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Avalon Healthcare - TacomaCMS ratings, inspections and fines

Address
7411 Pacific Avenue, Tacoma, WA 98408
CCN
505183
Ownership type
For-profit, limited liability company
Certified beds
81
Residents per day
53
CMS flags
None in the CMS record
CMS star ratings
Overall rating2 of 5
Health inspection rating2 of 5
Staffing rating4 of 5
Quality measure rating2 of 5
Care 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 Healthcare - Tacoma an overall rating of 2 of 5 stars. The last standard survey was on 30 Jul 2025. The latest survey cycle has 26 health citations. The median for nursing homes in Washington is 14. CMS lists 1 fine of $24,814 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.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Avalon Healthcare - Tacoma, with medians
Rating (1 to 5 stars)This homePierce County medianWashington medianUS average (CMS)
Overall rating22.03.03.0
Health inspection rating22.03.02.8
Staffing rating44.04.02.9
Quality measure rating24.04.03.6

A median is the middle value of the homes in the group: 21 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.

Health citations of Avalon Healthcare - Tacoma in the last three survey cycles
Survey cycleStandard surveyCitationsWashington median
Cycle 1 (latest)30 Jul 20252614
Cycle 29 Oct 20243717
Cycle 3No date2013

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.

Scope and severity of the 83 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 26 citations

Standard survey of this cycle: .

Health citations of Avalon Healthcare - Tacoma in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 Jul 2026F0761Ensure 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.DComplaint investigation10 Aug 2026
6 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation7 Apr 2026
30 Jul 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard survey10 Sep 2025
30 Jul 2025F0584Honor 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.EStandard survey10 Sep 2025
30 Jul 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey10 Sep 2025
30 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey10 Sep 2025
30 Jul 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey10 Sep 2025
30 Jul 2025F0637Assess the resident when there is a significant change in conditionDStandard survey10 Sep 2025
30 Jul 2025F0641Ensure each resident receives an accurate assessment.DStandard survey10 Sep 2025
30 Jul 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey10 Sep 2025
30 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey10 Sep 2025
30 Jul 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Sep 2025
30 Jul 2025F0679Provide activities to meet all resident's needs.DStandard survey10 Sep 2025
30 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey10 Sep 2025
30 Jul 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey10 Sep 2025
30 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Sep 2025
30 Jul 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey10 Sep 2025
30 Jul 2025F0693Ensure 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.DStandard survey10 Sep 2025
30 Jul 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey10 Sep 2025
30 Jul 2025F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey10 Sep 2025
30 Jul 2025F0791Provide or obtain dental services for each resident.EStandard survey10 Sep 2025
30 Jul 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey10 Sep 2025
30 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey10 Sep 2025
30 Jul 2025F0881Implement a program that monitors antibiotic use.EStandard survey10 Sep 2025
30 Jul 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey10 Sep 2025
30 Jul 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey10 Sep 2025

Survey cycle 2: 37 citations

Standard survey of this cycle: .

Health citations of Avalon Healthcare - Tacoma in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
7 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation10 Jun 2025
11 Mar 2025F0660Plan the resident's discharge to meet the resident's goals and needs.EComplaint investigation15 Apr 2025
11 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation15 Apr 2025
11 Mar 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.EComplaint investigation15 Apr 2025
30 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation14 Jan 2025
9 Oct 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey22 Nov 2024
9 Oct 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey22 Nov 2024
9 Oct 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey22 Nov 2024
9 Oct 2024F0567Honor the resident's right to manage his or her financial affairs.EStandard survey22 Nov 2024
9 Oct 2024F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey22 Nov 2024
9 Oct 2024F0584Honor 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.EStandard survey22 Nov 2024
9 Oct 2024F0585Honor 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.DStandard survey22 Nov 2024
9 Oct 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey22 Nov 2024
9 Oct 2024F0625Notify 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.DStandard survey22 Nov 2024
9 Oct 2024F0641Ensure each resident receives an accurate assessment.DStandard survey22 Nov 2024
9 Oct 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey22 Nov 2024
9 Oct 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey22 Nov 2024
9 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey22 Nov 2024
9 Oct 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey22 Nov 2024
9 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey22 Nov 2024
9 Oct 2024F0679Provide activities to meet all resident's needs.DStandard survey22 Nov 2024
9 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey22 Nov 2024
9 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey22 Nov 2024
9 Oct 2024F0688Provide 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.DStandard survey22 Nov 2024
9 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey22 Nov 2024
9 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey22 Nov 2024
9 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey22 Nov 2024
9 Oct 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey22 Nov 2024
9 Oct 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey22 Nov 2024
9 Oct 2024F0758Implement 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.DStandard survey22 Nov 2024
9 Oct 2024F0761Ensure 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.DStandard survey22 Nov 2024
9 Oct 2024F0791Provide or obtain dental services for each resident.DStandard survey22 Nov 2024
9 Oct 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey22 Nov 2024
9 Oct 2024F0808Ensure 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.EStandard survey22 Nov 2024
9 Oct 2024F0881Implement a program that monitors antibiotic use.EStandard survey22 Nov 2024
9 Oct 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey22 Nov 2024
9 Oct 2024F0887Educate 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.EStandard survey22 Nov 2024

