23 health deficiencies
Top issue: Resident Rights (8 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Pasco, WA
2-star overall rating with 2-star inspections with $63,388 in total fines with 23 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
2004 N 22nd Avenue, Pasco, WA
(509) 547-8811
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
108
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avalon Health Care
Operator or chain grouping
Approved since
1974-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.03
Registered nurse staffing
LPN hours / resident day
0.68
Licensed practical nurse staffing
Aide hours / resident day
2.59
Nurse aide staffing
Weekend hours
3.85
Weekend nurse staffing
RN turnover
69%
Annual RN turnover
Total nurse turnover
47%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
96.0%
1.5 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% |
93.8%
3.9 pts better
|
95.5%
2.2 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
2.6%
2 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 7.9% |
16.3%
8.4 pts better
|
11.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.8%
1.3 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.0% |
12.1%
3.9 pts worse
|
19.6%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
15.9%
4.9 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 29.6% |
20.0%
9.6 pts worse
|
16.3%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% |
15.8%
0.1 pts worse
|
14.9%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.2%
0.6 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.7%
0.8 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.7% |
23.5%
8.2 pts worse
|
19.8%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
4.7%
1.4 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% |
87.7%
3.6 pts better
|
81.7%
9.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.0% |
13.2%
5.8 pts worse
|
12.0%
7 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.4%
1 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.3% |
82.0%
2.7 pts worse
|
79.7%
0.4 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.5% |
19.9%
5.4 pts better
|
23.9%
9.4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Rights (8 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2025-06-18
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-06-18
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-06-18
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-06-18
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-06-18
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-06-18
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-06-18
Fire Safety
Meet other general requirements.
Corrected 2025-06-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-06-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-06-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-18
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-05-15
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-05-15
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-05-15
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-15
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-05-15
Fire Safety
Meet other general requirements.
Corrected 2024-05-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-15
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-05-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-15
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-15
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-05-15
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-05-15
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-05-15
Fire Safety
Have an externally vented heating system.
Corrected 2024-05-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-05-15
Fire Safety
Develop a communication plan.
Corrected 2023-06-12
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-06-12
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2023-06-12
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-12
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-06-12
Fire Safety
Meet other general requirements.
Corrected 2023-06-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-12
Inspection history
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2026-01-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-08
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-08-15
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2025-07-10
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2025-07-10
Health
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.
Corrected 2025-07-10
Health
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.
Corrected 2025-07-10
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-07-10
Health
Provide activities to meet all resident's needs.
Corrected 2025-07-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-10
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-07-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-10
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-07-10
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-10
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-10
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-07-10
Health
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.
Corrected 2025-07-10
Health
Provide or obtain dental services for each resident.
Corrected 2025-07-10
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-07-10
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-14
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2025-02-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-18
Health
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.
Corrected 2024-10-11
Health
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.
Corrected 2024-05-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-05-15
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-15
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-05-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-15
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-15
Health
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.
Corrected 2024-05-15
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-15
Health
Honor the resident's right to choose his or her attending physician.
Corrected 2024-05-15
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-05-15
Health
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.
Corrected 2024-05-15
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-05-15
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-05-15
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-05-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-15
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.
Corrected 2024-05-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-15
Health
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.
Corrected 2024-05-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-15
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-05-15
Health
Implement a program that monitors antibiotic use.
Corrected 2024-05-15
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-30
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-30
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-11
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-03-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-14
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-23
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-06-23
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-06-23
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-06-23
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-23
Health
Assess the resident when there is a significant change in condition
Corrected 2023-06-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-06-23
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-06-23
Health
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.
Corrected 2023-06-23
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-06-23
Penalties and ownership
Fine · fine $63,388
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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Richland, WA
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