CCN 505496 · Spokane County, Washington
Avalon Care Center at Northpointe
9827 North Nevada, Spokane, WA 99218
Avalon Care Center at Northpointe is a 119-bed for-profit nursing home in Spokane, Washington, first certified for Medicare or Medicaid in 1996. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 121.1 residents a day, about 102% of its certified beds. It has an active FHA-insured Section 232 loan: $9.2 million originally, at 2.66%, with $5.9 million outstanding as of September 30, 2026 and maturity in October 2041.
Facility facts
- Certified beds
- 119
- Average residents per day
- 121.1 (101.8% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Avalon Care Center - Spokane, LLC
- Certified since
- May 8, 1996
- Chain or affiliated group
- Avalon Health Care (16 facilities, chain average 3.4 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Washington median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 22 at 1, 46 at 2, 36 at 3, 38 at 4, 50 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.54 | 4.10 | 3.68 |
| RN hours per resident per day | 0.68 | 0.91 | 0.58 |
| Weekend nurse hours per resident per day | 3.05 | ||
| Nursing staff turnover | 62.0% | 43.1% | 44.9% |
| Occupancy (residents / beds) | 101.8% | 81.8% | 85.7% |
| Fines reported by CMS | 2 totaling $84,614 | ||
| Health deficiencies, latest standard survey | 14 (May 28, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Avalon Care Center at Northpointe meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Avalon Care LLCOrganization | Indirect Ownership Interest | 100% | 11/26/2003 |
| Avalon Health Care IncOrganization | Operational / Managerial Control | n/a | 12/01/2003 |
| Avalon Health Care Management IncOrganization | Operational / Managerial Control | n/a | 12/01/2003 |
| Deloitte Tax LLPOrganization | Operational / Managerial Control | n/a | 01/01/2020 |
| Eide Bailly LLPOrganization | Operational / Managerial Control | n/a | 01/01/2021 |
| Hhc Holdco LLCOrganization | Operational / Managerial Control | n/a | 07/01/2021 |
| Omnicare LLCOrganization | Operational / Managerial Control | n/a | 05/01/2023 |
| Reliant Pro Rehab LLCOrganization | Operational / Managerial Control | n/a | 04/01/2019 |
| Berg, TracyIndividual | Operational / Managerial Control | n/a | 12/01/2024 |
| Borisevich, MariaIndividual | Operational / Managerial Control | n/a | 01/08/2024 |
| Hash, AlanIndividual | Operational / Managerial Control | n/a | 08/15/2017 |
| Kirton, HyrumIndividual | Operational / Managerial Control | n/a | 03/29/2022 |
| Newell, BrittneyIndividual | Operational / Managerial Control | n/a | 06/14/2025 |
| Newman, RitaIndividual | Operational / Managerial Control | n/a | 04/15/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 21, 2011 | 223(a)(7) refinance of a 223(f) loanHUD project name: Avalon Care Center at Northpointe, 119 beds. Lender at endorsement: Capital Funding LLC | $9,191,900 | Active: 2.66%, $5,878,966 balanceMatures Oct 1, 2041. Servicer: Capital Funding LLC | 17122027 |
| Sep 28, 2006 | 223(f) refinance or purchaseHUD project name: Avalon Care Center at Northpointe, 119 beds. Lender at endorsement: Capital Funding Group | $9,291,900 | Ended Dec 21, 2011Prepayment | 17122013 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.