Avalon Care Center Federal Way, L.L.C.
Avalon Care Center Federal Way, L.L.C., in FEDERAL WAY, Washington, holds 120 certified beds and has been certified for Medicare and Medicaid since 2002-08-02, averaging 109.5 residents a day.
Has Avalon Care Center Federal Way, L.L.C. been cited for violations?
CMS lists 48 health-inspection deficiencies for Avalon Care Center Federal Way, L.L.C. since 2023-04-28, 37 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-11-21.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-21 | F0658, F0759, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | E |
| 2025-11-21 | F0644, F0657, F0676, F0677, F0679, F0688, F0693, F0756, F0761 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / 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. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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 |
| 2024-11-05 | 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 |
| 2024-07-24 | F0881 | Implement a program that monitors antibiotic use. | F |
| 2024-07-24 | F0623, F0657, F0688, F0812, F0880 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-07-24 | F0552, F0578, F0585, F0622, F0625, F0637, F0645, F0658, F0676, F0677, F0684, F0686, F0689, F0700, F0756, F0758, F0759, F0761 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / 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. / 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. / 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. / Assess the resident when there is a significant change in condition / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure medication error rates are not 5 percent or greater. / 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 |
| 2023-04-28 | F0908 | Keep all essential equipment working safely. | F |
| 2023-04-28 | F0569, F0623, F0625, F0804, F0940 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E |
| 2023-04-28 | F0582, F0684, F0690, F0755, F0758 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 |
How is Avalon Care Center Federal Way, L.L.C. staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.28232 | 4.36934 |
| Total nursing staff turnover (%) | 38.3 | 45.1 |
| Average number of residents per day | 109.5 | 76.0 |
Who owns Avalon Care Center Federal Way, L.L.C., and what chain is it in?
Avalon Care Center Federal Way, L.L.C. is registered with CMS as For profit - Corporation, operates under the legal business name AVALON CARE CENTER - FEDERAL WAY, LLC and belongs to the AVALON HEALTH CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | AVALON CARE LLC | since 08/01/2004 |
| MANAGING CONTROL - GOVERNING BODY | DANGERFIELD, DAVID, KIRTON, BYRON, KIRTON, HYRUM, KIRTON, SPENCER, WOLTIL, ROBERT | since 04/05/2007 |
| CORPORATE DIRECTOR | DANGERFIELD, DAVID, KIRTON, BYRON, KIRTON, HYRUM, KIRTON, SPENCER, WOLTIL, ROBERT | since 04/05/2007 |
| CORPORATE OFFICER | BORISEVICH, MARIA, HASH, ALAN, KIRTON, HYRUM, SMITH, NICOLE | since 01/08/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | AVALON HEALTH CARE INC, AVALON HEALTH CARE MANAGEMENT INC, AHMAD, ATIQUE, BORISEVICH, MARIA, HASH, ALAN, KIRTON, HYRUM, SMITH, NICOLE, STOA, INGA, WACHOWSKI, SAMANTHA | since 01/08/2024 |
| ADP OF THE SNF | AVALON HEALTH CARE INC, AVALON HEALTH CARE MANAGEMENT INC, AHMAD, ATIQUE, BORISEVICH, MARIA, HASH, ALAN, KIRTON, HYRUM, SMITH, NICOLE, STOA, INGA, WACHOWSKI, SAMANTHA | since 01/08/2024 |
Were you or a family member harmed at Avalon Care Center Federal Way, L.L.C.?