Avalon Healthcare - Tacoma
Avalon Healthcare - Tacoma is a 81-bed nursing home in TACOMA, Washington. CMS has certified it for Medicare and Medicaid since 1968-02-08. It averages 53.2 residents a day.
What harm was found in the violations cited at Avalon Healthcare - Tacoma?
CMS lists 83 health-inspection deficiencies for Avalon Healthcare - Tacoma, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-07-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-01 | 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 |
| 2026-03-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-07-30 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F |
| 2025-07-30 | F0582, F0584, F0604, F0645, F0656, F0757, F0791, F0881, F0883 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain dental services for each resident. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2025-07-30 | F0605, F0628, F0637, F0641, F0657, F0679, F0684, F0686, F0689, F0692, F0693, F0790, F0880, F0919 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / 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. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-05-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2025-03-11 | F0660, F0807 | Plan the resident's discharge to meet the resident's goals and needs. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E |
| 2025-03-11 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-12-30 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-10-09 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F |
| 2024-10-09 | F0565, F0567, F0568, F0584, F0656, F0657, F0684, F0757, F0808, F0881, F0883, F0887 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to manage his or her financial affairs. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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 |
| 2024-10-09 | F0550, F0561, F0585, F0623, F0625, F0641, F0644, F0645, F0677, F0679, F0686, F0688, F0689, F0692, F0695, F0756, F0758, F0761, F0791 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / 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 each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / 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 pressure ulcer care and prevent new ulcers from developing. / 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / 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 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. / Provide or obtain dental services for each resident. | D |
| 2024-01-26 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-11-09 | F0565, F0584, F0656, F0756, F0757, F0758, F0761 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 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 |
| 2023-11-09 | F0552, F0655, F0684, F0686, F0695, F0698, F0732 | Ensure that residents are fully informed and understand their health status, care and treatments. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Post nurse staffing information every day. | D |
| 2023-11-09 | F0625, F0847, F0848 | 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide a neutral and fair arbitration process and agree to arbitrator and venue. | C |
| 2023-11-03 | 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. | D |
| 2023-09-01 | F0880 | Provide and implement an infection prevention and control program. | E |
Why was Avalon Healthcare - Tacoma fined?
| Date | Type | Amount |
|---|---|---|
| 2025-07-30 | Fine | $24,814 |
How is Avalon Healthcare - Tacoma staffed?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.42177 | 4.36934 |
| Total nursing staff turnover (%) | 47.1 | 45.1 |
| Average number of residents per day | 53.2 | 76.0 |
Who owns Avalon Healthcare - Tacoma, and what chain is it in?
Avalon Healthcare - Tacoma is registered with CMS as For profit - Limited Liability company, operates under the legal business name AVALON HEALTHCARE - TACOMA LLC and belongs to the AVALON HEALTH CARE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | AVALON CARE CENTER - TACOMA, L.L.C., MULTICARE HEALTH SYSTEM | since 08/01/2024 |
| INDIRECT OWNERSHIP INTEREST | AVALON HOLDCO EQUITIES, L.L.C., HYRUM A KIRTON INDIVIDUAL TR, K-TEAM LLC, SPENCER K KIRTON INDIVIDUAL TR, THE BYRON A KIRTON INDIVIDUAL TR, KIRTON, BYRON, KIRTON, HYRUM, KIRTON, SPENCER | since 04/14/2026 |
| MANAGING CONTROL - GOVERNING BODY | DANGERFIELD, DAVID, IRWIN, MARTINA, KIRTON, BYRON, KIRTON, HYRUM, KIRTON, SPENCER, NELSON, RYAN, WOLTIL, ROBERT | since 03/12/2012 |
| CORPORATE DIRECTOR | KIRTON, HYRUM | since 08/27/2024 |
| CORPORATE OFFICER | KIRTON, HYRUM, NELSON, RYAN | since 08/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | AVALON CARE CENTER - TACOMA, L.L.C., AVALON HEALTH CARE MANAGEMENT INC, HASH, ALAN, IRWIN, MARTINA, KIRTON, HYRUM, KUBU, CHERYL, SEKERAMAYI, FLOYD, SIEDENSTRANG, LYNN, STENGEL, LAURA | since 03/12/2025 |
| ADP OF THE SNF | AVALON CARE CENTER - TACOMA, L.L.C., AVALON HEALTH CARE INC, AVALON HEALTH CARE MANAGEMENT INC, AVALON HOLDCO EQUITIES, L.L.C., AVALON HOLDING INC, HYRUM A KIRTON INDIVIDUAL TR, K-TEAM LLC, MULTICARE HEALTH SYSTEM, SPENCER K KIRTON INDIVIDUAL TR, THE BYRON A KIRTON INDIVIDUAL TR, KIRTON, BYRON, KIRTON, HYRUM, KIRTON, SPENCER, KUBU, CHERYL, SEKERAMAYI, FLOYD | since 03/12/2025 |
Were you or a family member harmed at Avalon Healthcare - Tacoma?