AVAMERE AT PACIFIC RIDGE

CCN 505264 · TACOMA REHAB, LLC · For profit - Limited Liability company · AVAMERE chain · 102 certified beds · Pierce · WA


AVAMERE AT PACIFIC RIDGE is a 102-bed nursing home in TACOMA, Washington. CMS has certified it for Medicare and Medicaid since 1982-04-01. It averages 65.4 residents a day.

What harm was found in the violations cited at AVAMERE AT PACIFIC RIDGE?

CMS lists 69 health-inspection deficiencies for AVAMERE AT PACIFIC RIDGE, 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 2026-04-24.

Survey dateTagDeficiencySeverity
2026-04-24F0761Ensure 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
2026-04-24F0605, F0689, F0757, F0883, F0887Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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
2026-04-24F0578, F0584, F0585, F0609, F0610, F0628, F0641, F0657, F0676, F0677, F0679, F0692, F0742, F0744, F0790Honor 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. / 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 enough food/fluids to maintain a resident's health. / Provide 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. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide routine and 24-hour emergency dental care for each resident.D
2026-04-23F0760Ensure that residents are free from significant medication errors.G
2025-12-12F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-05-20F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2025-03-27F0645, F0805, F0812PASARR screening for Mental disorders or Intellectual Disabilities / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-03-27F0584, F0625, F0677, F0756, F0758, F0761, F0880, F0883, F0887, F0947Honor 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. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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 and implement an infection prevention and control program. / 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. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2025-03-27F0552, F0578, F0604, F0640, F0641, F0656, F0657, F0658, F0679, F0684, F0688, F0689, F0692, F0791Ensure 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 or obtain dental services for each resident.D
2025-01-17F0693Ensure 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.G
2024-10-04F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-07-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-04-26F0584, F0693, F0755, F0758, F0761, F0919Honor 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 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 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. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2024-04-26F0585, F0641, F0658, F0684, F0692, F0757Honor 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. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2024-04-26F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C
2024-04-26F0625Notify 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.B
2023-09-28F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D

Why was AVAMERE AT PACIFIC RIDGE fined 3 times?

DateTypeAmount
2025-01-17Fine$22,432
2024-10-04Fine$27,073
2024-07-19Fine$8,278

How is AVAMERE AT PACIFIC RIDGE staffed?

MeasureThis facilityWA average
Total nurse staffing hours per resident per day5.158694.36934
Total nursing staff turnover (%)36.045.1
Average number of residents per day65.476.0

Who owns AVAMERE AT PACIFIC RIDGE, and what chain is it in?

AVAMERE AT PACIFIC RIDGE is registered with CMS as For profit - Limited Liability company, operates under the legal business name TACOMA REHAB, LLC and belongs to the AVAMERE chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTARISO LLCsince 01/06/2006
INDIRECT OWNERSHIP INTERESTARI OPERATIONS, LLC, AVAMERE GROUP LLC, KARL RICKARD MILLER JR REVOCABLE TRUST, MILLER, KARLsince 01/06/2006
5% OR GREATER SECURITY INTERESTMIDCAP FINCO LLCsince 01/22/2010
MANAGING CONTROL - GOVERNING BODYCAVALLO, GLEN, FEAKIN, CODY, FUNDERBERG, MICHELLE, HASKINS, DAMIEN, HILL, KEVIN, HOSKINS, TONIA, INSKEEP, TODD, KOFSTAD, MARY, MUNRO, JOLYNN, OKOLI, IKE, POLSON, JUSTIN, POWELSON, MICHELE, REID, MISTY, SANDERS, AMANDA, SIMPSON, ANDREW, STAPLES, CAROLYN, STRUNK, COLBY, VANDERZANDEN, CARRIEsince 06/01/2025
OPERATIONAL/MANAGERIAL CONTROLAVAMERE HEALTH SERVICES LLC, AVAMERE SKILLED ADVISORS LLC, MIDCAP FINCO LLC, BROOKS, ANTHONY, FANUNAL, LORIEL, FOWLER, KATHERINE, KOFSTAD, MARY, KRETCHMAR, JOSHUA, MCKINNEY, MARY, MUNRO, JOLYNN, POIRIER, STACY, POLSON, JUSTIN, POWELSON, MICHELE, PRESLEY, YOLANDA, REID, MISTY, SIMPSON, ANDREW, STRIDER, SHELBYsince 01/01/2005
ADP OF THE SNFAVAMERE HEALTH SERVICES LLC, AVAMERE SKILLED ADVISORS LLC, BROOKS, ANTHONY, FANUNAL, LORIEL, FEAKIN, CODY, FOWLER, KATHERINE, FUNDERBERG, MICHELLE, GAMES, KIM, HASKINS, DAMIEN, HILL, KEVIN, HOSKINS, TONIA, INSKEEP, TODD, KOFSTAD, MARY, KRETCHMAR, JOSHUA, MCKINNEY, MARY, MUNRO, JOLYNN, POIRIER, STACY, POLSON, JUSTIN, POWELSON, MICHELE, PRESLEY, YOLANDA, REID, MISTY, SCAGLIONE, ANITA, SIMPSON, ANDREW, STAPLES, CAROLYN, STRIDER, SHELBY, STRUNK, COLBY, VANDERZANDEN, CARRIE, WHYTE, ASHLEYsince 01/01/2024

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