Washington · SPOKANE

Brookdale Nine Mile.

ALF · Memory Care60 bedsDementia-trained staff(509) 323-1400
DSHS SDCP
Peer rank
Top 37% of Washington memory care
See full peer rank →
Facility · SPOKANE
A 60-bed ALF · Memory Care with 7 citations on file.
Licensed beds
60
Last inspection
May 2025
Last citation
May 2025
Operated by
—
Snapshot

A large home, reviewed on public record.

Peer Comparison

Compared to 38 Washington facilities with a similar number of beds.

ALF memory care · 36-month window. Higher percentile = better performance on inspection record. Source: Washington DSHS · Aging and Disability Services Administration.

Severity rank
59th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
30th%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month DSHS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

Save for comparison:
The Record

Citation history, plotted month by month.

7 deficiencies on record. Each bar is a month with a citation.

Peer median 1 · dashed
Last citation: MAY 2025. Compared against peer median (dashed).
peer median
MAY 2025
Nov 2024as of Oct 2026

Finding distribution

7 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G1
H
I
Sev 2
D1
E
F
Sev 1
A5
B
C
Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Brookdale Nine Mile's record and state requirements.

01 /

Seven inspection reports are on file with DSHS Residential Care Services, documenting nine deficiencies — can you walk us through the corrective action plans for those deficiencies and show us written documentation that each has been resolved?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

Six complaints were filed with DSHS during the inspection period — were any of those complaints substantiated, and what specific changes did Brookdale Nine Mile make in response to substantiated findings?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

The facility holds a DSHS Specialized Dementia Care contract — what written policies govern the dementia care program here, and can families review those policies along with documentation showing how staff competency in dementia care is assessed?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

Full Inspection Record

Every inspection visit, verbatim.

5 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.

5
reports on file
7
total deficiencies
2025-05-01
Annual Compliance Visit
Type A · 2 findings

Plain-language summary

During an unannounced inspection from March 10–13, 2025, at Brookdale Nine Mile, inspectors found multiple medication administration errors involving residents with high blood pressure and heart conditions, including instances where blood pressure medications were given when vital signs fell below the thresholds set by health care providers, and one resident with a documented fall risk who experienced four falls between January and March 2025 without adequate follow-up monitoring and evaluation. Deficiencies were cited related to medication administration protocols and monitoring of residents at risk for injury.

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Read full citation text (2)
Type AWAC §WAC 388-78A-2050
Verbatim citation text · WAC §WAC 388-78A-2050

“Resident 4 was administered losartan on three dates (02/08/2025, 02/09/2025, 03/02/2025) when systolic blood pressure was below the hold threshold of 110, contrary to physician orders to hold medication when SBP was less than 110.”

Type BWAC §WAC 388-78A-2474
Verbatim citation text · WAC §WAC 388-78A-2474

“Staff D, hired on 10/02/2024, had not completed required mental health and dementia specialty training despite the facility serving residents with dementia and mental health needs, failing to meet long-term care worker training requirements.”

Read raw inspector notes

WAC 388-78A-2050: Resident 4 was administered losartan on three dates (02/08/2025, 02/09/2025, 03/02/2025) when systolic blood pressure was below the hold threshold of 110, contrary to physician orders to hold medication when SBP was less than 110. WAC 388-78A-2050: Resident 5's amlodipine medication was not given on 3/05/2025 and blood pressure was not documented, failing to assess the resident's condition to determine medication administration. WAC 388-78A-2050: Resident 8 was not administered carvedilol on 01/30/2025 and 02/10/2025 when vital signs were actually within parameters (SBP 109/65 HR 59 and 102/65 HR 57), but documentation incorrectly stated vitals were outside parameters. WAC 388-78A-2050: Resident 8 was not administered losartan/hydrochlorothiazide on 02/10/2025 when vital signs were within parameters (102/65 HR 57), but documentation incorrectly stated vitals were outside parameters. WAC 388-78A-2050: Resident 9 was administered amlodipine on 01/01/2025 when heart rate was 53, below the hold threshold of 60 bpm, contrary to physician orders. WAC 388-78A-2050: Resident 10 was administered carvedilol on six dates (01/06/2025, 01/12/2025, 01/14/2025, 02/26/2025, 02/27/2025, 03/10/2025) when heart rate was below the hold threshold of 60 bpm, contrary to physician orders. WAC 388-78A-2050: Resident 1 was not monitored for injury after four documented falls on 01/21/2025, 02/18/2025, 03/03/2025 and 03/04/2025, as required vital signs were not documented for three days following each fall. WAC 388-78A-2050: Resident 4's blood sugar was out of parameters on multiple occasions and the Primary Care Provider was not contacted as required by physician orders when blood sugar was below 80 or above 350. WAC 388-78A-2474: Staff D, hired on 10/02/2024, had not completed required mental health and dementia specialty training despite the facility serving residents with dementia and mental health needs, failing to meet long-term care worker training requirements.

