AVAMERE TRANSITIONAL CARE OF PUGET SOUND
AVAMERE TRANSITIONAL CARE OF PUGET SOUND is a 60-bed nursing home in TACOMA, Washington. CMS has certified it for Medicare and Medicaid since 2017-03-27. It averages 53.9 residents a day.
What harm was found in the violations cited at AVAMERE TRANSITIONAL CARE OF PUGET SOUND?
CMS lists 45 health-inspection deficiencies for AVAMERE TRANSITIONAL CARE OF PUGET SOUND, 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 2026-03-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-19 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2026-03-19 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2025-11-25 | 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 |
| 2025-11-25 | F0677, F0725 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-11-25 | F0561, F0657, F0684, F0695, F0756, F0757, F0880 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program. | D |
| 2025-11-25 | 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 |
| 2025-09-15 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-03-13 | 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 |
| 2024-07-31 | F0610, F0641, F0656, F0684, F0689, F0757, F0761, F0880, F0882, F0887 | Respond appropriately to all alleged violations. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / 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 |
| 2023-08-18 | F0623, F0625, F0656, F0686, F0761, F0880, F0881 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Implement a program that monitors antibiotic use. | E |
| 2023-08-18 | F0609, F0641, F0645, F0655, F0657, F0658, F0677, F0684, F0689, F0693, F0694, F0757, F0758 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 for the safe, appropriate administration of IV fluids for a resident when needed. / 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. | D |
Why was AVAMERE TRANSITIONAL CARE OF PUGET SOUND fined?
| Date | Type | Amount |
|---|---|---|
| 2026-03-19 | Fine | $23,319 |
How is AVAMERE TRANSITIONAL CARE OF PUGET SOUND staffed?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.16540 | 4.36934 |
| Total nursing staff turnover (%) | 34.3 | 45.1 |
| Average number of residents per day | 53.9 | 76.0 |
Who owns AVAMERE TRANSITIONAL CARE OF PUGET SOUND, and what chain is it in?
AVAMERE TRANSITIONAL CARE OF PUGET SOUND is registered with CMS as For profit - Limited Liability company, operates under the legal business name GEORGIAN REHAB LLC and belongs to the AVAMERE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER SECURITY INTEREST | MIDCAP FINCO LLC | since 01/22/2010 |
| MANAGING CONTROL - GOVERNING BODY | CAVALLO, GLEN, FEAKIN, CODY, FUNDERBERG, MICHELLE, GARCIA, ROBERTO, INSKEEP, TODD, KOFSTAD, MARY, REID, MISTY, STAPLES, CAROLYN, STRUNK, COLBY, VANDERZANDEN, CARRIE | since 02/01/2026 |
| OPERATIONAL/MANAGERIAL CONTROL | AVAMERE HEALTH SERVICES LLC, AVAMERE SKILLED ADVISORS LLC, MIDCAP FINCO LLC, FANUNAL, LORIEL, FEAKIN, CODY, FISHER, TONYA, FOWLER, KATHERINE, GARCIA, ROBERTO, JOHNSON, CATHERINE, KOFSTAD, MARY, OKOLI, IKE, PRESLEY, YOLANDA, REID, MISTY, RODERICK, GLEN, SCHMITZ, BRADLEY, SIMPSON, ANDREW | since 01/01/2005 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | KOFSTAD, MARY | since 05/26/2026 |
| ADP OF THE SNF | AVAMERE HEALTH SERVICES LLC, AVAMERE SKILLED ADVISORS LLC, SNAPMEDTECH,INC., DAVIS, JULIE, FANUNAL, LORIEL, FEAKIN, CODY, FOWLER, KATHERINE, FUNDERBERG, MICHELLE, GAMES, KIM, GARCIA, ROBERTO, INSKEEP, TODD, JOHNSON, CATHERINE, KOFSTAD, MARY, OKOLI, IKE, PRESLEY, YOLANDA, REID, MISTY, RODERICK, GLEN, SCHMITZ, BRADLEY, STAPLES, CAROLYN, STRUNK, COLBY, THRONE, CINDY, VANDERZANDEN, CARRIE, WAGNER, SHERRIE | since 01/01/2025 |
Were you or a family member harmed at AVAMERE TRANSITIONAL CARE OF PUGET SOUND?