Alderwood Manor

    3600 E Hartson Ave, Spokane, WA, 99202
    4.1 · 82 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Helpful staff, major safety concerns

    I appreciated the excellent therapy, very helpful and caring staff, good meals and activities, and roomy freshly painted rooms. However, chronic understaffing and inconsistent nursing left me worried-slow or ignored call buttons, poor cleanliness (urine/dirty sheets), missed meds, safety/theft concerns-so I'd be cautious.

    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

    4.06 · 82 reviews

    Overall rating

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

      3.9
    • Staff

      4.2
    • Meals

      3.7
    • Amenities

      2.4
    • Value

      3.0

    Pros

    • Compassionate, caring and attentive staff
    • Skilled and exceptional nursing care reported by many reviewers
    • Effective physical, occupational and speech therapy programs
    • Strong focus on rehabilitation and preparing residents to return home
    • Personalized and tailored care plans
    • Good communication and transparency with families in many cases
    • Clean, well-maintained common areas and facility reported often
    • Helpful and accessible social work/support services
    • Engaging activities and programs (bingo, art, cooking, church, ice cream days)
    • Family-like atmosphere and sense of belonging for many residents
    • Non-pushy, smooth admissions and check-in process
    • Medication management improvements reported by some families
    • Respectful dining experience with generally good meals and diet adherence
    • Friendly, professional front-line staff and therapists
    • Timely follow-up and coordination with doctors reported by some families
    • Positive mobility and functional outcomes for many rehab patients
    • Accommodating food service and good meal variety noted by several reviewers
    • Helpful transportation/van service reported (though replacement noted as needed)
    • Clean and odor-free experiences reported by many visitors
    • Welcoming entrance and prompt initial setup for new residents

    Cons

    • Chronic understaffing and staff shortages
    • Slow or delayed responses to call lights and requests for assistance
    • Inconsistent staff performance; reports of cliques, favoritism and problematic CNAs
    • Allegations of neglect: missed medications, missed care, and missed pain management
    • Serious safety concerns alleged (malnutrition, dehydration, overmedication, delayed doctor response)
    • Reports of theft or missing personal items from rooms
    • Cleanliness and hygiene issues reported in some rooms (urine on floors, sticky floors, dirty sheets)
    • Aging facility infrastructure and need for updates/repairs
    • Limited number of private/single rooms and shared bathrooms with limited storage
    • Restrictions on resident freedom and privacy; visitation/COVID policies perceived as restrictive
    • Mixed reports on physical therapy; some instances of pushing beyond comfort and missed appointments
    • Management and leadership inconsistencies; difficulty reaching staff due to gatekeepers
    • Inconsistent infection control/PPE behavior reported (e.g., mask worn improperly)
    • Scheduling issues and staffing used as reason for not allowing future family visits
    • Worse-than-average inspection/fines cited by at least one reviewer
    • Occasional unpleasant odors reported in some areas
    • Some reviewers strongly recommend avoiding the facility due to safety concerns
    • Reported incidents of rude or dismissive staff members
    • Transportation/van in need of replacement
    • Variability by unit/shift leading to large differences in experience

    Summary review

    Overall sentiment across the reviews for Alderwood Manor is highly mixed but centers on two dominant patterns: consistently strong rehabilitation and many compassionate, skilled caregivers on the one hand, and recurring operational problems—primarily staffing shortages, inconsistent staff performance, and intermittent safety/cleanliness concerns—on the other. A large proportion of reviewers praise the clinical therapy teams, nursing staff, and front-line caregivers, noting meaningful functional gains, improved mobility, effective therapy programs (physical, occupational, speech), medication-management improvements for some residents, and a warm, family-like culture that treats residents with dignity. Many families highlight excellent communication from social workers and certain managers, positive relationships with clinicians, a welcoming admissions experience, and an active program of social and spiritual activities (bingo, art, cooking classes, church services, ice cream days) that contribute to residents’ emotional and social well-being.

    Care quality is frequently described as excellent in rehabilitation and therapy: reviewers credit therapists with good outcomes, tailored exercises, and preparing residents to return home. Several accounts specifically say the facility was the best among those visited for post-stroke or post-surgical rehab. Nursing and aide staff are often described as caring and attentive; many families say residents receive personalized care and that staff routinely follow diet orders and communicate with doctors. This cluster of positive reports supports the facility’s strengths in skilled rehab services, therapy effectiveness, and compassionate caregiving by many individuals on staff.

