3121 Squalicum Parkway, Bellingham, WA 98225 (opens Google Maps) · Whatcom County · (360) 734-6760· 105 certified beds · avg 66 residents/day · certified since Mar 1, 1986 · 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★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · 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.
▲ Actual harm, isolated · Apr 24, 2025 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 15, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Sep 3, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 19, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.
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
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. F-0655
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 |
|---|---|---|
| Dec 5, 2025 | 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 |
| Dec 5, 2025 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Dec 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Dec 5, 2025 | 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 |
| Dec 5, 2025 | 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 |
| Dec 5, 2025 | 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 |
| Dec 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Dec 5, 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 |
| Dec 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Dec 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Apr 24, 2025 | ▲ G · Actual 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. · from a complaint · F-0686 |
| Jan 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Dec 6, 2024 | E · Potential for more than minimal harm, pattern | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. · F-0680 |
| Dec 6, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Dec 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · F-0551 |
| Dec 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Dec 6, 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 |
| Dec 6, 2024 | 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 |
| Sep 3, 2024 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Sep 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Sep 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Mar 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Jan 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint · F-0573 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Jan 11, 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 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · F-0825 |
Citations from standard inspections increased between the last two inspection cycles (6 → 10).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 17 | 1 | G ▲ |
| 2025 | 12 | 1 | G ▲ |
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.
How to file a complaint about care →
1 fine totaling $32,298.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Apr 24, 2025 | Fine | $32,298 |
What these staffing numbers mean →
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) | 3.75 | 4.24 | 3.95 | bottom 29% in Washington; bottom 49% in the U.S. |
| Registered Nurse hours | 1.00 | 0.91 | 0.69 | top 29% in Washington; top 16% in the U.S. |
| Weekend total nurse staffing | 3.19 | 3.69 | 3.50 | bottom 26% in Washington; bottom 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.76 | 0.67 | 0.48 | top 31% in Washington; top 13% in the U.S. |
| Total nursing staff turnover (%) | 52.3 | 45.1 | 45.8 | bottom 32% in Washington; bottom 31% in the U.S. |
| RN turnover (%) | 41.2 | 45.4 | 42.9 | top 45% in Washington; top 49% 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 4.50, RN 1.21, weekend 3.84.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.50 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avalon Healthcare Bellingham. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 Health Care INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/17/2025 |
| Avalon Holdco Equities, L.L.C. | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/15/2026 |
| Avalon Holding INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/15/2026 |
| Hyrum a Kirton Individual Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| K-Team LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| Kirton, Byron | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| Kirton, Hyrum | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| Kirton, Spencer | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| Spencer K Kirton Individual Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| The Byron a Kirton Individual Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2025 |
| Avalon Health Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Avalon Health Care Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Avalon Health Care Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/30/2026 |
| Avalon Holdco Equities, L.L.C. | Organization | ADP of the SNF | NOT APPLICABLE | 04/15/2026 |
| Avalon Holding INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/17/2025 |
| Avalon Holding INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Avalon Real Estate LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| Dangerfield, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/17/2025 |
| Hash, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Hash, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
Showing 20 of 37 parties CMS has on file for this facility; 17 are not displayed. The full list is in the CMS Ownership dataset.
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.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Alderwood Park Health and Rehab of Cascadia | 1.5 mi | Bellingham, WA | ★★★★★ | 4/5 | |
| Rock Hill Health & Rehabilitation | 1.6 mi | Bellingham, WA | ★★☆☆☆ | 1/5 | |
| North Cascades Health and Rehabilitation | 3.1 mi | Bellingham, WA | ★★☆☆☆ | 1/5 | abuse |
| Mt Baker Care Center | 4.1 mi | Bellingham, WA | ★★★★★ | 5/5 | |
| Highland Health and Rehabilitation of Cascadia | 4.3 mi | Bellingham, WA | ★★★☆☆ | 3/5 | |
| Christian Health Care Center | 13.2 mi | Lynden, WA | ★★★★★ | 5/5 | |
| Soundview Rehabilitation and Health Care INC | 19.8 mi | Anacortes, WA | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
CMS records place this facility in Whatcom, WA — 8 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
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 505296.
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