Washington ›Federal Way

Avalon Care Center Federal Way, L.L.C.

135 South 336th Street, Federal Way, WA 98003 · King County · 120 certified beds · avg 110 residents/day · certified since Aug 2, 2002

Part of chain: AVALON HEALTH CARE (16 facilities, chain avg rating 3.4★)

3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.05
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (48)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Nov 21, 2025E · Potential for harm, repeatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 21, 2025E · Potential for harm, repeatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Nov 21, 2025E · Potential for harm, repeatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 21, 2025D · Potential for harm, one-offThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Nov 21, 2025D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 21, 2025D · Potential for harm, one-offThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Nov 21, 2025D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 21, 2025D · Potential for harm, one-offThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Nov 21, 2025D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Nov 21, 2025D · Potential for harm, one-offThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Nov 21, 2025D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Nov 21, 2025D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 5, 2024D · Potential for harm, one-offThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint
Jul 24, 2024F · Potential for harm, facility-wideThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jul 24, 2024E · Potential for harm, repeatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jul 24, 2024E · Potential for harm, repeatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 24, 2024E · Potential for harm, repeatedThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jul 24, 2024E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 24, 2024E · Potential for harm, repeatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 24, 2024D · Potential for harm, one-offThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jul 24, 2024D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jul 24, 2024D · Potential for harm, one-offThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jul 24, 2024D · Potential for harm, one-offThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Jul 24, 2024D · Potential for harm, one-offThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jul 24, 2024D · Potential for harm, one-offThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jul 24, 2024D · Potential for harm, one-offThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jul 24, 2024D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jul 24, 2024D · Potential for harm, one-offThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jul 24, 2024D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 24, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 24, 2024D · Potential for harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 24, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 24, 2024D · Potential for harm, one-offThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 24, 2024D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 24, 2024D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jul 24, 2024D · Potential for harm, one-offThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 24, 2024D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 28, 2023F · Potential for harm, facility-wideThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Apr 28, 2023E · Potential for harm, repeatedThe facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Apr 28, 2023E · Potential for harm, repeatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Apr 28, 2023E · Potential for harm, repeatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Apr 28, 2023E · Potential for harm, repeatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 28, 2023E · Potential for harm, repeatedThe facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Apr 28, 2023D · Potential for harm, one-offThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Apr 28, 2023D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 28, 2023D · Potential for harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 28, 2023D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 28, 2023D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (24 → 12).

YearCitationsSerious (G–L)Worst severity that year
2023110F
2024250F
2025120E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityWashington avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.054.243.95top 45% in Washington; top 38% in the U.S.
Registered Nurse hours0.850.910.69top 49% in Washington; top 24% in the U.S.
Weekend total nurse staffing3.543.693.50top 41% in Washington; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)0.650.670.48top 48% in Washington; top 19% in the U.S.
Total nursing staff turnover (%)38.345.145.8top 33% in Washington; top 32% in the U.S.
RN turnover (%)40.045.442.9top 42% in Washington; top 46% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.28, RN 0.90, weekend 3.75. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Avalon Care LLCOrganization5% or Greater Indirect Ownership Interest100%08/01/2004
Ahmad, AtiqueIndividualOperational/Managerial ControlNOT APPLICABLE03/26/2025
Ahmad, AtiqueIndividualADP of the SNFNOT APPLICABLE03/26/2025
Avalon Health Care INCOrganizationOperational/Managerial ControlNOT APPLICABLE12/01/2003
Avalon Health Care INCOrganizationADP of the SNFNOT APPLICABLE05/14/2025
Avalon Health Care Management INCOrganizationOperational/Managerial ControlNOT APPLICABLE12/01/2003
Avalon Health Care Management INCOrganizationADP of the SNFNOT APPLICABLE04/09/2025
Borisevich, MariaIndividualCorporate OfficerNOT APPLICABLE01/08/2024
Borisevich, MariaIndividualOperational/Managerial ControlNOT APPLICABLE01/08/2024
Borisevich, MariaIndividualADP of the SNFNOT APPLICABLE01/08/2024
Dangerfield, DavidIndividualManaging Control - Governing BodyNOT APPLICABLE04/05/2007
Dangerfield, DavidIndividualCorporate DirectorNOT APPLICABLE04/05/2007
Hash, AlanIndividualCorporate OfficerNOT APPLICABLE08/15/2017
Hash, AlanIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2017
Hash, AlanIndividualADP of the SNFNOT APPLICABLE08/15/2017
Kirton, ByronIndividualManaging Control - Governing BodyNOT APPLICABLE08/27/2024
Kirton, ByronIndividualCorporate DirectorNOT APPLICABLE08/27/2024
Kirton, HyrumIndividualManaging Control - Governing BodyNOT APPLICABLE08/27/2024
Kirton, HyrumIndividualCorporate DirectorNOT APPLICABLE08/27/2024
Kirton, HyrumIndividualCorporate OfficerNOT APPLICABLE03/29/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Garden Terrace Healthcare Center of Federal Way0.1 miFederal Way, WA★★★★★3/5
Hallmark Manor0.8 miFederal Way, WA★★☆☆☆2/5
Life Care Center of Federal Way1.9 miFederal Way, WA★★☆☆☆1/5
Auburn Post Acute5.2 miAuburn, WA★☆☆☆☆1/5abuseSFF
Canterbury House5.3 miAuburn, WA★★☆☆☆2/5
North Auburn Care5.6 miAuburn, WA★★☆☆☆1/5
Lea Hill Rehabilitation and Care Center6.2 miAuburn, WA★★★★☆3/5
Judson Park Health Center6.2 miDes Moines, WA★★★★★3/5
Avamere at Pacific Ridge6.9 miTacoma, WA★★☆☆☆2/5
Puget Sound Transitional Care7.1 miDes Moines, WA★★☆☆☆2/5
Wesley Homes Des Moines Health Center7.5 miDes Moines, WA★★★★★4/5
Linden Grove Health Care Center8.3 miPuyallup, WA★☆☆☆☆1/5abuse

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Facility data as of CMS processing date 2026-08-01. CCN 505510.