nursing home in Tacoma, WA
Avalon Healthcare - Tacoma
7411 Pacific Avenue, Tacoma, WA 98408 · (253) 474-8456
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avalon Healthcare - Tacoma at a glance
Avalon Healthcare - Tacoma is a 81-bed for-profit nursing home in Tacoma, Washington (Pierce County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Washington average of 3.3.
Residents receive about 4.4 hours of nursing care per day (1 of them from registered nurses), close to the state average of 4.4 hours.
Its most recent standard health inspection (July 30, 2025) found 26 health citations. The Washington average is 15.8.
Federal regulators fined it 1 time in the past three years, totaling $24,814.
Nursing staff turnover is 47.1% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 81
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avalon Health Care
- Medicare-certified since
- February 8, 1968
- Resident/family council
- Resident
- County
- Pierce County
- CMS Certification Number
- 505183
Ratings
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 4 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.9 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.42 hrs | 4.36 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.96 hrs | 0.94 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.61 hrs | 2.66 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.68 hrs | 3.80 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 47.1% | 45.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 53.8% | 45.4% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 26 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 177 | 116.6 | 80.6 | Worse |
Penalties
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $24,814 | $52,633 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 81 | 97 | 107 | |
| Average residents per day | 53 | 76 | 86 | |
| Occupancy | 65.7% | 79.4% | 80.9% |
Long-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 2.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.3% | 4.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 28.8% | 15.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.5% | 14.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 23% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.2% | 5.5% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 3.6% | 17.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.1% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.3% | 22.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 93.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.5% | 96% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.7% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 62.3% | 82% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 75.4% | 88.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 83 health deficiencies and 67 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 1, 2026 Complaint | 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 · Tag F0761 | D Potential harm, isolated | Corrected August 10, 2026 |
| March 6, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 7, 2026 |
| July 30, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | J Immediate jeopardy, isolated | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 19, 2025 |
| July 30, 2025 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | 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 · Tag K0914 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected September 19, 2025 |
| July 30, 2025 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected September 19, 2025 |
| July 30, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Tag E0023 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | 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 · Tag K0222 | E Potential harm, pattern | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected August 28, 2025 |
| July 30, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 28, 2025 |
| July 30, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected September 10, 2025 |
| July 30, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | 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 · Tag F0656 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected September 10, 2025 |
| July 30, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | 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 · Tag F0657 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | 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 · Tag F0605 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | 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 · Tag F0693 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 10, 2025 |
| July 30, 2025 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected September 10, 2025 |
| May 7, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 10, 2025 |
| March 11, 2025 Complaint | 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 · Tag F0807 | E Potential harm, pattern | Corrected April 15, 2025 |
| March 11, 2025 Complaint | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | E Potential harm, pattern | Corrected April 15, 2025 |
| March 11, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 15, 2025 |
| December 30, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected January 14, 2025 |
| October 9, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected December 12, 2024 |
| October 9, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected December 6, 2024 |
| October 9, 2024 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected December 6, 2024 |
| October 9, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected December 6, 2024 |
| October 9, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 3, 2024 |
| October 9, 2024 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | D Potential harm, isolated | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 3, 2024 |
| October 9, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 4, 2024 |
| October 9, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected December 6, 2024 |
| October 9, 2024 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected November 4, 2024 |
| October 9, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected November 22, 2024 |
| October 9, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0656 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0808 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0887 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0657 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 9, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0756 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0585 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0623 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0625 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | 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 · Tag F0688 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 9, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected November 22, 2024 |
| January 26, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 27, 2024 |
| November 9, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected December 6, 2023 |
| November 9, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 6, 2023 |
| November 9, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 6, 2023 |
| November 9, 2023 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected December 6, 2023 |
