Elder Care Record

Washington › Pierce County › Tacoma

Avamere At Pacific Ridge

3625 East B Street, Tacoma, WA 98404

CCN 505264 · For-profit, limited liability company · 102 certified beds · chain Avamere

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Avamere At Pacific Ridge, in Tacoma, Washington, is certified for 102 beds under for-profit, limited liability company ownership and belongs to the Avamere chain.

CMS gives it 2 of 5 stars overall, below the Washington median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.

Inspectors recorded 69 health deficiencies across the three most recent survey cycles (23, 30, 16 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 67.6 per 100 beds, more than the state median of 50.0.

CMS lists 3 penalties in the period covered: fines totalling $58K.

Reported nurse staffing is 5.2 hours per resident per day (0.8 RN), above the Washington median of 4.1; nursing staff turnover is 36.0%.

69health deficiencies, 3 survey cycles4 at actual harm or worse
$58Kfines listed by CMS3 penalties in period
5.2nurse hours per resident per daystate median 4.1
64%occupancy (residents ÷ beds)65 residents a day

Compared with county, state and nation

MeasureThis facilityPierce Co. medianWashington medianUS average
Overall star rating2233.0
Health citations, 3 cycles69534628.7
Citations per 100 beds67.654.050.026.8
Total nurse hours per resident day5.24.34.13.9
RN hours per resident day0.80.80.90.7
Nursing staff turnover36.0%43.2%43.2%45.8%
Fines listed$57,783$24,814$17,388—

County and state figures are medians across facilities (21 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)23
Cycle 230
Cycle 316

Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Apr 2026, 27 Mar 2025.

Severity mix: G ×4 D ×38 E ×21 F ×4 B ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Apr 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.FStandard survey29 May 2026
24 Apr 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey29 May 2026
24 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey29 May 2026
24 Apr 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey29 May 2026
24 Apr 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey29 May 2026
24 Apr 2026F0887Educate 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 survey29 May 2026
24 Apr 2026F0578Honor 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.DStandard survey29 May 2026
24 Apr 2026F0584Honor 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.DStandard survey29 May 2026
24 Apr 2026F0585Honor 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 survey29 May 2026
24 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey29 May 2026
24 Apr 2026F0610Respond appropriately to all alleged violations.DStandard survey29 May 2026
24 Apr 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey29 May 2026
24 Apr 2026F0641Ensure each resident receives an accurate assessment.DStandard survey29 May 2026
24 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey29 May 2026
24 Apr 2026F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey29 May 2026
24 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey29 May 2026
24 Apr 2026F0679Provide activities to meet all resident's needs.DStandard survey29 May 2026
24 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey29 May 2026
24 Apr 2026F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard survey29 May 2026
24 Apr 2026F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey29 May 2026
24 Apr 2026F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey29 May 2026
23 Apr 2026F0760Ensure that residents are free from significant medication errors.GComplaint investigation15 May 2026
12 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation26 Dec 2025
20 May 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation4 Jun 2025
27 Mar 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesFStandard survey14 May 2025
27 Mar 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.FStandard survey14 May 2025
27 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 May 2025
27 Mar 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 survey14 May 2025
27 Mar 2025F0625Notify 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.EStandard survey14 May 2025
27 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey14 May 2025
27 Mar 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey14 May 2025
27 Mar 2025F0758Implement 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 survey14 May 2025
27 Mar 2025F0761Ensure 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 survey14 May 2025
27 Mar 2025F0880Provide and implement an infection prevention and control program.EStandard survey14 May 2025
27 Mar 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey14 May 2025
27 Mar 2025F0887Educate 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 survey14 May 2025
27 Mar 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey14 May 2025
27 Mar 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey14 May 2025
27 Mar 2025F0578Honor 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.DStandard survey14 May 2025
27 Mar 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey14 May 2025
27 Mar 2025F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey14 May 2025
27 Mar 2025F0641Ensure each resident receives an accurate assessment.DStandard survey14 May 2025
27 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey14 May 2025
27 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey14 May 2025
27 Mar 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey14 May 2025
27 Mar 2025F0679Provide activities to meet all resident's needs.DStandard survey14 May 2025
27 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey14 May 2025
27 Mar 2025F0688Provide 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 survey14 May 2025
27 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 May 2025
27 Mar 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey14 May 2025
27 Mar 2025F0791Provide or obtain dental services for each resident.DStandard survey14 May 2025
17 Jan 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.GComplaint investigation4 Feb 2025
4 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation29 Oct 2024
19 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation26 Aug 2024
26 Apr 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 survey29 May 2024
26 Apr 2024F0693Ensure 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.EStandard survey29 May 2024
26 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey29 May 2024
26 Apr 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.EStandard survey29 May 2024
26 Apr 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.EStandard survey29 May 2024
26 Apr 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey29 May 2024
26 Apr 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 survey29 May 2024
26 Apr 2024F0641Ensure each resident receives an accurate assessment.DStandard survey29 May 2024
26 Apr 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey29 May 2024
26 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey29 May 2024
26 Apr 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey29 May 2024
26 Apr 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey29 May 2024
26 Apr 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey29 May 2024
26 Apr 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.BStandard survey29 May 2024
28 Sep 2023F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation30 Oct 2023

