Avalon Care Center Federal Way, L.L.C.
135 SOUTH 336TH STREET, FEDERAL WAY, WA 98003 · CCN 505510
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 96.3
- Phone
- 2538357453
Inspection history vs Washington & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Washington avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-21 | 12 | 17.0 | 9.5 | -5.0 better |
| 2 | 2024-07-24 | 25 | 17.2 | 9.8 | +7.8 worse |
| 3 | 2023-04-28 | 11 | 15.5 | 9.3 | -4.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 3 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.55 | 36.1% |
| RN staffing (reported) | 0.90 | 29.2% |
| Total nurse staffing (adjusted) | 4.38 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- AVALON HEALTH CARE
- Facilities in chain
- 13
- Chain avg overall
- 3.60 / 5
Inspection citations (48)
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0688Provide 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.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0693Ensure 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.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0761Ensure 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.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-11-21 · Health · corrected 2026-01-04
Potential for more than minimal harm
- DF0700Try 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.2024-11-05 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0578Honor 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.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0585Honor 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.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0625Notify 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.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- EF0688Provide 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.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0700Try 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.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0758Implement 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.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0761Ensure 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.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-24 · Health · corrected 2024-08-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-24 · Health · corrected 2024-09-05
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2024-07-24 · Health · corrected 2024-09-05
Potential for more than minimal harm
- EF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2023-04-28 · Health · corrected 2023-06-07
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-04-28 · Health · corrected 2023-06-20
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-28 · Health · corrected 2023-06-07
Potential for more than minimal harm
- EF0625Notify 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.2023-04-28 · Health · corrected 2023-06-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-28 · Health · corrected 2023-06-22
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-28 · Health · corrected 2023-06-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-28 · Health · corrected 2023-06-07
Potential for more than minimal harm
- DF0758Implement 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.2023-04-28 · Health · corrected 2023-06-07
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-04-28 · Health · corrected 2023-06-20
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2023-04-28 · Health · corrected 2023-06-07
Potential for more than minimal harm
- EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-04-28 · Health · corrected 2023-06-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AVALON OF WASHINGTON LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2004-07-20 |
| AVALON CARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2004-08-01 |
| AVALON HEALTH CARE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-12-01 |
| AVALON HOLDING, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-12-01 |
| HYRUM A KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| K-TEAM LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| SPENCER K KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| THE BYRON A KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, BYRON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, HYRUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, SPENCER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| AVALON HEALTH CARE MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-12-01 |
| AVALON HEALTH CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-12-01 |
| AHMAD, ATIQUE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-26 |
| BORISEVICH, MARIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-08 |
| HASH, ALAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-15 |
| KIRTON, HYRUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-29 |
| SMITH, NICOLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 |
| STOA, INGA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-10 |
| WACHOWSKI, SAMANTHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-29 |
| DANGERFIELD, DAVID | Individual | CORPORATE DIRECTOR | — | 2007-04-05 |
| KIRTON, BYRON | Individual | CORPORATE DIRECTOR | — | 2024-08-27 |
| KIRTON, HYRUM | Individual | CORPORATE DIRECTOR | — | 2024-08-27 |
| KIRTON, SPENCER | Individual | CORPORATE DIRECTOR | — | 2024-08-27 |
| WOLTIL, ROBERT | Individual | CORPORATE DIRECTOR | — | 2012-05-23 |
| BORISEVICH, MARIA | Individual | CORPORATE OFFICER | — | 2024-01-08 |
| HASH, ALAN | Individual | CORPORATE OFFICER | — | 2017-08-15 |
| KIRTON, HYRUM | Individual | CORPORATE OFFICER | — | 2022-03-29 |
| SMITH, NICOLE | Individual | CORPORATE OFFICER | — | 2023-03-01 |
Other facilities in FEDERAL WAY
| Name | Overall | Beds |
|---|---|---|
| GARDEN TERRACE HEALTHCARE CENTER OF FEDERAL WAY | ★★★★★ | 70 |
| HALLMARK MANOR | ★★★☆☆ | 147 |
| LIFE CARE CENTER OF FEDERAL WAY | ★★☆☆☆ | 157 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.