Starfile

Starfile / Washington

AVALON HEALTH & REHABILITATION CENTER - PASCO

2004 N 22ND AVENUE, PASCO, WA 99301 · CCN 505126

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Corporation
Certified beds
108
Avg residents/day
54.3
Phone
5095478811

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWashington avgNational avgvs state
12025-05-272317.09.5+6.0 worse
22024-04-233917.29.8+21.8 worse
32023-05-172015.59.3+4.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care7
Resident assessment and care planning2
Resident rights8
Nutrition and dietary1
Pharmacy service1
Administration2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.3047.4%
RN staffing (reported)1.0369.2%
Total nurse staffing (adjusted)4.13—

Fines & penalties

Total fines
$63,388
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
AVALON HEALTH CARE
Facilities in chain
13
Chain avg overall
3.60 / 5

Inspection citations (82)3 actual harm

  1. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-12-23 · Health · corrected 2026-01-19

    Potential for more than minimal harm

  2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-23 · Health · corrected 2026-01-19

    Potential for more than minimal harm

  3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-17 · Health · corrected 2025-10-08

    Potential for more than minimal harm

  4. EF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-08-05 · Health · corrected 2025-08-15

    Potential for more than minimal harm

  5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  6. EF0572Give residents a notice of rights, rules, services and charges.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  7. EF0574The resident has the right to receive notices in a format and a language he or she understands.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  8. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  9. EF0584Honor 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.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  10. EF0585Honor 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.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  11. DF0610Respond appropriately to all alleged violations.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  12. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  13. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  14. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  15. EF0679Provide activities to meet all resident's needs.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  18. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  19. 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.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  20. DF0791Provide or obtain dental services for each resident.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  21. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  22. EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  23. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-05-27 · Health · corrected 2025-07-10

    Potential for more than minimal harm

  24. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-01-29 · Health · corrected 2025-02-14

    Potential for more than minimal harm

  25. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-29 · Health · corrected 2025-02-14

    Potential for more than minimal harm

  26. DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2025-01-29 · Health · corrected 2025-02-14

    Potential for more than minimal harm

  27. DF0880Provide and implement an infection prevention and control program.2025-01-29 · Health · corrected 2025-02-14

    Potential for more than minimal harm

  28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-19 · Health · corrected 2025-01-08

    Potential for more than minimal harm

  29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

  30. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

  31. 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.2024-09-25 · Health · corrected 2024-10-11

    Potential for more than minimal harm

  32. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  33. DF0555Honor the resident's right to choose his or her attending physician.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  34. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  35. EF0584Honor 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.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  36. 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.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  37. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  38. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  39. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  40. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  41. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  42. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  43. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  44. 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.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  45. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  46. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  47. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  48. EF0759Ensure medication error rates are not 5 percent or greater.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  49. 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.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  50. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  51. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  52. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  53. EF0880Provide and implement an infection prevention and control program.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  54. DF0881Implement a program that monitors antibiotic use.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  55. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  56. EF0887Educate 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.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  57. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-04-23 · Health · corrected 2024-05-15

    Potential for more than minimal harm

  58. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-28 · Health · corrected 2024-04-30

    Potential for more than minimal harm

  59. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-28 · Health · corrected 2024-04-30

    Potential for more than minimal harm

  60. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-15 · Health · corrected 2024-04-30

    Potential for more than minimal harm

  61. DF0610Respond appropriately to all alleged violations.2024-03-15 · Health · corrected 2024-04-30

    Potential for more than minimal harm

  62. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-15 · Health · corrected 2024-04-30

    Actual harm

  63. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-14 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  64. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-14 · Health · corrected 2024-03-11

    Actual harm

  65. EF0730Observe each nurse aide's job performance and give regular training.2024-02-14 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  66. EF0880Provide and implement an infection prevention and control program.2024-02-14 · Health · corrected 2024-03-11

    Potential for more than minimal harm

  67. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-23 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  68. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-26 · Health · corrected 2023-11-20

    Potential for more than minimal harm

  69. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-23 · Health · corrected 2023-09-12

    Potential for more than minimal harm

  70. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  71. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  72. DF0610Respond appropriately to all alleged violations.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  73. DF0637Assess the resident when there is a significant change in condition2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  74. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  75. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-17 · Health · corrected 2023-06-23

    Actual harm

  76. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  77. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  78. 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.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  79. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  80. EF0880Provide and implement an infection prevention and control program.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  81. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  82. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-05-17 · Health · corrected 2023-06-23

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
AVALON OF WASHINGTON LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2003-08-26
AVALON CARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2003-08-26
AVALON HEALTH CARE, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2003-08-26
AVALON HOLDING, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2003-08-26
HYRUM A KIRTON INDIVIDUAL TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-10-01
K-TEAM LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-10-01
SPENCER K KIRTON INDIVIDUAL TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-10-01
THE BYRON A KIRTON INDIVIDUAL TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-10-01
KIRTON, BYRONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-10-01
KIRTON, HYRUMIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-10-01
KIRTON, SPENCERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-10-01
AVALON HEALTH CARE MANAGEMENT, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL—2003-08-26
AVALON HEALTH CARE, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL—2003-08-26
BORISEVICH, MARIAIndividualOPERATIONAL/MANAGERIAL CONTROL—2024-01-08
HASH, ALANIndividualOPERATIONAL/MANAGERIAL CONTROL—2017-08-15
KIRTON, HYRUMIndividualOPERATIONAL/MANAGERIAL CONTROL—2022-03-29
KUBU, CHERYLIndividualOPERATIONAL/MANAGERIAL CONTROL—2025-09-29
ROBERTS, ANAIndividualOPERATIONAL/MANAGERIAL CONTROL—2025-04-07
SMITH, NICOLEIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-03-01
WATSON, BROOKSIndividualOPERATIONAL/MANAGERIAL CONTROL—2025-02-01
DANGERFIELD, DAVIDIndividualCORPORATE DIRECTOR—2007-04-05
KIRTON, BYRONIndividualCORPORATE DIRECTOR—2024-08-27
KIRTON, CHARLESIndividualCORPORATE DIRECTOR—2003-12-01
KIRTON, HYRUMIndividualCORPORATE DIRECTOR—2024-08-27
KIRTON, SPENCERIndividualCORPORATE DIRECTOR—2024-08-27
WOLTIL, ROBERTIndividualCORPORATE DIRECTOR—2012-05-23
BORISEVICH, MARIAIndividualCORPORATE OFFICER—2024-01-08
HASH, ALANIndividualCORPORATE OFFICER—2017-08-15
KIRTON, HYRUMIndividualCORPORATE OFFICER—2022-03-29
SMITH, NICOLEIndividualCORPORATE OFFICER—2023-03-01

Other facilities in PASCO

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.