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Avalon Care Center Federal Way, L.L.C.
135 South 336th Street, Federal Way, WA 98003 (opens Google Maps) · King County · (253) 835-7453· 120 certified beds · avg 110 residents/day · certified since Aug 2, 2002 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: AVALON HEALTH CARE (16 facilities, chain avg rating 3.4★)
3/5
Health inspection rating (on-site)
inspected Nov 21, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.05
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 48 inspection findings. Open the full record below to read every finding.
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
The 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. F-0759
The 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. F-0880
View all 48 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 21, 2025 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Nov 21, 2025 | E · Potential for more than minimal harm, pattern | The 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. · F-0759 |
| Nov 21, 2025 | E · Potential for more than minimal harm, pattern | The 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. · F-0880 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The 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. · F-0644 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The 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. · F-0657 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The 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. · F-0676 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The 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. · F-0677 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The 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. · F-0688 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The 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. · F-0693 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The 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. · F-0756 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The 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. · F-0761 |
| Nov 5, 2024 | D · Potential for more than minimal harm, isolated | The 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 · F-0700 |
| Jul 24, 2024 | F · Potential for more than minimal harm, widespread | The 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. · F-0881 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0623 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0657 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0688 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0880 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0578 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0585 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · F-0622 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0625 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0637 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0645 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0676 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0677 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0686 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0700 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0756 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0758 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0759 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0761 |
| Apr 28, 2023 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Apr 28, 2023 | E · Potential for more than minimal harm, pattern | The 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. · F-0569 |
| Apr 28, 2023 | E · Potential for more than minimal harm, pattern | The 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. · F-0623 |
| Apr 28, 2023 | E · Potential for more than minimal harm, pattern | The 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. · F-0625 |
| Apr 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Apr 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · F-0940 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | The 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. · F-0582 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | The 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. · F-0690 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Apr 28, 2023 | D · Potential for more than minimal harm, isolated | The 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. · F-0758 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (24 → 12).
All citationsSerious citations (G–L)
2023
All citations: 11
Serious citations (G–L): 0
2024
All citations: 25
Serious citations (G–L): 0
2025
All citations: 12
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 0 | F |
| 2024 | 25 | 0 | F |
| 2025 | 12 | 0 | E |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityWashington averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.05
Washington average: 4.24
U.S. average: 3.95
Registered Nurse hours
This facility: 0.85
Washington average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.54
Washington average: 3.69
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Washington avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.05 | 4.24 | 3.95 | top 45% in Washington; top 38% in the U.S. |
| Registered Nurse hours | 0.85 | 0.91 | 0.69 | top 49% in Washington; top 24% in the U.S. |
| Weekend total nurse staffing | 3.54 | 3.69 | 3.50 | top 41% in Washington; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.67 | 0.48 | top 48% in Washington; top 19% in the U.S. |
| Total nursing staff turnover (%) | 38.3 | 45.1 | 45.8 | top 33% in Washington; top 32% in the U.S. |
| RN turnover (%) | 40.0 | 45.4 | 42.9 | top 42% in Washington; top 46% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.28 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avalon Care Center Federal Way, L.L.C.. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avalon Care LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 08/01/2004 |
| Ahmad, Atique | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/26/2025 |
| Ahmad, Atique | Individual | ADP of the SNF | NOT APPLICABLE | 03/26/2025 |
| Avalon Health Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2003 |
| Avalon Health Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/14/2025 |
| Avalon Health Care Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2003 |
| Avalon Health Care Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Borisevich, Maria | Individual | Corporate Officer | NOT APPLICABLE | 01/08/2024 |
| Borisevich, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/08/2024 |
| Borisevich, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2024 |
| Dangerfield, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/05/2007 |
| Dangerfield, David | Individual | Corporate Director | NOT APPLICABLE | 04/05/2007 |
| Hash, Alan | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2017 |
| Hash, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2017 |
| Hash, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2017 |
| Kirton, Byron | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/27/2024 |
| Kirton, Byron | Individual | Corporate Director | NOT APPLICABLE | 08/27/2024 |
| Kirton, Hyrum | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/27/2024 |
| Kirton, Hyrum | Individual | Corporate Director | NOT APPLICABLE | 08/27/2024 |
| Kirton, Hyrum | Individual | Corporate Officer | NOT APPLICABLE | 03/29/2022 |
Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Avalon Health Care — 16 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Avalon Health & Rehabilitation Center - Pasco — Pasco, WA · overall 1/5
- Avalon Healthcare - Tacoma — Tacoma, WA · overall 2/5
- Avalon Healthcare Bellingham — Bellingham, WA · overall 5/5
- Benson Heights Rehabilitation Center — Kent, WA · overall 3/5
- Garden Village — Yakima, WA · overall 2/5
- Grays Harbor Health & Rehabilitation Center — Aberdeen, WA · overall 4/5
- Franciscan Post-Acute Care Center — Merced, CA · overall 4/5
- San Luis Care Center — Newman, CA · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 15 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 38% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 33 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 41 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Garden Terrace Healthcare Center of Federal Way | 0.1 mi | Federal Way, WA | ★★★★★ | 3/5 | |
| Hallmark Manor | 0.8 mi | Federal Way, WA | ★★☆☆☆ | 2/5 | |
| Life Care Center of Federal Way | 1.9 mi | Federal Way, WA | ★★☆☆☆ | 1/5 | |
| Auburn Post Acute | 5.2 mi | Auburn, WA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Canterbury House | 5.3 mi | Auburn, WA | ★★☆☆☆ | 2/5 | |
| North Auburn Care | 5.6 mi | Auburn, WA | ★★☆☆☆ | 1/5 | |
| Lea Hill Rehabilitation and Care Center | 6.2 mi | Auburn, WA | ★★★★☆ | 3/5 | |
| Judson Park Health Center | 6.2 mi | Des Moines, WA | ★★★★★ | 3/5 | |
| Avamere at Pacific Ridge | 6.9 mi | Tacoma, WA | ★★☆☆☆ | 2/5 | |
| Puget Sound Transitional Care | 7.1 mi | Des Moines, WA | ★★☆☆☆ | 2/5 | |
| Wesley Homes Des Moines Health Center | 7.5 mi | Des Moines, WA | ★★★★★ | 4/5 | |
| Linden Grove Health Care Center | 8.3 mi | Puyallup, WA | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in King, WA — 47 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Avamere Rehabilitation at Park West — Seattle, WA · overall 2/5
- Avamere Rehabilitation of Burien — Burien, WA · overall 2/5
- Avamere Rehabilitation of Issaquah — Issaquah, WA · overall 2/5
- Avamere Rehabilitation of Shoreline — Seattle, WA · overall 2/5
- Bailey-Boushay House — Seattle, WA · overall 3/5
- Ballard Center — Seattle, WA · overall 2/5
- Bellevue Post Acute — Bellevue, WA · overall 3/5
- Benson Heights Rehabilitation Center — Kent, WA · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 505510.
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