Survey cycle 3: 20 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Avalon Healthcare - Tacoma in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
26 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation27 Feb 2024
9 Nov 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey21 Dec 2023
9 Nov 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey21 Dec 2023
9 Nov 2023F0584Honor 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.EStandard survey21 Dec 2023
9 Nov 2023F0625Notify 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.CStandard survey21 Dec 2023
9 Nov 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey21 Dec 2023
9 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey21 Dec 2023
9 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey21 Dec 2023
9 Nov 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey21 Dec 2023
9 Nov 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey21 Dec 2023
9 Nov 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey21 Dec 2023
9 Nov 2023F0732Post nurse staffing information every day.DStandard survey21 Dec 2023
9 Nov 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey21 Dec 2023
9 Nov 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey21 Dec 2023
9 Nov 2023F0758Implement 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.EStandard survey21 Dec 2023
9 Nov 2023F0761Ensure 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.EStandard survey21 Dec 2023
9 Nov 2023F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.CStandard survey21 Dec 2023
9 Nov 2023F0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.CStandard survey21 Dec 2023
3 Nov 2023F0584Honor 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.DComplaint investigation5 Dec 2023
1 Sep 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation20 Sep 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.

Penalties of Avalon Healthcare - Tacoma in the CMS penalties file
DateTypeFineDays without payment
30 Jul 2025Fine$24,814

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.

Nurse staffing hours per resident per day at Avalon Healthcare - Tacoma
StaffThis homeWashington medianWashington average (CMS)
All nurse staff4.424.104.37
Registered nurses (RN)0.960.900.94
Licensed practical nurses (LPN)0.850.77
Nurse aides2.612.66
All nurse staff, weekends3.683.603.81
Nurse staff turnover in a year
47.1%
Nurse staff turnover, Washington median
43.2%
RN turnover in a year
53.8%
Administrators who left in a year
1

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.

Quality measures of Avalon Healthcare - Tacoma, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.5%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay23.0%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.3%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay28.8%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, limited liability company
Legal business name
Avalon Healthcare - Tacoma LLC
Chain
Avalon Health Care (16 homes in the CMS chain file)
Organisations in the CMS ownership record of Avalon Healthcare - Tacoma
OrganisationRole in the CMS recordInterestSince
Avalon Care Center - Tacoma, L.L.C.Direct ownership interest1 Aug 2024
Multicare Health SystemDirect ownership interest1 Aug 2024
Avalon Holdco Equities, L.L.C.Indirect ownership interest14 Apr 2026
K-Team LLCIndirect ownership interest1 Oct 2025
Avalon Care Center - Tacoma, L.L.C.Operational/managerial control1 Aug 2024
Avalon Health Care Management IncOperational/managerial control1 Aug 2024
Avalon Care Center - Tacoma, L.L.C.Adp of the snf1 Aug 2024
Avalon Health Care IncAdp of the snf1 Aug 2026
Avalon Health Care Management IncAdp of the snf14 Apr 2026
Avalon Holdco Equities, L.L.C.Adp of the snf14 Apr 2026
Avalon Holding IncAdp of the snf12 Mar 2025
K-Team LLCAdp of the snf1 Oct 2024
Multicare Health SystemAdp of the snf1 Aug 2024

The site shows organisations only. It does not show the names of persons.

Other homes in Pierce County

The 12 nearest other nursing homes in Pierce County, Washington
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Heartwood Extended HealthcareTacoma1 of 526$382,66130 Mar 2026
Tacoma Nursing and Rehabilitation CenterTacoma5 of 56$36,44622 Jun 2026
Alaska Gardens Health and RehabilitationTacoma1 of 517$170,3727 May 2026
Avamere at Pacific RidgeTacoma2 of 523$57,78324 Apr 2026
Birch Creek Post Acute & RehabilitationTacoma1 of 529$30,24013 Mar 2026
Orchard Park Health Care & Rehab CenterTacoma1 of 537$136,0551 Jun 2026
The Oaks at LakewoodTacoma5 of 53$029 Jan 2026
Park Rose Care CenterTacoma2 of 518$241,8152 Jul 2025
Agility Health and RehabilitationUniversity Place3 of 516$09 Jun 2026
Avamere Transitional Care of Puget SoundTacoma4 of 514$23,31925 Nov 2025
EliseoTacoma3 of 520$09 May 2025
Life Care Center of PuyallupPuyallup2 of 517$010 Apr 2026

All 21 nursing homes in Pierce County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Avalon Healthcare - Tacoma (CCN 505183). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avalon-healthcare-tacoma-tacoma-wa-505183/

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 Healthcare - Tacoma last inspected?
The latest inspection with a citation in the CMS record was on 1 Jul 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 9 Oct 2024.
Who operates Avalon Healthcare - Tacoma?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Avalon Health Care. The CMS ownership file names Avalon Care Center - Tacoma, L.L.C. and Avalon Health Care Management Inc for operational or managerial control. This site does not show the names of persons.
Is Avalon Healthcare - Tacoma 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.