Avalon Care Center Federal Way, L.L.C.
Nursing Home · Federal Way, WA
CMS certification number505510
Contact & location
135 South 336Th StreetFederal Way, WA 98003
King County
- Phone
- (253) 835-7453
- ZIP code
- 98003 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 109.5 (91% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Avalon Care Center - Federal Way, LLC
- Chain
- Avalon Health Care (16 facilities, avg 3.4★)
- Medicare certified since
- August 2, 2002
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.28 (state 4.37 · U.S. 3.86)
- Registered nurses (RN)
- 0.90 (state 0.94 · U.S. 0.69)
- Licensed practical nurses
- 0.93 (state 0.77 · U.S. 0.86)
- Nurse aides
- 2.45 (state 2.66 · U.S. 2.32)
- Weekend total
- 3.75 (state 3.81 · U.S. 3.42)
- Nursing staff turnover
- 38.3 (state 45.1 · U.S. 45.8)%
- RN turnover
- 40.0 (state 45.4 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- November 21, 2025
- Health deficiencies (last cycle)
- 12.0 (state 16.1 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 48 health · 32 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-11-21 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2025-11-21 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-04 |
| 2024-11-05 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-06 |
| 2024-07-24 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-05 |
| 2024-07-24 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | 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. F0688 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-05 |
| 2024-07-24 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | 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. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-07-24 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2023-04-28 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-06-07 |
| 2023-04-28 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-07 |
| 2023-04-28 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-07 |
| 2023-04-28 | 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. F0625 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-04-28 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-04-28 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-22 |
| 2023-04-28 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-04-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-22 |
| 2023-04-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-04-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-07 |
| 2023-04-28 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-07 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Avalon Care LLC (organization) | 5%+ Indirect Ownership Interest · 100% | |
| Ahmad, Atique (individual) | Administrator · NOT APPLICABLE | |
| Avalon Health Care INC (organization) | Administrator · NOT APPLICABLE | |
| Avalon Health Care Management INC (organization) | Administrator · NOT APPLICABLE | |
| Borisevich, Maria (individual) | Administrator · NOT APPLICABLE | |
| Hash, Alan (individual) | Administrator · NOT APPLICABLE | |
| Kirton, Hyrum (individual) | Administrator · NOT APPLICABLE | |
| Smith, Nicole (individual) | Administrator · NOT APPLICABLE | |
| Stoa, Inga (individual) | Administrator · NOT APPLICABLE | |
| Wachowski, Samantha (individual) | Administrator · NOT APPLICABLE | |
| Dangerfield, David (individual) | Corporate Director · NOT APPLICABLE | |
| Kirton, Byron (individual) | Corporate Director · NOT APPLICABLE | |
| Kirton, Hyrum (individual) | Corporate Director · NOT APPLICABLE | |
| Kirton, Spencer (individual) | Corporate Director · NOT APPLICABLE | |
| Woltil, Robert (individual) | Corporate Director · NOT APPLICABLE | |
| Borisevich, Maria (individual) | Corporate Officer · NOT APPLICABLE | |
| Hash, Alan (individual) | Corporate Officer · NOT APPLICABLE | |
| Kirton, Hyrum (individual) | Corporate Officer · NOT APPLICABLE | |
| Smith, Nicole (individual) | Corporate Officer · NOT APPLICABLE | |
| Dangerfield, David (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kirton, Byron (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kirton, Hyrum (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kirton, Spencer (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Woltil, Robert (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Ahmad, Atique (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Avalon Health Care INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Avalon Health Care Management INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Borisevich, Maria (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hash, Alan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kirton, Hyrum (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Smith, Nicole (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Stoa, Inga (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wachowski, Samantha (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avalon Care Center Federal Way, L.L.C.?
Avalon Care Center Federal Way, L.L.C. has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.
How many beds does Avalon Care Center Federal Way, L.L.C. have?
It has 120 certified beds and cares for about 110 residents per day.
Has Avalon Care Center Federal Way, L.L.C. been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Avalon Care Center Federal Way, L.L.C.?
It is part of Avalon Health Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avalon Care Center Federal Way, L.L.C.?
(253) 835-7453. The facility is located at 135 South 336Th Street, Federal Way, WA 98003.
Other nursing homes in Federal Way
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Garden Terrace Healthcare Center of Federal Way
Nursing Home · Federal Way, WA · 70 beds
★★★★★ -
Hallmark Manor
Nursing Home · Federal Way, WA · 147 beds
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Life Care Center Of Federal Way
Nursing Home · Federal Way, WA · 157 beds
★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.