nursing home in Federal Way, WA
Avalon Care Center Federal Way, L.L.C.
135 South 336th Street, Federal Way, WA 98003 · (253) 835-7453
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avalon Care Center Federal Way, L.L.C. at a glance
Avalon Care Center Federal Way, L.L.C. is a 120-bed for-profit nursing home in Federal Way, Washington (King County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Washington average of 3.3.
Residents receive about 4.3 hours of nursing care per day (0.9 of them from registered nurses), close to the state average of 4.4 hours.
Its most recent standard health inspection (November 21, 2025) found 12 health citations. The Washington average is 15.8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 38.3% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avalon Health Care
- Medicare-certified since
- August 2, 2002
- Resident/family council
- Resident
- County
- King County
- CMS Certification Number
- 505510
Ratings
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.9 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.28 hrs | 4.36 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.90 hrs | 0.94 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.45 hrs | 2.66 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.75 hrs | 3.80 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 38.3% | 45.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 40% | 45.4% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 78 | 116.6 | 80.6 | Average |
Penalties
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $52,633 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 97 | 107 | |
| Average residents per day | 110 | 76 | 86 | |
| Occupancy | 91.3% | 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) | 3.7% | 2.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.3% | 4.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.9% | 15.1% | 15.4% | Better |
| 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) | 0.2% | 1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11% | 14.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 18.6% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.8% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 7.3% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 14.4% | 22.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 94.9% | 93.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.7% | 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) | 0.3% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 86.6% | 82% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.7% | 88.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 48 health deficiencies and 40 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 21, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 24, 2025 |
| November 21, 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 December 24, 2025 |
| November 21, 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 December 24, 2025 |
| November 21, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected December 24, 2025 |
| November 21, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected December 24, 2025 |
| November 21, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected December 24, 2025 |
| November 21, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 24, 2025 |
| November 21, 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 December 24, 2025 |
| November 21, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 24, 2025 |
| November 21, 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 December 24, 2025 |
| November 21, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected December 24, 2025 |
| November 21, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected December 24, 2025 |
| November 21, 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 | D Potential harm, isolated | Corrected December 24, 2025 |
| November 21, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected December 24, 2025 |
| November 21, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected January 4, 2026 |
| November 21, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected January 4, 2026 |
| November 21, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 4, 2026 |
| November 21, 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 January 4, 2026 |
| November 21, 2025 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 January 4, 2026 |
| November 21, 2025 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 January 4, 2026 |
| November 21, 2025 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 January 4, 2026 |
| November 21, 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 January 4, 2026 |
| November 21, 2025 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 January 4, 2026 |
| November 21, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected January 4, 2026 |
| November 21, 2025 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 January 4, 2026 |
| November 21, 2025 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected January 4, 2026 |
| November 5, 2024 Complaint | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected December 6, 2024 |
| July 24, 2024 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected August 19, 2024 |
| July 24, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected August 19, 2024 |
| July 24, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 19, 2024 |
| July 24, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 2, 2024 |
| July 24, 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 August 19, 2024 |
| July 24, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 24, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 24, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected September 5, 2024 |
| July 24, 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 | E Potential harm, pattern | Corrected August 29, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 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 | E Potential harm, pattern | Corrected August 29, 2024 |
| July 24, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 29, 2024 |
| July 24, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 5, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 2024 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 August 29, 2024 |
| July 24, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 29, 2024 |
| July 24, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 29, 2024 |
| July 24, 2024 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected August 29, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 2024 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 August 29, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 2024 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected August 29, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 29, 2024 |