2024-10-01
Complaint Investigation
1 finding

Plain-language summary

I don't have enough information in the source text to write a summary. The document shows a complaint investigation was conducted, but the "Narrative" and "Conclusion/Action" sections are blank or unclear, so I cannot determine what was actually found or whether any violations were cited. To provide families with accurate information, I would need the specific details about what the complaint alleged and what the investigation discovered.

Read full citation text (1)
WAC §WAC 388-78A-2630
Verbatim citation text · WAC §WAC 388-78A-2630

“The facility failed to timely report an allegation of sexual assault to law enforcement and the department. The alleged victim reported the incident to staff, but notification was delayed for two days, violating the requirement to report abuse and neglect.”

Read raw inspector notes

WAC 388-78A-2630: The facility failed to timely report an allegation of sexual assault to law enforcement and the department. The alleged victim reported the incident to staff, but notification was delayed for two days, violating the requirement to report abuse and neglect.

2024-06-01
Complaint Investigation
No findings
2024-02-01
Complaint Investigation
1 finding

Plain-language summary

I don't have enough information in the source material to write an accurate summary. The narrative section is blank, and the outcome indicates either a citation was written or no citation was written, but doesn't specify what was actually investigated or found. To help families, I would need details about what complaint was received, what the facility was alleged to have done or failed to do, and what the inspection actually determined.

Read full citation text (1)
WAC §WAC 388-78A-2240
Verbatim citation text · WAC §WAC 388-78A-2240

“The facility failed to ensure availability of prescribed medications for a resident in a timely manner. The resident was without medication, which contributed to increased behavioral issues. The facility has since updated its resident admission process to ensure medication availability.”

Read raw inspector notes

WAC 388-78A-2240: The facility failed to ensure availability of prescribed medications for a resident in a timely manner. The resident was without medication, which contributed to increased behavioral issues. The facility has since updated its resident admission process to ensure medication availability.

2024-01-01
Complaint Investigation
3 findings

Plain-language summary

A complaint investigation at Brookdale Nine Mile (November 2023) found that a resident required CPR and hospitalization, and while staff performed CPR appropriately and summoned emergency personnel, the facility was cited for failing to ensure all caregivers had current CPR and first aid training as required. The resident recovered and returned to the facility. A Statement of Deficiencies was issued.

Read full citation text (3)
WAC §WAC 388-78a-2450(2)(e)(h)(i-vii), (3)(d)(i)(A)(C)(D)
Verbatim citation text · WAC §WAC 388-78a-2450(2)(e)(h)(i-vii), (3)(d)(i)(A)(C)(D)

“Sample staff's personnel files showed they did not complete facility orientation, cardiopulmonary resuscitation and first aid training, and specialty trainings as required.”

WAC §WAC 388-78a-2462(2)(a)
Verbatim citation text · WAC §WAC 388-78a-2462(2)(a)

“Named staff did not have current Washington state name and date of birth background check as required.”

WAC §WAC 388-78a-24701(1)
Verbatim citation text · WAC §WAC 388-78a-24701(1)

“Facility did not complete character, competence, and suitability review for named staff as required for employment.”

Read raw inspector notes

WAC 388-78a-2450(2)(e)(h)(i-vii), (3)(d)(i)(A)(C)(D): Sample staff's personnel files showed they did not complete facility orientation, cardiopulmonary resuscitation and first aid training, and specialty trainings as required. WAC 388-78a-2462(2)(a): Named staff did not have current Washington state name and date of birth background check as required. WAC 388-78a-24701(1): Facility did not complete character, competence, and suitability review for named staff as required for employment. WAC 388-78a-2450(2)(e)(h)(i-vii), (3)(d)(i)(A)(C)(D): A caregiver did not have CPR and first aid training as required by facility policy and regulations.

2 older inspections from 2023 are not shown above.

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