Federal inspection record · CMS data as of October 1, 2026
Avamere At Pacific Ridge
3625 East B Street, Tacoma, WA · (253) 475-2507
- Certified beds
- 102
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- Avamere
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1982
1
How this home got 2 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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Avamere At Pacific Ridge carries 167 inspection points. That is fewer than 18% 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
68 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that residents are free from significant medication errors.
-
G
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.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care19E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 enough food/fluids to maintain a resident's health.
- D
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.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
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 treatment and care according to orders, resident’s preferences and goals.
- 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide or obtain dental services for each resident.
- E
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights13E
- 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 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
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
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.
- 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
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.
- E
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
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.
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
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.
Resident Assessment and Care Planning10F
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service9F
- F
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
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- E
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- E
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 each resident’s drug regimen must be free from unnecessary drugs.
Infection Control5E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nutrition and Dietary2F
- F
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-04-24
23 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2025-03-27
30 health deficiencies · 25 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2024-04-26
15 health deficiencies · 15 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 59 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h 59 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 64% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$68,411 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-23 | Fine | $10,628 |
| 2025-01-17 | Fine | $22,432 |
| 2024-10-04 | Fine | $27,073 |
| 2024-07-19 | Fine | $8,278 |
6
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 vaccine5.2 pts worse | 91.0% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine18.4 pts worse | 75.9% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.4% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.4 pts better | 9.5% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 8.0% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.4 pts worse | 22.9% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication30.9 pts worse | 45.9% | 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 worsened0.4 pts better | 15.2% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better | 12.9% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.5% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts better | 13.8% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 5.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts worse | 83.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.8 pts worse | 25.8% | 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 vaccine3.2 pts worse | 81.2% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.3 pts worse | 31.0% | 19.7% | 23.4% |
·
Who owns and runs it
69 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 |
|---|---|---|---|
| Ari Operations, LLC | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Ariso LLC | Direct Ownership Interest · Organization | 0% | 11 facilities |
| Avamere Group LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Avamere Health Services LLC | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Avamere Health Services LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Avamere Skilled Advisors LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Avamere Skilled Advisors LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Brooks, Anthony | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brooks, Anthony | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cavallo, Glen | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Fanunal, Loriel | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Fanunal, Loriel | Adp Of The SNF · Individual | 0% | 9 facilities |
| Feakin, Cody | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Feakin, Cody | Adp Of The SNF · Individual | 0% | 17 facilities |
| Fowler, Katherine | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Fowler, Katherine | Adp Of The SNF · Individual | 0% | 10 facilities |
| Funderberg, Michelle | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Funderberg, Michelle | Adp Of The SNF · Individual | 0% | 17 facilities |
| Games, Kim | Adp Of The SNF · Individual | 0% | 17 facilities |
| Haskins, Damien | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Haskins, Damien | Adp Of The SNF · Individual | 0% | 8 facilities |
| Hill, Kevin | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Hill, Kevin | Adp Of The SNF · Individual | 0% | 11 facilities |
| Hoskins, Tonia | Managing Control - Governing Body · Individual | 0% | 13 facilities |
| Hoskins, Tonia | Adp Of The SNF · Individual | 0% | 13 facilities |
| Inskeep, Todd | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Inskeep, Todd | Adp Of The SNF · Individual | 0% | 17 facilities |
| Karl Rickard Miller Jr Revocable Trust | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Kofstad, Mary | Managing Control - Governing Body · Individual | 0% | 22 facilities |
| Kofstad, Mary | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Kofstad, Mary | Adp Of The SNF · Individual | 0% | 22 facilities |
| Kretchmar, Joshua | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Kretchmar, Joshua | Adp Of The SNF · Individual | 0% | 4 facilities |
| Mckinney, Mary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mckinney, Mary | Adp Of The SNF · Individual | 0% | 1 facilities |
| Midcap Finco LLC | 5% Or Greater Security Interest · Organization | 0% | 19 facilities |
| Midcap Finco LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Miller, Karl | Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Munro, Jolynn | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Munro, Jolynn | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Munro, Jolynn | Adp Of The SNF · Individual | 0% | 9 facilities |
| Okoli, Ike | Managing Control - Governing Body · Individual | 0% | 12 facilities |
| Poirier, Stacy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Poirier, Stacy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Polson, Justin | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Polson, Justin | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Polson, Justin | Adp Of The SNF · Individual | 0% | 9 facilities |
| Powelson, Michele | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Powelson, Michele | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Powelson, Michele | Adp Of The SNF · Individual | 0% | 11 facilities |
| Presley, Yolanda | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Presley, Yolanda | Adp Of The SNF · Individual | 0% | 17 facilities |
| Reid, Misty | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Reid, Misty | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Reid, Misty | Adp Of The SNF · Individual | 0% | 17 facilities |
| Sanders, Amanda | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Scaglione, Anita | Adp Of The SNF · Individual | 0% | 1 facilities |
| Simpson, Andrew | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Simpson, Andrew | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Simpson, Andrew | Adp Of The SNF · Individual | 0% | 18 facilities |
| Staples, Carolyn | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Staples, Carolyn | Adp Of The SNF · Individual | 0% | 16 facilities |
| Strider, Shelby | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Strider, Shelby | Adp Of The SNF · Individual | 0% | 1 facilities |
| Strunk, Colby | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Strunk, Colby | Adp Of The SNF · Individual | 0% | 17 facilities |
| Vanderzanden, Carrie | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Vanderzanden, Carrie | Adp Of The SNF · Individual | 0% | 17 facilities |
| Whyte, Ashley | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
53 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness16F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish roles under a Waiver declared by secretary.
- F
Provide emergency officials' contact information.
- F
Provide primary/alternate means for communication.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Include a process for Emergency Preparedness collaboration.
- F
Establish roles under a Waiver declared by secretary.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- 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.
Smoke15F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems8F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 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.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Egress4F
- F
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Construction2F
- D
Meet other general requirements.
- F
Meet other general requirements.
·
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