Avamere Transitional Care of Puget Sound
630 South Pearl Street · Tacoma, WA · 98465 · 2536717300
60 certified beds For profit - Limited Liability company Chain: Avamere
- Staffing hours comfortably above national benchmarks.
The composite number cleared 72 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: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.65 | 0.55–0.75 |
| Weekend hours / resident-day | 4.25 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 1 · $35,875 |
Inspection citations (45 in the current record)
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Actual harm · G March 19, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 13, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 30, 2025 · Resident Rights
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Potential for harm · D November 25, 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 October 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 25, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 30, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 30, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 30, 2025 · Quality of Life and Care
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Potential for harm · E November 25, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 30, 2025 · Nursing and Physician Services
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Potential for harm · D November 25, 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 October 30, 2025 · Pharmacy Service
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Potential for harm · D November 25, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 30, 2025 · Pharmacy Service
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Potential for harm · F November 25, 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 October 30, 2025 · Pharmacy Service
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Potential for harm · D November 25, 2025
Provide and implement an infection prevention and control program.
Corrected October 30, 2025 · Infection Control
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No harm found · C November 25, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected October 30, 2025 · Nutrition and Dietary
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Potential for harm · D September 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2025 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected March 7, 2025 · Nutrition and Dietary
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Potential for harm · E July 31, 2024
Respond appropriately to all alleged violations.
Corrected September 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 31, 2024
Ensure each resident receives an accurate assessment.
Corrected September 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 31, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 31, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 11, 2024 · Quality of Life and Care
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Potential for harm · E July 31, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 11, 2024 · Quality of Life and Care
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Potential for harm · E July 31, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 11, 2024 · Pharmacy Service
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Potential for harm · E July 31, 2024
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 September 11, 2024 · Pharmacy Service
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Potential for harm · E July 31, 2024
Provide and implement an infection prevention and control program.
Corrected September 11, 2024 · Infection Control
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Potential for harm · E July 31, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected September 11, 2024 · Infection Control
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Potential for harm · E July 31, 2024
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 September 11, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2026 | Fine | $35,875 |
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 505529 · certified since March 27, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.