Avamere Transitional Care of Puget SoundCMS ratings, inspections and fines
- Address
- 630 South Pearl Street, Tacoma, WA 98465
- CCN
- 505529
- Ownership type
- For-profit, limited liability company
- Certified beds
- 60
- Chain
- Avamere
- Residents per day
- 54
- 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 Avamere Transitional Care of Puget Sound an overall rating of 4 of 5 stars. The last standard survey was on 25 Nov 2025. The latest survey cycle has 14 health citations. The median for nursing homes in Washington is 14. CMS lists 1 fine of $23,319 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 | Pierce County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
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.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 25 Nov 2025 | 14 | 14 |
| Cycle 2 | 31 Jul 2024 | 11 | 17 |
| Cycle 3 | No date | 20 | 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 | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 13 Apr 2026 |
| 19 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 13 Apr 2026 |
| 25 Nov 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 30 Oct 2025 |
| 25 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 | 30 Oct 2025 |
| 25 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 30 Oct 2025 |
| 25 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Oct 2025 |
| 25 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Oct 2025 |
| 25 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 30 Oct 2025 |
| 25 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 | 30 Oct 2025 |
| 25 Nov 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 30 Oct 2025 |
| 25 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. | F | Standard survey | 30 Oct 2025 |
| 25 Nov 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | C | Standard survey | 30 Oct 2025 |
| 25 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Oct 2025 |
| 15 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Oct 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2025 | F0808 | Ensure 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. | D | Complaint investigation | 7 Mar 2025 |
| 31 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 11 Sep 2024 |
| 31 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 11 Sep 2024 |
| 31 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 11 Sep 2024 |
| 31 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 11 Sep 2024 |
| 31 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 11 Sep 2024 |
| 31 Jul 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 11 Sep 2024 |
| 31 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. | E | Standard survey | 11 Sep 2024 |
| 31 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Sep 2024 |
| 31 Jul 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 11 Sep 2024 |
| 31 Jul 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 | 11 Sep 2024 |
Survey cycle 3: 20 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 |
|---|---|---|---|---|---|
| 18 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Sep 2023 |
| 18 Aug 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 | 28 Sep 2023 |
| 18 Aug 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 | 28 Sep 2023 |
| 18 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 28 Sep 2023 |
| 18 Aug 2023 | 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 | 28 Sep 2023 |
| 18 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | 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 | 28 Sep 2023 |
| 18 Aug 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 Sep 2023 |
| 18 Aug 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 | 28 Sep 2023 |
| 18 Aug 2023 | 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. | E | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Sep 2023 |
| 18 Aug 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 28 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 Mar 2026 | Fine | $23,319 |
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 | 5.17 | 4.10 | 4.37 |
| Registered nurses (RN) | 1.87 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.72 | 0.77 | |
| Nurse aides | 2.57 | 2.66 | |
| All nurse staff, weekends | 4.35 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 34.3%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 38.1%
- 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 | 24.0% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 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 | 0.6% | 0.9% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 20.7% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 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
- Georgian Rehab LLC
- Chain
- Avamere (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Midcap Finco LLC | 5% or greater security interest | 22 Jan 2010 | |
| Avamere Health Services LLC | Operational/managerial control | 1 Jan 2005 | |
| Avamere Skilled Advisors LLC | Operational/managerial control | 1 Jan 2005 | |
| Midcap Finco LLC | Operational/managerial control | 22 Jan 2010 | |
| Avamere Health Services LLC | Adp of the snf | 17 Mar 2026 | |
| Avamere Skilled Advisors LLC | Adp of the snf | 7 Jul 2025 | |
| Snapmedtech,Inc. | Adp of the snf | 8 Sep 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pierce County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Eliseo | Tacoma | 3 of 5 | 20 | $0 | 9 May 2025 | |
| Park Rose Care Center | Tacoma | 2 of 5 | 18 | $241,815 | 2 Jul 2025 | |
| Cottesmore of Life Care | Gig Harbor | 4 of 5 | 9 | $29,595 | 27 Feb 2026 | |
| Orchard Park Health Care & Rehab Center | Tacoma | 1 of 5 | 37 | $136,055 | 1 Jun 2026 | |
| Agility Health and Rehabilitation | University Place | 3 of 5 | 16 | $0 | 9 Jun 2026 | |
| Birch Creek Post Acute & Rehabilitation | Tacoma | 1 of 5 | 29 | $30,240 | 13 Mar 2026 | |
| Gig Harbor Health and Rehabilitation | Gig Harbor | 2 of 5 | 40 | $127,781 | 9 Dec 2025 | |
| Avamere at Pacific Ridge | Tacoma | 2 of 5 | 23 | $57,783 | 24 Apr 2026 | |
| Alaska Gardens Health and Rehabilitation | Tacoma | 1 of 5 | 17 | $170,372 | 7 May 2026 | |
| Avalon Healthcare - Tacoma | Tacoma | 2 of 5 | 26 | $24,814 | 30 Jul 2025 | |
| Heartwood Extended Healthcare | Tacoma | 1 of 5 | 26 | $382,661 | 30 Mar 2026 | |
| Tacoma Nursing and Rehabilitation Center | Tacoma | 5 of 5 | 6 | $36,446 | 22 Jun 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 Avamere Transitional Care of Puget Sound (CCN 505529). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avamere-transitional-care-of-puget-sound-tacoma-wa-505529/
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 Avamere Transitional Care of Puget Sound last inspected?
- The latest inspection with a citation in the CMS record was on 19 Mar 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 31 Jul 2024.
- Who operates Avamere Transitional Care of Puget Sound?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Avamere. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Avamere Transitional Care of Puget Sound 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.