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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D27 | E8 | F6 |
| Minimal | A· | B· | C· |
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 | |
|---|---|---|---|---|---|---|
| Dec 5, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 6, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Dec 6, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Sep 3, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Mar 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 11, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 11, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 24, 2025 | Civil money penalty (fine) | $32,298 | — | 505296|Fine|134418 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D27 | E8 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 5, 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 | E · Potential harm Pattern | Corrected Dec 31, 2025 | |
| Dec 5, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 31, 2025 | |
| Dec 5, 2025 | K-0355 |
“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 Holdco Equities, L.l.c | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 15, 2026 |
| Avalon Health Care Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 17, 2025 |
| Avalon Holding Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 15, 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 Holdco Equities, L.l.c | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 15, 2026 |
| Avalon Health Care Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 17, 2025 |
| Avalon Holding Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 15, 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 |
|---|---|---|---|---|---|---|
| Alderwood Park Health and Rehab of Cascadia 2726 Alderwood Avenue, Bellingham, WA 98225 CCN 505092 | 2.4 km | 102 | Jan 16, 2026 | 71 | — | |
| Rock Hill Health & Rehabilitation 1530 James Street, Bellingham, WA 98225 CCN 505098 | 2.5 km | 52 | Jul 15, 2026 | 1432 IJ3 harm | $75k | |
| North Cascades Health and Rehabilitation 4680 Cordata Parkway, Bellingham, WA 98226 CCN 505393Abuse icon | 4.9 km | 122 | Aug 6, 2026 | 1232 IJ7 harm | $250k | |
| Mt Baker Care Center 2905 Connelly Avenue, Bellingham, WA 98225 CCN 505376 | 6.6 km | 70 | May 12, 2026 | 43 | — | |
| Highland Health and Rehabilitation of Cascadia 2400 Samish Way, Bellingham, WA 98229 CCN 505140 | 7 km | 44 | Aug 12, 2026 | 734 harm1 open | $64k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 505296 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 505296 | 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
| Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Dec 31, 2025 |
| Dec 5, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 31, 2025 |
| Dec 5, 2025 | 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 Dec 31, 2025 |
| Dec 5, 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 Jan 5, 2026 |
| Dec 5, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 5, 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 Jan 5, 2026 |
| Dec 5, 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 Jan 5, 2026 |
| Dec 5, 2025 | 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 | E · Potential harm Pattern | Corrected Jan 5, 2026 |
| Dec 5, 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 Jan 5, 2026 |
| Dec 5, 2025 | 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 Jan 5, 2026 |
| Dec 5, 2025 | 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 Jan 5, 2026 |
| Dec 5, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 5, 2025 | 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 | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Apr 24, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 15, 2025 | Complaint |
| Jan 13, 2025 | 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 Jan 29, 2025 | Complaint |
| Dec 6, 2024 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 16, 2025 |
| Dec 6, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 16, 2025 |
| Dec 6, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 16, 2025 |
| Dec 6, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 16, 2025 |
| Dec 6, 2024 | 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 Jan 16, 2025 |
| Dec 6, 2024 | 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 Jan 16, 2025 |
| Dec 6, 2024 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 6, 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 | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 6, 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 Jan 3, 2025 |
| Dec 6, 2024 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 6, 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 Jan 3, 2025 |
| Dec 6, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Sep 3, 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 Sep 19, 2024 | Complaint |
| Sep 3, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 17, 2024 | Complaint |
| Sep 3, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 19, 2024 | Complaint |
| Mar 25, 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 | D · Potential harm Isolated | Corrected Apr 9, 2024 | Complaint |
| Jan 11, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 12, 2024 |
| Jan 11, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Jan 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 14, 2024 |
| Jan 11, 2024 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 1, 2024 | Complaint |
| Jan 11, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 11, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 11, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 11, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 11, 2024 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 11, 2024 | 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 | E · Potential harm Pattern | Corrected Feb 1, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.54 (case-mix index 1.65).
| 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 17, 2025 |
| Byron Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 17, 2025 |
| Hyrum Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 17, 2025 |
| Spencer Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 17, 2025 |
| Robert Woltil | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 17, 2025 |
| Avalon Health Care Management Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Avalon Holding Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 17, 2025 |
| Alan Hash | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Allen Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 17, 2025 |
| Hyrum Kirton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Melissa Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 17, 2025 |
| Avalon Health Care Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Avalon Health Care Management Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 30, 2026 |
| Avalon Holdco Equities, L.l.c | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 15, 2026 |
| Avalon Holding Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Avalon Real Estate LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 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, 2025 |
| Peacehealth | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| 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 |
| Alan Hash | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Allen Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 10, 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 |
| Melissa Nelson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 10, 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 - Tacoma 7411 Pacific Avenue, Tacoma, WA 98408 CCN 505183 | 81 | Aug 7, 2026 | 1481 IJ1 harm | $25k |
| 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 |