| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D59 | E32 | F54 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 16, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 16, 2026 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Jul 1, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 30, 2025 | Fire safety | Fire Safety Standard | 41 | Immediate jeopardy | — | Open → |
| Jul 30, 2025 | Health | Health Standard | 24 | Potential harm | — | Open → |
| May 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 11, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 30, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 9, 2024 | Fire safety | Fire Safety Standard | 17 | Potential harm | — | Open → |
| Oct 9, 2024 | Health | Health Standard | 32 | Potential harm | — | Open → |
| Jan 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 3, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 30, 2025 | Civil money penalty (fine) | $24,814 | — | 505183|Fine|138378 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D59 | E32 | F54 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 7, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 24, 2026 | Complaint |
| Jul 16, 2026 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 10, 2026 | |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
16 facilities in 5 states. CMS chain ID 57.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avalon Care Center - Tacoma, L.l.c | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2024 |
| Multicare Health System | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2024 |
| Avalon Holdco Equities, L.l.c | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 14, 2026 |
| Hyrum a Kirton Individual Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| K-Team LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Spencer K Kirton Individual Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| The Byron a Kirton Individual Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Byron Kirton | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Hyrum Kirton | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Spencer Kirton | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avalon Care Center - Tacoma, L.l.c | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2024 |
| Multicare Health System | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2024 |
| Avalon Holdco Equities, L.l.c | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 14, 2026 |
| Hyrum a Kirton Individual Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Garden Village 206 South Tenth Avenue, Yakima, WA 98902 CCN 505010 | 101 | Jun 4, 2026 | 1181 IJ3 harm | $53k | |
| Grays Harbor Health & Rehabilitation Center 920 Anderson Drive, Aberdeen, WA 98520 CCN 505016 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Heartwood Extended Healthcare 1649 East 72nd, Tacoma, WA 98404 CCN 505326 | 1.5 km | 120 | Aug 26, 2026 | 1137 harm5 open | $351k | |
| Tacoma Nursing and Rehabilitation Center 2102 South 96th Street, Tacoma, WA 98444 CCN 505154 | 2.3 km | 150 | Jun 22, 2026 | 341 harm | $36k | |
| Alaska Gardens Health and Rehabilitation 6220 South Alaska Street, Tacoma, WA 98408 CCN 505483 | 2.5 km | 123 | Jun 5, 2026 | 862 IJ4 harm | $170k | |
| Avamere at Pacific Ridge 3625 East B Street, Tacoma, WA 98404 CCN 505264 | 4 km | 102 | Apr 24, 2026 | 1214 harm | $68k | |
| Birch Creek Post Acute & Rehabilitation 5601 S Orchard Street, Tacoma, WA 98409 CCN 505289 | 5.6 km | 124 | Jun 18, 2026 | 1093 harm | $20k | |
| Orchard Park Health Care & Rehab Center 4755 South 48th, Tacoma, WA 98409 CCN 505093Abuse icon | 5.9 km | 147 | Aug 27, 2026 | 1842 IJ8 harm24 open | $301k | |
| The Oaks at Lakewood 11411 Bridgeport Way, Tacoma, WA 98499 CCN 505347 | 6.7 km | 80 | Jan 29, 2026 | 50 | — | |
| Park Rose Care Center 3919 South 19th Street, Tacoma, WA 98405 CCN 505239 | 7.4 km | 139 | Aug 3, 2026 | 1073 harm | $242k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 505183 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 505183 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| K-0232 |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Aug 10, 2026 |
| Jul 16, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 10, 2026 |
| Jul 16, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 10, 2026 |
| Jul 16, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 13, 2026 |
| Jul 16, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Aug 13, 2026 |
| Jul 1, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 10, 2026 | Complaint |
| Mar 6, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 7, 2026 | Complaint |
| Jul 30, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | J · Immediate jeopardy Isolated | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 19, 2025 |
| Jul 30, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 19, 2025 |
| Jul 30, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 19, 2025 |
| Jul 30, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2025 |
| Jul 30, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 10, 2025 |
| Jul 30, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 10, 2025 |
| May 7, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 10, 2025 | Complaint |
| Mar 11, 2025 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 15, 2025 | Complaint |
| Mar 11, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2025 | Complaint |
| Mar 11, 2025 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 15, 2025 | Complaint |