| November 9, 2023 Fire safety | 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 · Tag K0222 | D Potential harm, isolated | Corrected December 6, 2023 |
| November 9, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected December 6, 2023 |
| November 9, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected December 6, 2023 |
| November 9, 2023 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | D Potential harm, isolated | Corrected December 6, 2023 |
| November 9, 2023 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | D Potential harm, isolated | Corrected December 6, 2023 |
| November 9, 2023 Standard | 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 · Tag F0656 | E Potential harm, pattern | Corrected December 21, 2023 |
| November 9, 2023 Standard | 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 · Tag F0761 | E Potential harm, pattern | Corrected December 21, 2023 |
| November 9, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected December 21, 2023 |
| November 9, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected December 21, 2023 |
| November 9, 2023 Standard | 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 · Tag F0756 | E Potential harm, pattern | Corrected December 21, 2023 |
| November 9, 2023 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected December 21, 2023 |
| November 9, 2023 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected December 21, 2023 |
| November 9, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 9, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 9, 2023 Standard | 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 · Tag F0655 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 9, 2023 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 9, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 9, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 9, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 9, 2023 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | C No harm, widespread | Corrected December 21, 2023 |
| November 9, 2023 Standard | 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 · Tag F0625 | C No harm, widespread | Corrected December 21, 2023 |
| November 9, 2023 Standard | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Tag F0848 | C No harm, widespread | Corrected December 21, 2023 |
| November 3, 2023 Complaint | 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 · Tag F0584 | D Potential harm, isolated | Corrected December 5, 2023 |
| September 1, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $24,814 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 30, 2025 | Fine | $24,814 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AVALON CARE CENTER - TACOMA, L.L.C. Organization | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| AVALON HEALTH CARE INC Organization | adp of the snf | NOT APPLICABLE | 08/01/2026 |
| AVALON HEALTH CARE MANAGEMENT INC Organization | adp of the snf | NOT APPLICABLE | 04/14/2026 |
| AVALON HOLDCO EQUITIES, L.L.C. Organization | adp of the snf | NOT APPLICABLE | 04/14/2026 |
| AVALON HOLDING INC Organization | adp of the snf | NOT APPLICABLE | 03/12/2025 |
| HYRUM A KIRTON INDIVIDUAL TR Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| KIRTON, BYRON Individual | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| KIRTON, HYRUM Individual | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| KIRTON, SPENCER Individual | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| K-TEAM LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| MULTICARE HEALTH SYSTEM Organization | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| PURTLE, MOLLY Individual | adp of the snf | NOT APPLICABLE | 07/13/2026 |
| SEKERAMAYI, FLOYD Individual | adp of the snf | NOT APPLICABLE | 09/26/2025 |
| SPENCER K KIRTON INDIVIDUAL TR Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| THE BYRON A KIRTON INDIVIDUAL TR Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| KIRTON, HYRUM Individual | corporate director | NOT APPLICABLE | 08/27/2024 |
| KIRTON, HYRUM Individual | corporate officer | NOT APPLICABLE | 08/01/2024 |
| NELSON, RYAN Individual | corporate officer | NOT APPLICABLE | 10/01/2024 |
| AVALON CARE CENTER - TACOMA, L.L.C. Organization | direct ownership interest | NOT APPLICABLE | 08/01/2024 |
| MULTICARE HEALTH SYSTEM Organization | direct ownership interest | NOT APPLICABLE | 08/01/2024 |
| AVALON HOLDCO EQUITIES, L.L.C. Organization | indirect ownership interest | NOT APPLICABLE | 04/14/2026 |
| HYRUM A KIRTON INDIVIDUAL TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| KIRTON, BYRON Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| KIRTON, HYRUM Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| KIRTON, SPENCER Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| K-TEAM LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| SPENCER K KIRTON INDIVIDUAL TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| THE BYRON A KIRTON INDIVIDUAL TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| DANGERFIELD, DAVID Individual | managing control - governing body | NOT APPLICABLE | 03/12/2012 |
| DERRICK, MICHAEL Individual | managing control - governing body | NOT APPLICABLE | 05/13/2026 |
| IRWIN, MARTINA Individual | managing control - governing body | NOT APPLICABLE | 03/12/2025 |
| KIRTON, BYRON Individual | managing control - governing body | NOT APPLICABLE | 03/12/2025 |
| KIRTON, HYRUM Individual | managing control - governing body | NOT APPLICABLE | 08/27/2024 |
| KIRTON, SPENCER Individual | managing control - governing body | NOT APPLICABLE | 03/12/2025 |
| NELSON, RYAN Individual | managing control - governing body | NOT APPLICABLE | 03/12/2025 |
| WOLTIL, ROBERT Individual | managing control - governing body | NOT APPLICABLE | 03/12/2025 |
| AVALON CARE CENTER - TACOMA, L.L.C. Organization | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| AVALON HEALTH CARE MANAGEMENT INC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| HASH, ALAN Individual | operational/managerial control | NOT APPLICABLE | 03/12/2025 |
| IRWIN, MARTINA Individual | operational/managerial control | NOT APPLICABLE | 03/12/2025 |
Showing 40 of 45 records.
Other nursing homes near Avalon Healthcare - Tacoma
- ★★★★★1Much below average
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★★★★★5Much above averageAlaska Gardens Health and Rehabilitation
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★★★★★1Much below averageOrchard Park Health Care & Rehab Center
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- Abuse citation
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Frequently asked questions
What is Avalon Healthcare - Tacoma's rating?
Avalon Healthcare - Tacoma has 2 out of 5 stars on the CMS overall star rating. The average for Washington nursing homes is 3.3 stars.
How many inspection citations did Avalon Healthcare - Tacoma receive?
Its most recent standard health inspection found 26 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.
Does Avalon Healthcare - Tacoma accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avalon Healthcare - Tacoma?
It is for profit - limited liability company and part of Avalon Health Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avalon Healthcare - Tacoma and how do I contact it?
Avalon Healthcare - Tacoma is at 7411 Pacific Avenue, Tacoma, WA 98408. Phone: (253) 474-8456.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.