| July 24, 2024 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 August 29, 2024 |
| July 24, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected August 29, 2024 |
| July 24, 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 August 29, 2024 |
| July 24, 2024 Standard | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected August 29, 2024 |
| April 28, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 28, 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 May 3, 2023 |
| April 28, 2023 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 May 3, 2023 |
| April 28, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 28, 2023 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 May 3, 2023 |
| April 28, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 28, 2023 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 May 3, 2023 |
| April 28, 2023 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 28, 2023 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 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 28, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected May 3, 2023 |
| April 28, 2023 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected June 7, 2023 |
| April 28, 2023 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | E Potential harm, pattern | Corrected June 22, 2023 |
| April 28, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected June 20, 2023 |
| April 28, 2023 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 | E Potential harm, pattern | Corrected June 7, 2023 |
| April 28, 2023 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | E Potential harm, pattern | Corrected June 7, 2023 |
| April 28, 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 | E Potential harm, pattern | Corrected June 20, 2023 |
| April 28, 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 | D Potential harm, isolated | Corrected June 7, 2023 |
| April 28, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 7, 2023 |
| April 28, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected June 20, 2023 |
| April 28, 2023 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected June 20, 2023 |
| April 28, 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 June 22, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AVALON CARE LLC Organization | 5% or greater indirect ownership interest | 100% | 08/01/2004 |
| AHMAD, ATIQUE Individual | adp of the snf | NOT APPLICABLE | 03/26/2025 |
| AVALON HEALTH CARE INC Organization | adp of the snf | NOT APPLICABLE | 07/21/2026 |
| AVALON HEALTH CARE MANAGEMENT INC Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| HARRIS, BRADFORD Individual | adp of the snf | NOT APPLICABLE | 03/16/2026 |
| HASH, ALAN Individual | adp of the snf | NOT APPLICABLE | 08/15/2017 |
| KIRTON, HYRUM Individual | adp of the snf | NOT APPLICABLE | 03/29/2022 |
| SMITH, NICOLE Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| STOA, INGA Individual | adp of the snf | NOT APPLICABLE | 09/10/2025 |
| WACHOWSKI, SAMANTHA Individual | adp of the snf | NOT APPLICABLE | 12/29/2022 |
| DANGERFIELD, DAVID Individual | corporate director | NOT APPLICABLE | 04/05/2007 |
| KIRTON, BYRON Individual | corporate director | NOT APPLICABLE | 08/27/2024 |
| KIRTON, HYRUM Individual | corporate director | NOT APPLICABLE | 08/27/2024 |
| KIRTON, SPENCER Individual | corporate director | NOT APPLICABLE | 08/27/2024 |
| WOLTIL, ROBERT Individual | corporate director | NOT APPLICABLE | 05/23/2012 |
| HARRIS, BRADFORD Individual | corporate officer | NOT APPLICABLE | 03/16/2026 |
| HASH, ALAN Individual | corporate officer | NOT APPLICABLE | 08/15/2017 |
| KIRTON, HYRUM Individual | corporate officer | NOT APPLICABLE | 03/29/2022 |
| SMITH, NICOLE Individual | corporate officer | NOT APPLICABLE | 03/01/2023 |
| DANGERFIELD, DAVID Individual | managing control - governing body | NOT APPLICABLE | 04/05/2007 |
| DERRICK, MICHAEL Individual | managing control - governing body | NOT APPLICABLE | 05/13/2026 |
| KIRTON, BYRON Individual | managing control - governing body | NOT APPLICABLE | 08/27/2024 |
| KIRTON, HYRUM Individual | managing control - governing body | NOT APPLICABLE | 08/27/2024 |
| KIRTON, SPENCER Individual | managing control - governing body | NOT APPLICABLE | 08/27/2024 |
| WOLTIL, ROBERT Individual | managing control - governing body | NOT APPLICABLE | 05/23/2012 |
| AHMAD, ATIQUE Individual | operational/managerial control | NOT APPLICABLE | 03/26/2025 |
| AVALON HEALTH CARE INC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2003 |
| AVALON HEALTH CARE MANAGEMENT INC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2003 |
| HARRIS, BRADFORD Individual | operational/managerial control | NOT APPLICABLE | 03/16/2026 |
| HASH, ALAN Individual | operational/managerial control | NOT APPLICABLE | 08/15/2017 |
| KIRTON, HYRUM Individual | operational/managerial control | NOT APPLICABLE | 03/29/2022 |
| SMITH, NICOLE Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| STOA, INGA Individual | operational/managerial control | NOT APPLICABLE | 09/10/2025 |
| WACHOWSKI, SAMANTHA Individual | operational/managerial control | NOT APPLICABLE | 12/29/2022 |
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Garden Terrace Healthcare Center of Federal Way
491 South 338th Street, Federal Way, WA 98003 · under 1 mi
For-profit · 70 beds · Part of Life Care Centers of America
- CMS high performer
★★★★★5Much above averageHallmark Manor
32300 First Avenue South, Federal Way, WA 98003 · under 1 mi
For-profit · 147 beds · Part of Life Care Centers of America
★★★★★2Below averageLife Care Center of Federal Way
1045 South 308th Street, Federal Way, WA 98003 · 1.9 mi
For-profit · 157 beds · Part of Life Care Centers of America
★★★★★3AverageAuburn Post Acute
414 - 17th Southeast, Auburn, WA 98002 · 5.2 mi
For-profit · 96 beds
- Special Focus candidate
★★★★★1Much below averageCanterbury House
502 29th Street Southeast, Auburn, WA 98002 · 5.3 mi
For-profit · 100 beds · Part of Evergreen Healthcare Group
★★★★★2Below average- ★★★★★2Below average
Frequently asked questions
What is Avalon Care Center Federal Way, L.L.C.'s rating?
Avalon Care Center Federal Way, L.L.C. has 4 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 Care Center Federal Way, L.L.C. receive?
Its most recent standard health inspection found 12 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.
Does Avalon Care Center Federal Way, L.L.C. 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 Care Center Federal Way, L.L.C.?
It is for profit - corporation and part of Avalon Health Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avalon Care Center Federal Way, L.L.C. and how do I contact it?
Avalon Care Center Federal Way, L.L.C. is at 135 South 336th Street, Federal Way, WA 98003. Phone: (253) 835-7453.
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.