has a date of correction)
  16. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 11, 2023 · Corrected (the home has a date of correction)
  17. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · May 11, 2023 · Waiver
  18. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · May 11, 2023 · Corrected (the home has a date of correction)
  19. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 11, 2023 · Corrected (the home has a date of correction)
  20. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · May 11, 2023 · Waiver
  21. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 11, 2023 · Corrected (the home has a date of correction)
  22. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 11, 2023 · Corrected (the home has a date of correction)
  23. D
    Have restrictions on the use of portable space heaters.
    K 781 · May 11, 2023 · Corrected (the home has a date of correction)
  24. D
    Ensure proper usage of power strips and extension cords.
    K 920 · May 11, 2023 · Corrected (the home has a date of correction)
  25. D
    Install corridor and hallway doors that block smoke.
    K 363 · January 30, 2020 · Corrected (the home has a date of correction)
  26. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · January 30, 2020 · Corrected (the home has a date of correction)
  27. D
    Ensure proper usage of power strips and extension cords.
    K 920 · January 30, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 29, 2026Fine $13,065

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWashingtonUnited States
All nursing staff (RN, LPN and aides)4.934.363.86
Registered nurses0.640.940.69
All nursing staff on weekends4.433.803.42
Nurse aides3.24
Licensed practical nurses1.05
Nursing staff turnover (share who left in a year)38.8%45.1%45.8%
Registered nurse turnover42.9%45.4%42.9%
Administrators who left1

CMS expects 4.57 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.13 on weekdays and 4.43 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.35 in April to June 2025 to 4.93 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.930.645.134.43 0.6%0 of 9035
Oct to Dec 20254.710.524.904.23 0.0%1 of 9237
Jul to Sep 20254.320.584.513.84 0.0%1 of 9241
Apr to Jun 20254.350.504.523.93 0.1%3 of 9142
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Washington, Jan to Mar 20264.210.904.443.663.7%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Washington

JobMedianMiddle halfEmployed
Washington, all employers
CNAs (nursing assistants)$23.65$22.59 to $27.8530,270
LPNs and LVNs$39.98$36.98 to $45.186,780
Registered nurses$59.71$49.57 to $64.5469,260
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Cheney Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWashingtonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
22.914.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.51.00.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.81.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.42.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.517.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.44.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.815.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.119.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.113.412.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cheney Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.6% this home

No different from the national rate

US median of homes 51.5% · Washington: 71 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 89 eligible stays.

Potentially preventable readmissions

8.6% this home

No different from the national rate

US median of homes 10.7% · Washington: 7 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 89 eligible stays.

Infections that led to a hospital stay

5.9% this home

No different from the national rate

US median of homes 7.1% · Washington: 4 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 44 eligible stays.

Self-care and mobility at discharge

40.0% this home

Median of homes: Washington61.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 50 residents counted.

Falls with major injury

0.0% this home

Median of homes: Washington0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 61 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Washington1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 61 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Washington98.3% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 31 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CHENEY CARE COMMUNITY.

NameRoleTypeShareSince
Cheney Care Community5% or greater direct ownership interestOrganization100%04/22/1976
Geschke, GaryDirect ownership interestIndividual10/01/1979
Julsen, VanessaIndirect ownership interestIndividual07/01/2016
Geschke, GaryManaging control - governing bodyIndividual10/01/1979
Gannon, JohnCorporate directorIndividual02/03/2025
Cheney Care CommunityOperational/managerial controlOrganization04/27/1976
Gannon, JohnOperational/managerial controlIndividual02/03/2025
Julsen, VanessaOperational/managerial controlIndividual07/01/2016
Gannon, JohnAdp of the SNFIndividual02/03/2025
Julsen, VanessaAdp of the SNFIndividual07/01/2016

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on May 29, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on August 20, 2025: "Ensure that residents are fully informed and understand their health status, care and treatments."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on August 20, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on August 20, 2025: "Ensure that residents are free from significant medication errors."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Washington contacts for a concern about a nursing home

These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.

Common questions

What is Cheney Care Center's Medicare star rating?
CMS rates Cheney Care Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cheney Care Center get at its last inspection?
13 health deficiencies at the standard inspection on August 20, 2025. The Washington average is 15.8.
Has Cheney Care Center been fined?
Yes. CMS lists 1 fine totaling $13,065 in the last three years.
Does Cheney Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Cheney Care Center?
CMS lists 10 owners and managers. Legal business name: CHENEY CARE COMMUNITY.

Sources

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