North Central Care Center

    1812 N Wall St, Spokane, WA, 99205
    3.1 · 38 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Caring staff but unsafe care

    I had a deeply mixed experience. Many CNAs, nurses and therapists were competent, kind and went above and beyond - bright, clean common areas, cheerful center, small garden and good rehab when it happened. But staffing is inconsistent and often short, communication and documentation are unreliable, and medication-management and infection-control lapses led to serious problems (UTI, hospitalization and worse in one case). I saw patients left sitting or locked in rooms, inadequate help with mobility, poor follow-through on basic care, and billing for care after families moved to transfer. Food and activities were hit-or-miss, and some staff treated residents like a number while others treated them like family. My advice: stay present, verify meds and care plans, and be prepared to move your loved one if you see red flags.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.08 · 38 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.1
    • Meals

      1.3
    • Amenities

      3.3
    • Value

      1.0

    Pros

    • Compassionate nurses and certified nursing assistants (CNAs)
    • Effective rehabilitation and physical therapy for many residents
    • Attentive, team-based care that improved mobility and quality of life
    • Clean, comfortable accommodations and cheerful, colorful environment
    • Small outdoor garden and pleasant grounds (trees, birds) with pet visits allowed
    • Staff who treat residents like family and remember names
    • Coordinated doctor appointments and home-therapy arrangements
    • Meaningful activities, holiday celebrations, and personalized attention
    • Responsive management in some cases who address concerns quickly
    • Experienced, professional staff and state-of-the-art amenities (reported by some)
    • Safe neighborhood location with low crime (noted by some families)
    • Individual staff members that go above and beyond (named examples)

    Cons

    • Allegations of extreme neglect, including documented by paramedics
    • Reports of overmedication with opioids and emergency naloxone administration
    • Medical mismanagement and failures to follow standard care (missed referrals, misdiagnosis)
    • Poor infection control and inadequate PPE, especially during COVID outbreaks
    • Inconsistent quality of care — large variability depending on individual staff
    • Understaffing and exhausted staff leading to patients left unattended
    • Medication-management problems and documentation errors
    • Inadequate assistance with mobility and activities of daily living (bathing, toileting)
    • Residents locked in rooms or left sitting for long periods
    • Repetitive, processed food with limited fresh fruits/vegetables and meal variety
    • Facility climate issues (no AC on upper floor, sauna-like rooms) and urine odor
    • Poor communication with families at times and confusing discharge/medical clearance processes
    • Allegations of guardianship interference, billing disputes, and administrative restrictive policies
    • Unfriendly or unsuitable for some populations (younger residents, autistic residents)
    • Persistent unwanted telemarketing calls and phone-number issues

    Summary review

    The reviews of North Central Care Center are highly mixed, showing a wide spectrum of experiences from deeply positive to severely critical. Many families and residents praise specific caregivers — nurses, CNAs, and therapists — for compassionate, attentive, team-based care that led to measurable rehab progress, improved mobility, and a sense of dignity and family. Positive reports describe a clean, bright facility with a small outdoor garden, pet visits, holiday activities, and staff who remember residents by name and go above and beyond. Several reviewers highlighted successful coordination of follow-up care, effective in-house therapy, and a welcoming environment that felt like home for some residents.

    Contrasting sharply with those positive accounts are multiple serious safety and quality concerns. Several reviews allege extreme neglect and medical mismanagement: delays in care, failures to refer to specialists, misdiagnoses, and documented incidents where paramedics noted neglect and naloxone was administered due to overmedication with opioids. These accounts suggest lapses in basic medical oversight and medication-safety processes. Medication-management issues and documentation errors were also repeatedly mentioned, which compounds risks when coupled with understaffing and high staff turnover.

    Infection control and pandemic-era safety are significant themes. Multiple reviewers reported inadequate PPE for staff, staff forced to work in COVID units without proper masks, open-window visits for COVID-positive residents, and poor adherence to infection-control practices. Some stated that residents had recently died and attributed at least part of the risk to improper PPE and protocols. Other comments noted that, in contrast, some periods were managed with zero cases and diligent Covid precautions — highlighting inconsistent implementation of safety standards.

