Avalon Healthcare - Tacoma
7411 Pacific Avenue · Tacoma, WA · 98408 · 2534748456
81 certified beds For profit - Limited Liability company Chain: Avalon Health Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
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
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.98 | 0.55–0.75 |
| Weekend hours / resident-day | 4.20 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $38,175 |
Inspection citations (82 in the current record)
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Potential for harm · D March 6, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 7, 2026 · Quality of Life and Care
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Potential for harm · E July 30, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 10, 2025 · Resident Rights
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Potential for harm · E July 30, 2025
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 September 10, 2025 · Resident Rights
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Potential for harm · E July 30, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 30, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 30, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 10, 2025 · Resident Rights
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Potential for harm · D July 30, 2025
Assess the resident when there is a significant change in condition
Corrected September 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2025
Ensure each resident receives an accurate assessment.
Corrected September 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 30, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 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 September 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2025
Provide activities to meet all resident's needs.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 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 September 10, 2025 · Quality of Life and Care
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Potential for harm · E July 30, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 10, 2025 · Pharmacy Service
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Potential for harm · D July 30, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · E July 30, 2025
Provide or obtain dental services for each resident.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · F July 30, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 10, 2025 · Nutrition and Dietary
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Potential for harm · D July 30, 2025
Provide and implement an infection prevention and control program.
Corrected September 10, 2025 · Infection Control
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Potential for harm · E July 30, 2025
Implement a program that monitors antibiotic use.
Corrected September 10, 2025 · Infection Control
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Potential for harm · E July 30, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 10, 2025 · Infection Control
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Potential for harm · D July 30, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected September 10, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 30, 2025 | Fine | $38,175 |
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 505183 · certified since February 8, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.