Avalon Health & Rehabilitation Center - PascoCMS ratings, inspections and fines
- Address
- 2004 N 22nd Avenue, Pasco, WA 99301
- CCN
- 505126
- Ownership type
- For-profit, corporation
- Certified beds
- 108
- Chain
- Avalon Health Care
- Residents per day
- 63
- 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 Health & Rehabilitation Center - Pasco an overall rating of 1 of 5 stars. The last standard survey was on 27 May 2025. The latest survey cycle has 32 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 | Washington median | US average (CMS) |
|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 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) | 27 May 2025 | 32 | 14 |
| Cycle 2 | 23 Apr 2024 | 34 | 17 |
| Cycle 3 | No date | 25 | 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 | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 32 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 20 May 2026 |
| 7 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 28 Apr 2026 |
| 19 Mar 2026 | 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. | E | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Apr 2026 |
| 19 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Apr 2026 |
| 23 Dec 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 19 Jan 2026 |
| 23 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Jan 2026 |
| 17 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Oct 2025 |
| 5 Aug 2025 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | E | Complaint investigation | 15 Aug 2025 |
| 27 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | E | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0584 | 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. | E | Standard survey | 10 Jul 2025 |
| 27 May 2025 | 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. | E | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Jul 2025 |
| 27 May 2025 | 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 | 10 Jul 2025 |
| 27 May 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 | 10 Jul 2025 |
| 27 May 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 10 Jul 2025 |
| 27 May 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 10 Jul 2025 |
Survey cycle 2: 34 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Jan 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 14 Feb 2025 |
| 29 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Feb 2025 |
| 29 Jan 2025 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Complaint investigation | 14 Feb 2025 |
| 29 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Feb 2025 |
| 19 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Jan 2025 |
| 23 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Nov 2024 |
| 23 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Nov 2024 |
| 25 Sep 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. | E | Complaint investigation | 11 Oct 2024 |
| 23 Apr 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0555 | Honor the resident's right to choose his or her attending physician. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0584 | 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. | E | Standard survey | 15 May 2024 |
| 23 Apr 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 | 15 May 2024 |
| 23 Apr 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 15 May 2024 |
| 23 Apr 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 | 15 May 2024 |
| 23 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | 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 | 15 May 2024 |
| 23 Apr 2024 | 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 | 15 May 2024 |
| 23 Apr 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 15 May 2024 |
| 23 Apr 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 | 15 May 2024 |
| 23 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0887 | 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. | E | Standard survey | 15 May 2024 |
| 23 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 15 May 2024 |
Survey cycle 3: 25 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 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 30 Apr 2024 |
| 28 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 30 Apr 2024 |
| 15 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Apr 2024 |
| 15 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Apr 2024 |
| 15 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 30 Apr 2024 |
| 14 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Mar 2024 |
| 14 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 11 Mar 2024 |
| 14 Feb 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Complaint investigation | 11 Mar 2024 |
| 14 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 11 Mar 2024 |
| 23 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 14 Feb 2024 |
| 26 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Nov 2023 |
| 23 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 12 Sep 2023 |
| 17 May 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 23 Jun 2023 |
| 17 May 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 23 Jun 2023 |
| 17 May 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 23 Jun 2023 |
| 17 May 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 23 Jun 2023 |
| 17 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Jun 2023 |
| 17 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 23 Jun 2023 |
| 17 May 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 | 23 Jun 2023 |
| 17 May 2023 | 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 | 23 Jun 2023 |
| 17 May 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 | 23 Jun 2023 |
| 17 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Jun 2023 |
| 17 May 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Jun 2023 |
| 17 May 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 23 Jun 2023 |
| 17 May 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 23 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 | 3.93 | 4.10 | 4.37 |
| Registered nurses (RN) | 0.96 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.55 | 0.77 | |
| Nurse aides | 2.42 | 2.66 | |
| All nurse staff, weekends | 3.43 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 47.6%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 52.9%
- Administrators who left in a year
- 2
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 | 20.0% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 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 | 0.0% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 33.1% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.3% | 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-Pasco 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% | 26 Aug 2003 |
| Avalon Health Care Management Inc | Operational/managerial control | 26 Aug 2003 | |
| 2004 North 22nd Avenue, LLC | Adp of the snf | 26 Aug 2003 | |
| Avalon Health Care Management Inc | Adp of the snf | 18 May 2026 |
The site shows organisations only. It does not show the names of persons.
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 Health & Rehabilitation Center - Pasco (CCN 505126). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avalon-health-rehabilitation-center-pasco-pasco-wa-505126/
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 Health & Rehabilitation Center - Pasco last inspected?
- The latest inspection with a citation in the CMS record was on 30 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 23 Apr 2024.
- Who operates Avalon Health & Rehabilitation Center - Pasco?
- 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 Management Inc for operational or managerial control. This site does not show the names of persons.
- Is Avalon Health & Rehabilitation Center - Pasco 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.