| Dec 30, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 14, 2025 | Complaint |
| Oct 9, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 4, 2024 |
| Oct 9, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 4, 2024 |
| Oct 9, 2024 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 4, 2024 |
| Oct 9, 2024 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 4, 2024 |
| Oct 9, 2024 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 6, 2024 |
| Oct 9, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 12, 2024 |
| Oct 9, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 3, 2024 |
| Oct 9, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 4, 2024 |
| Oct 9, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 4, 2024 |
| Oct 9, 2024 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 4, 2024 |
| Oct 9, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 3, 2024 |
| Oct 9, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 4, 2024 |
| Oct 9, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 6, 2024 |
| Oct 9, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 4, 2024 |
| Oct 9, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 4, 2024 |
| Oct 9, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 6, 2024 |
| Oct 9, 2024 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 6, 2024 |
| Oct 9, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0625 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Oct 9, 2024 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Jan 26, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2024 | Complaint |
| Nov 3, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.63 (case-mix index 1.32).
| not provided |
| Oct 1, 2025 |
| K-Team LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Spencer K Kirton Individual Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| The Byron a Kirton Individual Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Byron Kirton | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Hyrum Kirton | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Spencer Kirton | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| David Dangerfield | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 12, 2012 |
| Michael Derrick | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2026 |
| Martina Irwin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 12, 2025 |
| Byron Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 12, 2025 |
| Hyrum Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
| Spencer Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 12, 2025 |
| Ryan Nelson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 12, 2025 |
| Robert Woltil | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 12, 2025 |
| Avalon Care Center - Tacoma, L.l.c | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Avalon Health Care Management Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Alan Hash | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 12, 2025 |
| Martina Irwin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 12, 2025 |
| Hyrum Kirton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Molly Purtle | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 13, 2026 |
| Floyd Sekeramayi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 12, 2025 |
| Lynn Siedenstrang | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 12, 2025 |
| Laura Stengel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 12, 2025 |
| Hyrum Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Hyrum Kirton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2024 |
| Ryan Nelson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2024 |
| Avalon Care Center - Tacoma, L.l.c | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Avalon Health Care Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2026 |
| Avalon Health Care Management Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2026 |
| Avalon Holdco Equities, L.l.c | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2026 |
| Avalon Holding Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 12, 2025 |
| Hyrum a Kirton Individual Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| K-Team LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Multicare Health System | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Spencer K Kirton Individual Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| The Byron a Kirton Individual Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Byron Kirton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Hyrum Kirton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Spencer Kirton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Molly Purtle | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 13, 2026 |
| Floyd Sekeramayi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 26, 2025 |
| 105 |
| May 7, 2026 |
39 |
| — |
| Avalon Health & Rehabilitation Center - Pasco 2004 N 22nd Avenue, Pasco, WA 99301 CCN 505126 | 108 | Aug 25, 2026 | 1412 harm | — |
| Avalon Healthcare Bellingham 3121 Squalicum Parkway, Bellingham, WA 98225 CCN 505296 | 105 | Dec 5, 2025 | 432 harm | $32k |
| Avalon Care Center at Northpointe 9827 North Nevada, Spokane, WA 99218 CCN 505496 | 119 | Jun 23, 2026 | 992 harm | $85k |
| Avalon Care Center Federal Way, L.l.c. 135 South 336th Street, Federal Way, WA 98003 CCN 505510 | 120 | Nov 21, 2025 | 88 | — |
| Benson Heights Rehabilitation Center 22410 Benson Road SE, Kent, WA 98031 CCN 505519 | 91 | May 6, 2026 | 952 harm | $38k |