    Staffing and consistency of care are central to the mixed sentiment. Many reviewers emphasize that the difference between a good and poor experience often depends on an individual staff member or small team: "one bad or great staff member can make a big difference." Positive reviewers report compassionate, competent staff who monitor conditions closely; negative reviewers describe exhausted, overwhelmed, or disrespectful RNs, residents left alone, inconsistent or missing therapy, lack of bathing, and locked rooms. Understaffing appears to drive many negative outcomes, producing long waits for assistance, missed ADLs, and insufficient supervision.

    Facilities and amenities receive varied commentary. On the positive side, reviewers describe a clean, bright facility with cheerful decor, a small garden, and family-friendly touches such as pet visits and holiday programming. Conversely, others report unpleasant environmental issues: no air conditioning on upper floors, sauna-like room climates, and urine odors. Dining also divides opinions: some praise attentive food service and accommodation of preferences, while others criticize repetitive, processed meals (grilled cheese and soup cited frequently), lack of fresh fruits and vegetables, and general limited variety.

    Management, communication, and administrative practices are inconsistent. Some families found management responsive, willing to address concerns, and supportive during transitions; others report poor communication, confusing discharge and medical-clearance processes, billing disputes after hospitalizations, and even allegations of guardianship interference. There are also comments about unwanted telemarketing calls and phone-number problems, which, while minor compared to clinical concerns, contribute to frustration.

    Overall, the pattern across reviews is one of high variability: the facility demonstrates the capacity for high-quality, compassionate, family-like care, especially in rehab and therapy services, but also shows systemic vulnerabilities — particularly around staffing, medication safety, infection control, and consistent delivery of basic daily care. Prospective families should be aware that experiences can differ dramatically depending on unit, shift, and specific staff members. Recommendations for improvement based on the reviews would include strengthening medication oversight and documentation, addressing infection-control protocols and PPE availability, improving staffing levels and training to ensure consistent ADL assistance, diversifying and improving meal quality, and clarifying communication and discharge procedures. When considering North Central Care Center, families should visit multiple times across shifts, ask detailed questions about staffing ratios, infection-control practices, medication management, and observe mealtimes and therapy sessions to get a fuller sense of consistency and culture.

    Location

    Map showing location of North Central Care Center

    About North Central Care Center

    North Central Care Center sits in Spokane, Washington, and provides skilled nursing care with a strong focus on residents with dementia, Alzheimer's disease, or other medical needs that require close attention, and they've got 99 beds, all licensed and ready for short-term or long-term stays for seniors who need nursing or memory care, even for folks who just had surgery, strokes, joint replacements, or have something like multiple sclerosis or Parkinson's disease. The building itself got a big remodel in 2012, with wood floors, big windows, lots of cheerful artwork, and four roomy day and dining areas where people gather for meals or activities, and there's a state-of-the-art therapy gym that helps with rehab six days a week, plus a special Spa/Shower room to make personal care more comfortable, and the bedrooms are quite large for extra ease. Staff, under the Hyatt Management Corporation, includes healthcare professionals who know geriatric care well and make sure to give gentle, kind help with bathing, dressing, and medicine, and they make sure to keep in touch with family when needed, which helps everyone stay on the same page. The center's licensed for Medicare, Medicaid, private insurance, Veteran's benefits, and HMO plans, so it covers a lot of payment options for families. There's 24-hour nursing care, a Medical Director on-site, and restorative nursing is part of daily life. They've got a full menu for meals, with regular and special diets available, and services like on-site pharmacy, X-rays, lab, dental, and audiology checkups, so you don't have to go all over town for care. For memory care, the whole place is set up to help keep residents safe from wandering, with camera monitors and electronic doors, keeping folks as comfortable and secure as possible. There's also a busy activity staff who help with reading, movies, group trips, bingo, exercise, pet visits including therapy dogs, and creative arts, because they know days feel better when you stay social, and chapel services for those who want spiritual support. Residents get the same attention whether they're staying weeks for rehab or longer for ongoing care, and the staff pays special attention to each person's health, making little adjustments as needed, and they've got experience working with everything from the very frail to those with advanced dementia. The grounds stay bright and colorful, with gardens and even visits from birds, which helps lift spirits. Management and staff keep things friendly and listen to feedback, and the environment feels warm, relaxed, and safe. There's a beauty salon for hair cuts or perms, and transportation with small luxury vans or bigger group vehicles is included for planned outings. North Central Care Center's known in Spokane for flexibility, caring support, and good communication, aiming to help every resident find a sense of belonging and well-being, no matter how much help they need each day.

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