Avalon Care Center Federal Way, L.L.C.
135 South 336th Street · Federal Way, WA · 98003 · 2538357453
120 certified beds For profit - Corporation Chain: Avalon Health Care
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 79 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.91 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (48 in the current record)
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Potential for harm · D November 21, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Provide activities to meet all resident's needs.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025
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.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025
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 January 4, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 4, 2026 · Pharmacy Service
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Potential for harm · E November 21, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected January 4, 2026 · Pharmacy Service
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Potential for harm · D November 21, 2025
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 January 4, 2026 · Pharmacy Service
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Potential for harm · E November 21, 2025
Provide and implement an infection prevention and control program.
Corrected January 4, 2026 · Infection Control
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Potential for harm · D November 5, 2024 · found via complaint
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.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 29, 2024 · Resident Rights
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Potential for harm · D July 24, 2024
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.
Corrected August 29, 2024 · Resident Rights
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Potential for harm · D July 24, 2024
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 August 29, 2024 · Resident Rights
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Potential for harm · D July 24, 2024
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.
Corrected August 29, 2024 · Resident Rights
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Potential for harm · E July 24, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 29, 2024 · Resident Rights
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Potential for harm · D July 24, 2024
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 August 29, 2024 · Resident Rights
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Potential for harm · D July 24, 2024
Assess the resident when there is a significant change in condition
Corrected August 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 24, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 24, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 29, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505510 · certified since August 2, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.