Penalties

DateTypeAmountDetail
17 Jan 2025Fine$22,432
4 Oct 2024Fine$27,073
19 Jul 2024Fine$8,278

Staffing

Total nursing5.16 h
Nurse aides3.46 h
LPN0.94 h
RN0.75 h
Weekend total4.57 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 36.0%, RNs 45.5%; 3 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.9%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.5%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.0%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.2%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.4%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay47.9%14.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Tacoma Rehab, Llc. Chain: Avamere (27 facilities).

OrganisationRole in the CMS recordInterestSince
Ariso LLCDirect ownership interestNOT APPLICABLE01/06/2006
Ari Operations, LLCIndirect ownership interestNOT APPLICABLE01/06/2006
Avamere Group LLCIndirect ownership interestNOT APPLICABLE01/06/2006
Midcap Finco LLC5% or greater security interestNOT APPLICABLE01/22/2010
Avamere Health Services LLCOperational/managerial controlNOT APPLICABLE01/01/2005
Avamere Skilled Advisors LLCOperational/managerial controlNOT APPLICABLE01/01/2005
Midcap Finco LLCOperational/managerial controlNOT APPLICABLE01/22/2010
Avamere Health Services LLCAdp of the snfNOT APPLICABLE07/16/2025
Avamere Skilled Advisors LLCAdp of the snfNOT APPLICABLE07/13/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Pierce County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Heron'S KeyGig Harbor305551963.3$15K13 Feb 2026
Life Care Center of South HillPuyallup1005442929.0$17K21 Nov 2025
Rainier RehabilitationPuyallup11755354.3—12 Aug 2025
Tacoma Nursing and Rehabilitation CenterTacoma1505431912.7$36K22 Jun 2026
The Oaks At LakewoodTacoma805542835.0—29 Jan 2026
Avamere Transitional Care of Puget SoundTacoma604354575.0$23K19 Mar 2026
Cottesmore of Life CareGig Harbor1084343835.2$30K27 Feb 2026
Agility Health and RehabilitationUniversity Place1203334134.2—9 Jun 2026

All 21 facilities in Pierce County

Questions and answers

How many deficiencies has Avamere At Pacific Ridge been cited for?

69 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.

Has Avamere At Pacific Ridge been fined?

Yes. CMS lists fines totalling $58K in the period covered.

How does staffing at Avamere At Pacific Ridge compare?

Reported total nurse staffing is 5.2 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.

Who operates Avamere At Pacific Ridge?

It is part of the Avamere chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ariso LLC, Ari Operations, LLC and Avamere Group LLC. Individual owners and managers are not listed on this site.

When was Avamere At Pacific Ridge last inspected?

The most recent survey or investigation in the CMS record is dated 24 Apr 2026; the most recent standard health survey was 24 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.