    At the same time, a persistent and significant theme is understaffing and inconsistent staffing patterns. Many reviewers report slow responses to call lights, delays with toileting assistance, missed medications or pain medication gaps, and occasional missed physical therapy appointments. Staffing shortages are blamed for limiting resident care, causing overworked CNAs, scheduling problems, and sometimes preventing families from continuing future placements. Several reviews name problematic CNA behaviors—cliques, favoritism, and refusal to help coworkers—which suggests inconsistent supervision or morale challenges on certain shifts. Management variability is also raised repeatedly: some managers and administrative staff are praised, while others are criticized as ineffective, inaccessible, or gatekeeping family communications.

    Safety and neglect allegations, though not universal, are serious and recur in multiple reviews. Specific claims include missed or delayed clinical responses that families describe as life-threatening, reports of malnutrition or dehydration, overmedication, and even allegations that a resident’s death resulted from inaction. There are also reports of theft or missing personal items and extreme descriptions such as “should be shut down” and “prison-like.” These serious concerns appear concentrated in certain accounts and contrast sharply with many positive experiences. Because of the severity of these allegations, they stand out as critical issues that warrant verification—families should ask the facility for evidence of corrective actions, staffing ratios, incident reports, and regulatory inspection histories.

    Facility condition and cleanliness opinions are mixed: many reviewers say the building is clean, odor-free, and well maintained, while others describe dirty rooms, sticky floors, urine on bathroom floors, old stained sheets, and generally unkempt personal spaces. The building is repeatedly described as aging and in need of updates; limited single rooms and shared bathrooms are noted as constraints. Some visitors praised the fresh paint and a neat appearance in certain wings, while others recount very troubling hygiene lapses in specific rooms—indicating that cleanliness may vary by unit, time, or staff assignment.

    Dining and activities receive predominantly positive feedback. Multiple reviewers say meals are good, diet needs are followed, and food service is accommodating. A variety of activities (cards, shopping trips, shopping once or twice a month for some residents, cooking classes, art, church) are frequently cited as strengths that improve social engagement. Transportation services are used and appreciated, though one reviewer suggested the van needs replacement. Spiritual support and a sense of community are important positives that many families noticed.

    Management, communication, and transparency show both strengths and weaknesses. Several reviewers commend strong communication with families, timely follow-up, and willingness of staff to coordinate with physicians. Conversely, other reviews describe poor leadership, gatekeeping that makes reaching clinicians difficult, favoritism (including alleged relationships between CNAs and higher-ups), and reports of disciplinary or pay disputes. A small number of reviewers cite a worse-than-average health inspection or fines, which, combined with the more alarming safety allegations, suggests families should request the facility’s most recent inspection reports and corrective action plans.

    In summary, Alderwood Manor appears to deliver high-quality rehabilitation and has many compassionate, skilled individuals on staff who produce positive outcomes for numerous residents. However, recurring operational problems—most prominently understaffing, inconsistent caregiving quality, variable cleanliness, and isolated but severe safety allegations—create substantial variability in experience. Prospective residents and families should weigh the strong rehabilitation outcomes and active programming against the reported inconsistencies and serious complaints. When evaluating Alderwood Manor in person, ask specifically about current staffing levels and ratios, turnover, training and supervision practices, incident and theft prevention protocols, recent inspection results and remediation steps, how they handle missed meds or missed therapy sessions, unit-specific cleanliness procedures, and their policies on resident freedom and visitation. A tour that includes speaking with multiple shifts, meeting the therapy team, and checking recent inspection records will help clarify whether the facility’s strong positives outweigh the risks described by those who had negative experiences.

    Location

    Map showing location of Alderwood Manor

    About Alderwood Manor

    Alderwood Manor sits in a quiet Spokane neighborhood about ten minutes from five area hospitals, and it's a licensed Skilled Nursing Facility with 85 beds, run by Life Care Centers of America. The staff speak English, and sometimes other languages, and they create care plans for each person, with nurses and therapists on hand around the clock. Services focus on short-term rehabilitation, long-term care, and post-operative recovery, and the team provides both inpatient and outpatient rehabilitation using therapy equipment like VitalStim® and Lee Silverman Voice Treatment Global's BIG™ and LOUD™ programs, so folks with speech or movement needs can get specialized help. Residents can get physical, occupational, and speech therapies while having access to wound management, suction, and oxygen therapies. There's Alzheimer's care and mental health support, including substance use disorder treatment when needed, and all nursing care is Medicare certified. Alderwood Manor keeps its provider directory updated every month and checks to make sure practitioners accept new patients, plus the staff review credentials regularly for safety. The grounds have walking paths, and inside you'll find private rooms, an always-available menu, and cable TV. There's a speech-language pathology unit, and you can talk with the facility through an online form or follow life at Alderwood Manor on their Facebook page. Appointments need to be booked by phone when seeking services, but office hours aren't listed. The directory also has a way for you to report inaccurate provider information by phone or email, and the facility uses myProvidence to manage secure communications and accounts.

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