Federal inspection record · CMS data as of October 1, 2026
Avalon Care Center Federal Way, L.L.C.
135 South 336th Street, Federal Way, WA · (253) 835-7453
- Certified beds
- 120
- Residents per day
- 108
- Ownership
- For-Profit
- Chain
- Avalon Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 2, 2002
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Avalon Care Center Federal Way, L.L.C. carries 78 inspection points. That is fewer than 59% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
48 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care15E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
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.
- D
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
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.
- E
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.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights10E
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- D
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.
- D
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.
- D
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
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service9E
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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
Ensure medication error rates are not 5 percent or greater.
- D
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Resident Assessment and Care Planning7E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control3F
- E
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Environmental1F
- F
Keep all essential equipment working safely.
Administration1E
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspection history
2025-11-21
12 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-07-24
25 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2023-04-28
11 health deficiencies · 19 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 17 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
4 h 17 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts better | 97.4% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts better | 100.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 2.6% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.1 pts better | 0.8% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.9% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better | 7.8% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts better | 9.4% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts worse | 18.9% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts better | 9.3% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.5 pts better | 14.1% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 6.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 95.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts better | 6.3% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.5 pts better | 96.9% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts better | 17.2% | 19.7% | 23.4% |
·
Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Avalon Care LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 8 facilities |
| Ahmad, Atique | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Ahmad, Atique | Adp Of The SNF · Individual | 0% | 3 facilities |
| Avalon Health Care Inc | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Avalon Health Care Inc | Adp Of The SNF · Organization | 0% | 14 facilities |
| Avalon Health Care Management Inc | Operational/Managerial Control · Organization | 0% | 16 facilities |
| Avalon Health Care Management Inc | Adp Of The SNF · Organization | 0% | 16 facilities |
| Dangerfield, David | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Dangerfield, David | Corporate Director · Individual | 0% | 15 facilities |
| Derrick, Michael | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Harris, Bradford | Corporate Officer · Individual | 0% | 10 facilities |
| Harris, Bradford | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Harris, Bradford | Adp Of The SNF · Individual | 0% | 10 facilities |
| Hash, Alan | Corporate Officer · Individual | 0% | 17 facilities |
| Hash, Alan | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Hash, Alan | Adp Of The SNF · Individual | 0% | 17 facilities |
| Kirton, Byron | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Byron | Corporate Director · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Corporate Director · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Corporate Officer · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Kirton, Hyrum | Adp Of The SNF · Individual | 0% | 15 facilities |
| Kirton, Spencer | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Kirton, Spencer | Corporate Director · Individual | 0% | 15 facilities |
| Smith, Nicole | Corporate Officer · Individual | 0% | 16 facilities |
| Smith, Nicole | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Smith, Nicole | Adp Of The SNF · Individual | 0% | 16 facilities |
| Stoa, Inga | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Stoa, Inga | Adp Of The SNF · Individual | 0% | 2 facilities |
| Wachowski, Samantha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wachowski, Samantha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Woltil, Robert | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Woltil, Robert | Corporate Director · Individual | 0% | 15 facilities |
·
Fire safety
40 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems10F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Emergency Preparedness9F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Include a process for Emergency Preparedness collaboration.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
Miscellaneous5F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services3D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress2E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
·
Other homes nearby
-
Garden Terrace Healthcare Center Of Federal Way
Federal Way, WA · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 21 min
- Fines
- $0
-
Hallmark Manor
Federal Way, WA · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 13 min
- Fines
- $46,555
-
Life Care Center Of Federal Way
Federal Way, WA · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 12 min
- Fines
- $98,970