SNF
AVALON HEALTHCARE - TACOMA
CCN: 505183 · TACOMA, WA 98408 · Pierce County
Overview
- Address
- 7411 PACIFIC AVENUE, TACOMA, WA 98408
- Phone
- 2534748456
- Certified beds
- 81
- Avg daily residents
- 51 (63% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1968-02-08
- Setting
- Urban
1 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.86 | 3.81 | 4.93 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.97 | 0.67 | 0.98 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.93 | 0.84 | 0.95 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.96 | 2.30 | 3.00 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.90 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.12
hrs / resident / day
RN (weekend)
0.46
hrs / resident / day
Total nurse (adjusted, weekend)
4.18
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
New facility — insufficient data.
RN turnover
New facility — insufficient data.
Administrators departed
5
last 12 months
Resident acuity
Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-30 | 28 | 24 | 4 | 172 | 1 | 172 |
| Cycle 2/3 (prior) | 2024-10-09 | 36 | 32 | 4 | 224 | 1 | 224 |
Total weighted health score
185.0
lower is better
Deficiencies (81)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
3 A/B/C No actual harm — minor
77 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2025-07-30 | 2025-09-10 |
| 0584 | Honor 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. | E | 2025-07-30 | 2025-09-10 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2025-07-30 | 2025-09-10 |
| 0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-30 | 2025-09-10 |
| 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-07-30 | 2025-09-10 |
| 0637 | Assess the resident when there is a significant change in condition | D | 2025-07-30 | 2025-09-10 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-30 | 2025-09-10 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2025-07-30 | 2025-09-10 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-07-30 | 2025-09-10 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-07-30 | 2025-09-10 |
| 0679 | Provide activities to meet all resident's needs. | D | 2025-07-30 | 2025-09-10 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-30 | 2025-09-10 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-07-30 | 2025-09-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-30 | 2025-09-10 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-07-30 | 2025-09-10 |
| 0693 | Ensure 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. | D | 2025-07-30 | 2025-09-10 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2025-07-30 | 2025-09-10 |
| 0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-07-30 | 2025-09-10 |
| 0791 | Provide or obtain dental services for each resident. | E | 2025-07-30 | 2025-09-10 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-07-30 | 2025-09-10 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-07-30 | 2025-09-10 |
| 0881 | Implement a program that monitors antibiotic use. | E | 2025-07-30 | 2025-09-10 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-07-30 | 2025-09-10 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-07-30 | 2025-09-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-05-07 | 2025-06-10 |
| 0660 | Plan the resident's discharge to meet the resident's goals and needs. | E | 2025-03-11 | 2025-04-15 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-11 | 2025-04-15 |
| 0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | 2025-03-11 | 2025-04-15 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-12-30 | 2025-01-14 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-09 | 2024-11-22 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-10-09 | 2024-11-22 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-10-09 | 2024-11-22 |
| 0567 | Honor the resident's right to manage his or her financial affairs. | E | 2024-10-09 | 2024-11-22 |
| 0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-10-09 | 2024-11-22 |
| 0584 | Honor 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. | E | 2024-10-09 | 2024-11-22 |
| 0585 | Honor 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. | D | 2024-10-09 | 2024-11-22 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-10-09 | 2024-11-22 |
| 0625 | Notify 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. | D | 2024-10-09 | 2024-11-22 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-10-09 | 2024-11-22 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-10-09 | 2024-11-22 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-10-09 | 2024-11-22 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-10-09 | 2024-11-22 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-10-09 | 2024-11-22 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-09 | 2024-11-22 |
| 0679 | Provide activities to meet all resident's needs. | D | 2024-10-09 | 2024-11-22 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-10-09 | 2024-11-22 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-09 | 2024-11-22 |
| 0688 | Provide 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. | D | 2024-10-09 | 2024-11-22 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-09 | 2024-11-22 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-09 | 2024-11-22 |
Showing 50 most recent of 81. See the All Data CSV for the full list.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 3.7% Medicaid 78.9% Other 17.4%
Operating performance
Operating Margin
-23.8%
Total Margin
-23.3%
Occupancy Rate
66.4%
Cost per Resident Day
$38
Revenue & costs
Net Patient Revenue
$7.3M
Total Costs
$751K
Net Income
-$1.7M
Balance sheet
Total Assets
$6.3M
Total Liabilities
$7.1M
Fund Balance
-$796K
Current Ratio
0.60
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: AVAMERE
- Chain ID
58- Facilities in chain
- 33
- Legal business name
- Legal Business Name Not Available
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.5
Staffing
3.8
QM
3.6
Owner / manager individuals (1)
| Name | Role | Association |
|---|---|---|
| — | Ownership Data Not Available | — |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $38 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.60 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 78.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,701,018 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $7,281,525 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 66.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -23.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $6,308,249 | metrics.total_assets |
| Cost Report | Total Costs ($) | $750,548 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-796,338 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $7,104,587 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -23.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.94730 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.99987 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.98262 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.92979 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.17511 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 51.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.84495 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.29640 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66601 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.80736 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.35579 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.8 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 58 | Chain ID |
| Provider Information | Chain Name | AVAMERE | Chain Name |
| Provider Information | City/Town | TACOMA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 505183 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Pierce | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1968-02-08 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 47.1899 | Latitude |
| Provider Information | Legal Business Name | Legal Business Name Not Available | Legal Business Name |
| Provider Information | Location | 7411 PACIFIC AVENUE,TACOMA,WA,98408 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.43 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 5 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 81 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 33 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.34878 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.97904 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 7411 PACIFIC AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | AVALON HEALTHCARE - TACOMA | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 260 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 172 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 4 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 24 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-30 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 172 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 28 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 32 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-10-09 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 224 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 4 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 224 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 36 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.46428 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.90315 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.93416 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.95825 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05517 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.96899 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.86139 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | WA | State |
| Provider Information | Telephone Number | 2534748456 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.11718 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 185.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 98408 | ZIP Code |