Avalon Care Center Federal Way, L.L.C.CMS ratings, inspections and fines
- Address
- 135 South 336th Street, Federal Way, WA 98003
- CCN
- 505510
- Ownership type
- For-profit, corporation
- Certified beds
- 120
- Chain
- Avalon Health Care
- Residents per day
- 110
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Avalon Care Center Federal Way, L.L.C. an overall rating of 4 of 5 stars. The last standard survey was on 21 Nov 2025. The latest survey cycle has 12 health citations. The median for nursing homes in Washington is 14. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Washington (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | King County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 47 homes in the county, 193 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Nov 2025 | 12 | 14 |
| Cycle 2 | 24 Jul 2024 | 25 | 17 |
| Cycle 3 | No date | 11 | 13 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Nov 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0688 | 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. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0693 | 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. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0761 | 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. | D | Standard survey | 4 Jan 2026 |
| 21 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Jan 2026 |
Survey cycle 2: 25 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Nov 2024 | F0700 | 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. | D | Complaint investigation | 6 Dec 2024 |
| 24 Jul 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0578 | 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. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0585 | 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. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0622 | 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. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0625 | 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. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0688 | 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. | E | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0700 | 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. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0758 | 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. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0761 | 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. | D | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Aug 2024 |
| 24 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Sep 2024 |
| 24 Jul 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 5 Sep 2024 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Apr 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 7 Jun 2023 |
| 28 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 20 Jun 2023 |
| 28 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 7 Jun 2023 |
| 28 Apr 2023 | F0625 | 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. | E | Standard survey | 20 Jun 2023 |
| 28 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Jun 2023 |
| 28 Apr 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Jun 2023 |
| 28 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 7 Jun 2023 |
| 28 Apr 2023 | F0758 | 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. | D | Standard survey | 7 Jun 2023 |
| 28 Apr 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Jun 2023 |
| 28 Apr 2023 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 7 Jun 2023 |
| 28 Apr 2023 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 22 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Washington median | Washington average (CMS) |
|---|---|---|---|
| All nurse staff | 4.28 | 4.10 | 4.37 |
| Registered nurses (RN) | 0.90 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.93 | 0.77 | |
| Nurse aides | 2.45 | 2.66 | |
| All nurse staff, weekends | 3.75 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 38.3%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 40.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.0% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.6% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.9% | 14.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Avalon Care Center - Federal Way, LLC
- Chain
- Avalon Health Care (16 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Avalon Care LLC | 5% or greater indirect ownership interest | 100% | 1 Aug 2004 |
| Avalon Health Care Inc | Operational/managerial control | 1 Dec 2003 | |
| Avalon Health Care Management Inc | Operational/managerial control | 1 Dec 2003 | |
| Avalon Health Care Inc | Adp of the snf | 14 May 2025 | |
| Avalon Health Care Management Inc | Adp of the snf | 9 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in King County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Garden Terrace Healthcare Center of Federal Way | Federal Way | 5 of 5 | 16 | $0 | 16 Jun 2025 | |
| Hallmark Manor | Federal Way | 2 of 5 | 20 | $32,175 | 13 May 2025 | |
| Life Care Center of Federal Way | Federal Way | 2 of 5 | 30 | $98,970 | 18 Mar 2025 | |
| Auburn Post AcuteSpecial Focus candidate | Auburn | 1 of 5 | 31 | $376,629 | 31 Jan 2025 | |
| Canterbury House | Auburn | 2 of 5 | 14 | $68,159 | 16 Jan 2026 | |
| North Auburn Care | Auburn | 2 of 5 | 31 | $12,035 | 21 Apr 2025 | |
| Lea Hill Rehabilitation and Care Center | Auburn | 4 of 5 | 15 | $0 | 19 Sep 2025 | |
| Judson Park Health Center | Des Moines | 5 of 5 | 20 | $0 | 28 Aug 2025 | |
| Puget Sound Transitional Care | Des Moines | 2 of 5 | 24 | $0 | 27 Aug 2025 | |
| Wesley Homes Des Moines Health Center | Des Moines | 5 of 5 | 10 | $0 | 12 Feb 2026 | |
| Benson Heights Rehabilitation Center | Kent | 3 of 5 | 10 | $43,455 | 6 May 2026 | |
| Valley View Skilled Nursing and Rehabilitation | Renton | 3 of 5 | 13 | $0 | 24 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Avalon Care Center Federal Way, L.L.C. (CCN 505510). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avalon-care-center-federal-way-l-l-c-federal-way-wa-505510/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Avalon Care Center Federal Way, L.L.C. last inspected?
- The latest inspection with a citation in the CMS record was on 21 Nov 2025. It was a standard survey. It gave 12 citations. The standard survey before the last one was on 24 Jul 2024.
- Who operates Avalon Care Center Federal Way, L.L.C.?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Avalon Health Care. The CMS ownership file names Avalon Health Care Inc and Avalon Health Care Management Inc for operational or managerial control. This site does not show the names of persons.
- Is Avalon Care Center Federal Way, L.L.C. a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.